Rapid Adoption of Telehealth Services Due to the COVID-19 pandemic, we have seen a drastic change in the way that physicians treat their patients. During the pandemic, many healthcare entities were forced to step into the telehealth space with little experience and even less training. The use of telehealth was barely a factor among physicians […]
Keeping track of the financial health of your practice is important for many reasons. On the most basic of levels, it allows you to keep the doors open. You can retain your staff, keep their morale high and remove the headaches associated with worrying about money month to month. Most importantly, though, it allows you […]
The COVID-19 pandemic and the accompanying social distancing protocols catalyzed a shift toward remote care hence resulting in the exponential growth of Telehealth services. Governments and private payers sought to maintain access to care during this period by removing regulatory barriers and reforming payment policies. But after the pandemic, in recent months, outpatient visits by […]
Over-the-Counter COVID-19 Tests and Medicare As per the government’s ongoing efforts to expand Americans’ access to free testing, people in either Original Medicare or Medicare Advantage will be able to get over-the-counter COVID-19 tests at no cost starting in early spring. Under the new initiative, Medicare beneficiaries will be able to access up to eight […]
While code descriptors are never big news, one key change to a low-level office/outpatient (E/M) service code descriptor that came into effect on January 1, 2022, could be a welcome change for your practice. The revision is the level one office/outpatient E/M code for established patients. In 2022, the CPT 99211 descriptor reads as, office or […]
Healthcare providers focus on providing high-quality, equitable, and safe care as patient care and patient satisfaction are the ultimate motives for running practice. Patient billing is an important part of the care experience, where most practices face challenges day-to-day basis. Most of the surveys focusing on patient satisfaction report that patient bills can be difficult […]
During the COVID-19 pandemic, mandatory social distancing and the lack of effective treatments have made telemedicine the safest interactive system between patients and providers. Government authorities dramatically expanded telemedicine access during the pandemic. But as COVID is ebbing away and public health emergencies (PHE) in many states are ending, how does it will impact telehealth […]
As an attempt to lower drug costs, the Centers for Medicare & Medicaid Services (CMS) released an interim final rule that implements a new payment model, known as the Most Favored Nation (MFN) Model. Its approach is to pay no more for high-cost Medicare Part B drugs and biologicals than the lowest price that drug […]
It’s quite common for healthcare providers to outsource their billing activities to a medical billing company. Billing and coding for various medical specialties are challenging tasks due to billing guidelines, payer reimbursement policies, updated ICD-10 codes, and accurate use of procedure codes & modifiers. An orthopedic surgeon recently remarked that he was thinking about outsourcing […]
CMS recently proposed a rule to improve prior authorization processes by reducing the burden on providers and patients. This proposed rule would place new requirements on Medicaid and CHIP managed care plans, state Medicaid and CHIP fee-for-service programs, and Qualified Health Plans (QHP) issuers on the Federally-facilitated Exchanges (FFEs) to improve the electronic exchange of […]
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