medical-billing Archives - Page 5 of 13

August 9, 2021
Blog, Medical Billing
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What Revenue Cycle Can Do to Prepare for Surprise Billing Compliance

Surprise billing compliance will have impacts throughout the revenue cycle, so preparation now is key to meeting the January 1st deadline. A prohibition on surprise billing is coming at the start of next year and federal agencies have started to release what surprise billing compliance will look like. These new compliance requirements will have a […]

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August 2, 2021
Blog, Medical Billing
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New bill aims to boost Medicare access to chronic care services

New legislation aims to eliminate the cost-sharing requirement for Medicare beneficiaries to get chronic care management services and reimburse providers for 100% of the payment. The legislation, reintroduced Thursday, intends to boost access among seniors to chronic care management services that include creating a care plan and medication reconciliation and adherence. “Chronic health conditions […]

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How 2 Rural Hospitals use charities to help Patients without-of-pocket costs

Outside financial aid might not be the best long-term solution to the national problem of high healthcare costs and inadequate insurance coverage, but two rural hospitals are taking innovative approaches to tapping philanthropic resources to reduce their bad debt and help patients with medical bills. The American Hospital Association’s latest Annual Survey of Hospitals showed […]

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AHIP, Other Stakeholders Support Medicare Value-Based Care Bill

Medicare value-based care efforts are crucial for moving forward value-based care in the healthcare industry overall. In a joint letter to the four representatives who introduced the bill in the House of Representatives, payer and provider organizations have thrown their support behind the Value in Health Care Act of 2021 which seeks to bolster Medicare […]

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5 Things rev cycle leaders need to know about surprise billing interim final rule

Understanding the qualifying payment amount and the initial information on the independent dispute resolution process “should be a short-term priority for revenue cycle leaders and their teams,” says attorney Harvey Rochman. Earlier this month, the federal government released an interim final rule outlining certain provisions of the No Surprises Act (NSA), which is designed […]

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HHS Addresses Surprise Billing in Commercial Health Plans

The interim rule is in response to the No Surprises Act, which directed multiple US departments to issue a rule that would quell surprise billing in commercial health plans. The Biden administration has issued an interim rule that regulates surprise billing in commercial health plans and employer-sponsored health plans, CMS announced. “No patient should forgo […]

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Biden administration releases interim final rule banning surprise medical bills

The final rule is an implementation of the No Surprises Act, which was passed by Congress last year. The U.S. Department of Health and Human Services issued an interim final rule this week banning surprise medical bills and some out-of-network charges, which will go into effect on January 1, 2022 for providers and insurance […]

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How to find the right revenue cycle partner

Physicians enter into health care because they want to help care for patients, not to become business people. This can make revenue cycle management (RCM) seem like an overwhelming or complex set of steps, yet, at its essence, “it is basically about obtaining payment for services rendered to a patient,” says Kelly Dingwell, principal attorney […]

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Lack of Word “Complete” In Operative Report Results In Payment Denial

Our hospital has been denied CPT code 52601 because the operative report does not mention the word complete. Although the operative note described the procedure in detail and the pathology report showed benign prostatic hyperplasia (BPH) tissue, why do we need to state the word complete? What does it mean in the CPT description? CPT […]

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Contactless Payments, Virtual Care Surge To Continue Post-COVID-19

Healthcare consumerism is on the rise , as patients report the desire to use telehealth and contactless payment options post-COVID-19. However there are disconnects between payer, provider, and consumer expectations, according to the eleventh annual Trends in Healthcare Payments Report from InstaMed. The report explores how COVID-19 has accelerated many trends that have improved the consumer experience […]

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Tag: medical-billing

What Revenue Cycle Can Do to Prepare for Surprise Billing Compliance

New bill aims to boost Medicare access to chronic care services

How 2 Rural Hospitals use charities to help Patients without-of-pocket costs

AHIP, Other Stakeholders Support Medicare Value-Based Care Bill

5 Things rev cycle leaders need to know about surprise billing interim final rule

HHS Addresses Surprise Billing in Commercial Health Plans

Biden administration releases interim final rule banning surprise medical bills

How to find the right revenue cycle partner

Lack of Word “Complete” In Operative Report Results In Payment Denial

Contactless Payments, Virtual Care Surge To Continue Post-COVID-19

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