HRSA Uninsured COVID-19 Program: How to Verify Patient Eligibility?

HRSA Uninsured COVID-19 Program The COVID-19 Uninsured Program portal is opened by HRSA. Providers who have conducted COVID-19 testing or provided treatment for uninsured individuals with a COVID-19 diagnosis on or after February 4, 2020, can start to file claims for reimbursement for testing and treating the uninsured. As part of the FFCRA, PPPHCEA, and […]

AHA wants improvements for Accelerated Medicare Payments

The American Hospital Association (AHA) is calling on CMS to re-evaluate payment options for hospitals that accepted accelerated Medicare payments at the early stage of the COVID-19 pandemic. The hospital group requested CMS Administrator Seema Verma to allow all hospitals to elect to receive periodic interim payments (PIP) or accelerated payments, per initial CMS communications […]

Are You Ready to Send Consolidated Statements?

Following a single hospital encounter, patients often receive multiple bills from a variety of providers. Sometimes these bills are from more than 20, depending upon services provided and how many specialists are involved. Nowadays, patients are becoming more engaged in making healthcare decisions and managing their cost of care. The protection or promotion of the […]

What is EOB or ERA in healthcare?

Physicians always wish to get reimbursement in the first attempt. To get the reimbursement in the first attempt providers need to eliminate some repetitive errors. This can happen if the provider or their hired staff for billing can read EOB or ERA interpret correctly and understand. There is always some percentage of getting claims denied. […]

Telehealth During and After the Pandemic

COVID-19 pandemic will have lasting financial loss effects on healthcare providers, but leveraging some of the capabilities developed to adjust and continuously provide service to patients during this pandemic can build more strong and smooth revenue cycle management for the healthcare industry. Telehealth is one of the biggest changes that came out of the pandemic […]

CMS and CDC – Provider Reimbursement Update

The CMS (Centers for Medicare and Medicaid Services) and CDC (Centers for Disease Control and Prevention) recently announced provider reimbursement update available to physicians and health care providers to counsel patients, at the time of coronavirus disease 2019 (COVID-19) testing. Providers educate patients about the importance of self-isolation once they are tested and prior to […]

CMS Waivers During COVID-19

COVID-19 massively affected US health care. The American Hospital Association estimates that American hospitals incurred more than $202 billion in losses between March 1st and June 30th. Medical billing is also affected due to COVID-19. According to healthcare lawyer Delphine O’Rourke, clinical documentation is critical to serving patients with COVID-19 but also avoiding medical billing […]

Are you Prepared for Repayment of Medicare Loans?

Early in August 2020, the Medicare Accelerated & Advance Payment Programs will start to recover the $100 billion in Medicare reimbursements advanced to hospitals and physicians to ease cash flow issues they experienced in March when a handful of COVID-19 cases turned into a national public health emergency. Major hospital groups are asking Congress to […]

Physicians ought to know about telemedicine modifier

Telemedicine permit health care professionals to evaluate, diagnose, and treat patients at a distance using telecommunications technology. It is viewed as a cost-effective alternative to the more traditional face-to-face way of providing medical care that states can choose to cover under Medicaid. Telemedicine allows improving a patient’s health by permitting two-way: Interactive communication between the patients […]

Will uninsured population grow by end of 2020?

The uninsured population will grow by end of 2020, according to Urban Institute’s new estimate more than 10M people will lose employer-sponsored health insurance as a result on pandemic related job loss in their household between April and December 2020. The total number of uninsured individuals by the end of this year will be about […]

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