Tag: Healthcare Payments

dispute surprise medical bills

Surprise Medical Billing Disputes: 5 Essential Steps to Protect Yourself

That sinking feeling when an unexpected, sky-high medical bill lands in your mailbox – it’s a universal experience for many. Welcome to the world of “surprise medical billing,” a frustrating byproduct of our complex healthcare system. Thankfully, new federal protections are in place to shield consumers. But what happens when a surprise bill still sneaks […]
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Healthcare Revenue Cycle Strategies to Boost Practice Revenue

Healthcare Revenue Cycle Strategies to Boost Practice Revenue

Insufficient implementation of revenue cycle management (RCM) strategies may result in disorderliness. Conversely, optimizing RCM in conjunction with billing and collection procedures can mitigate the difficulties, leading to amplified revenue for the practice. The Role of RCM in the Healthcare Sector RCM encompasses both the clinical and business aspects of healthcare institutions, linking patient care […]
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Four Key Payment Trends That Impact Pediatric Practices

Four Key Payment Trends That Impact Pediatric Practices

For a modern medical practice, efficiency is everything. Labor costs continue to increase, putting a pinch on practices that are still recovering from pandemic shutdowns. An August 2022 snapshot of practices shows that, although physician productivity is increasing, expenses are growing faster than reimbursements. Every person in the practice must work at peak efficiency, from […]
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5 Benefits of Addressing Payment Integrity Before Payments Are Ever Made

5 Benefits of Addressing Payment Integrity Before Payments Are Ever Made

Payment integrity in Medicaid—the concerted effort to keep tight control over fraud, waste and abuse—can be addressed at any stage in the claim cycle. Of course, the earlier it is addressed, the easier it is for health plans to avoid improper payments and the administrative burden of recovering them. And while pre-payment integrity programs maximize […]
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9 Challenges funding can help your medical practice overcome

9 Challenges funding can help your medical practice overcome

Proper funding can help your practice to rise above some challenges. 9 Challenges funding can help your medical practice overcome Medical practice funding is often best used to support growth initiatives that will increase your practice’s revenue—thus increasing the chance that you’ll be able to pay off your loan on time. However, sometimes medical practices […]
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Append Modifier FT for Unrelated Critical Care Services

Append Modifier FT for Unrelated Critical Care Services

On Jan. 14, coders and billers gained insight into proper use of novel HCPCS Level II modifier FT Unrelated evaluation and management (e/m) visit during a postoperative period, or on the same day as a procedure or another e/m visit. (report when an e/m visit is furnished within the global period but is unrelated, or […]
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Rural Health Clinic Policies Revised

Rural Health Clinic Policies Revised

  Don’t send another RHC claim until you’ve reviewed these key changes for 2022. A Rural Health Clinic (RHC) is a clinic located in a rural, underserved area with a shortage of primary care providers, personal health services, or both. Medicare pays RHCs for the provision of certain primary care and preventive health services in […]
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