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Medical Billing Services
Preparing Your Practice for Value-Based Care
What is Value-Based Care? Unlike traditional ‘fee-for-service care models that link payment to the number and type of services utilized, value-based healthcare is a health care delivery model in which providers, including hospitals and physicians, are paid based on patient health outcomes. Value-based care differs from a fee-for-service or capitated…
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Orthopedics billing services
Understanding Comprehensive Care for Joint Replacement (CJR) Model
In line with the Obama Administration’s efforts to provide high-quality care while reducing costs, in April 2016 CMS announced an initiative to implement bundled payments for hip and knee replacement surgeries, called Comprehensive Care for Joint Replacement (CCJR). Recently in May 2021 CMS published an 81-page final rule to extend…
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Medical Billing Services
Avoiding Healthcare Fraud and Abuse
Providers face multiple healthcare fraud and abuse laws at the local, state, and federal levels. Fraud and abuse cases in the healthcare industry cost billions of dollars a year. Healthcare fraud and abuse situations include submitting false claims; billing for medically unnecessary services; billing and coding errors; billing for services…
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Medical Billing Services
7 Tips to Improve Patient Registration Process
The first element of the revenue cycle starts with patient registration. From the minute a new patient begins the registration process, it’s crucial that you are asking for and receiving correct information. If any information is omitted, given incorrectly, or entered incorrectly by the front desk then it will lead…
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Ambulance Transportation Billing Services
Can Providers Waive Copays and Deductibles?
Healthcare service providers sometimes waive patient financial responsibility i.e., Copays and Deductibles as an accommodation to the patient, professional courtesy, and employee benefits. However, waiving co-pays and deductibles may violate fraud and abuse laws and payer contracts. For a payer, waiving co-pays and deductibles creates two problems. First, payers require…
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Physicians/ Doctors
Understanding 8-Minute Rule for Therapists
8-Minute Rule The 8-minute rule is the method of calculating the number of billable units Physical Therapists (PTs) should bill Medicare or Medicaid. The 8-minute rule applies to direct contact therapeutic services in which physical therapy provides one on one services to a patient for at least eight minutes. Each…
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Medical Billing Services
Scope and Challenges for Teleneurology
Teleneurology Basics Teleneurology is the use of real-time or delayed communication between neurologists and patients, or neurologists and other providers by way of shared audio, video, secure messaging, and other data exchanges. Teleneurology has been an important tool in improving the health and quality of life in those who are…
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