CMS’s Medicaid Payment Model show can be seen as a healthcare bridge, giving fundamental behavioral wellbeing administrations to both Medicaid and Medicare beneficiaries over a period of eight years. As portion of a unused Medicaid Payment Model demonstrate reported by CMS, physical, behavioral, and community suppliers will be required to arrange care in arrange to […]
Physicians are currently facing challenging times. The existing shortage of doctors, compounded by the pandemic, has exacerbated the patient-to-physician ratio. With an increase in patients, there’s a corresponding surge in administrative tasks for doctors. Consequently, this diminishes the time available for patient care and heightens stress levels among physicians. Furthermore, this situation often leads to […]
Telehealth has gained widespread acceptance among numerous medical practices and hospitals owing to its convenience, accessibility, and effectiveness in curbing the spread of infectious diseases. However, it’s important to recognize that telehealth is not exclusive to large institutions; small practices can also reap its benefits. Telehealth, also known as telemedicine, revolves around utilizing technology to […]
The effectiveness of revenue cycle management relies on a proactive approach that integrates key performance indicators (KPIs), benchmarking, and frequent performance evaluations. The revenue cycle plays a crucial role in the long-term financial sustainability of healthcare practices as it impacts all areas of their operations. To enhance revenue and streamline processes, healthcare practices are adopting […]
Outsourcing medical billing services can be an effective strategy to improve the financial health of your healthcare practice. By delegating the billing and coding tasks to a specialized third-party provider, you can streamline your revenue cycle, reduce administrative burdens, and enhance your profitability. However, medical billing can be a complex and time-consuming task that requires […]
While these activities oftentimes become challenging, they should help in facilitating reimbursement. This month, we’ll dive into the next steps needed for medical practices to take after being credentialed to maximize the chances of receiving reimbursement. The next critical steps after getting credentialed are (1) to conduct eligibility checks for patient visits and (2) get […]
Completing all necessary documentation to describe the individual’s current condition, treatment needs, interventions, and medications must be done with precision. The end of a calendar year and the beginning of a new one can be a busy time for healthcare practices, and this year is shaping up to be no different. In much of the […]
Amid inflation and recession concerns, organizations are cutting back on IT spending. While healthcare tends to outperform other industries when faced with economic headwinds, healthcare practices are not entirely immune to a recession. Smaller offices with fewer resources, staff members and revenue are the most susceptible to potential difficulties. So where can healthcare providers trim […]
The organization recommended CMS update the independent dispute resolution portal to improve communication between disputing parties and adjust the form field requirements. The Medical Group Management Association (MGMA) has asked CMS to update the federal independent dispute resolution (IDR) portal to streamline the arbitration process for determining an out-of-network payment rate for a surprise medical […]
It’s critical that independent practices make sure that they are laying the groundwork to make telehealth a robust part of their care delivery and their bottom line. In a very real sense, telehealth has been responsible for enabling independent healthcare practices to stay in practice and continue to provide care to their communities during the […]