In the US COVID vaccines are 100% free to all individuals. Only insurance companies or the federal government can be billed for medical reimbursement, not patients. For COVID vaccines administered on or after March 15, 2021, the national average payment rate for physicians, hospitals, pharmacies, and other immunizers will be $40 per dose. If you look […]
Every healthcare provider is looking for timely and efficient reimbursement from payers for the services rendered to patients, but it requires clean and error-free insurance claims in the first place. Correcting billing mistakes requires time and other resources from your facility and staff, which time and resources could be better spent on providing quality medical […]
Confidentiality is a pillar of the healthcare industry. The patients share their private information with physicians hence when deciding how to secure data in the digital age, clinicians must apply professional judgment and follow policies set forth by regulators. Electronic communication of patient information can facilitate clinical care, while mobile technologies and cloud computing boost […]
Effective January 1, 2021, CMS permits Non-Physician Practitioners (NPPs) such as Nurse Practitioners (NPs) and Physician Assistants (PAs) to supervise diagnostic tests (including CIED management) only in states where it is allowed by state law and scope of practice. In all other states, only a physician can supervise diagnostic tests. Previously, CMS permitted non-physician practitioners […]
Are you following an outdated fee schedule for medical practice and missing out on revenue? It is observed that many practices are suffering revenue losses because of their existing fee schedule and not knowing that fact that updating fee schedule for medical practice would improve their bottom line. After reading this blog you can easily […]
Telehealth is rising drastically after COVID-19 due to mandatory social distancing and the safest interactive system between patients, both infected and uninfected, and clinicians. Now Vaccination is going on all over the country to win over pandemic and PHE. But Telehealth will continue to stay here as an important care provider model and also, some […]
Today the healthcare industry is going through a transformative change called “Vertical integration” and its popularity is rising continuously over the US. However, it is observed in most cases that such mergers would lead to higher healthcare costs and a low level of patient satisfaction. As a physician or healthcare organization, you should know about […]
Managed Care plays important role in the delivery of healthcare and it is used to describe a health insurance plan or health care system that coordinates the provision, quality, and cost of care for its enrolled members. Traditionally States have utilized a fee-for-service (FFS) payment system to cover enrollees but now states are also making […]
Healthcare providers implemented telehealth for COVID-19 pandemic widely in the US. According to 2019 Health Center Program Data, 43% of health centers were capable of providing telemedicine (it is a part of telehealth), compared with 95% of the health centers that reported using telehealth during the COVID-19 pandemic. While the largest increase in the use […]
Denial Code CO 50 means that the payer refused to pay the claim because they did not deem the service or procedure as medically necessary. It is a very popular denial code and the sixth most frequent reason for Medicare claim denials. According to a CMS, It is observed that 30% of claims are either […]
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