The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) enforced CMS to implement an incentive program called the Quality Payment Program as MACRA ended the Sustainable Growth Rate (SGR) formula, which significantly cut payment rates for participating Medicare clinicians. Now, clinicians can choose the following ways to participate in the Quality Payment Program: Merit-based […]
The United States Food and Drug Administration (FDA) is cautioning health care providers regarding the newly revealed potential drug interaction linked to inspectional antiviral drug remdesivir that has given emergency utilization authorization for the treatment of the COVID-19 patients with serious disease. Revision in the fact sheet According to the recent non-clinical laboratory study, the […]
Recently, the president signed the Paycheck Protection Program Flexibility Act of 2020 (HR 7010), since this law does not integrate any kind of additional funding to the Small Business Administration (SBA) Paycheck Protection Program (PPP) loan program. The payment protection program offers small businesses with funds in order to pay up to eight weeks of […]
It has been a few months since that whole world is facing the COVID-19 crisis. Kudos to health care providers, they are the one who battling the pandemic at the forefront. The outbreak of COVID-19 has triggered an extraordinary healthcare crisis, occupied with tragic deaths, and heavy workload on the medical workforce. However, the experienced […]
Many hospitals are treating Covid-19 patients. CMS has recently issued new Covid-19 Billing Updates for hospitals. This new update explains reimbursement and coding policies for hospitals treating Covid-19 patients and alternate care sites created by hospitals during the pandemic. Financial Support for Providers during Covid-19 President Trump signed the Coronavirus Aid, Relief, and Economic Security […]
CMS recently announced new payment rates for Current Procedural Terminology codes developed by the American Medical Association for COVID-19 diagnostic tests. The federal agency updated guidance on May 19, to include Medicare Payment Rates for COVID-19. CPT codes 87635, 86769, and 86328, which can be used by healthcare providers. Laboratories can use these codes to […]
From the upsurge in the pandemic COVID-19, government authorities and associations such as American Medical Association, the Centers for Disease Control and Prevention (CDC), and other Medicare professionals are working hand in hand to mitigate the intensity of the outbreak. With the introduction of new codes and reporting guidelines designed for COVID-19 from the past […]
As per the Medical Group Management Association (MGMA) increasing the revenue of the practice rely largely upon filing correct claims which satisfy all reporting guidelines, filing appeals, and tracking denials within the timeline. Apart from this, keeping your business financially healthy is not a simple practice as practices changing from the fee-for-service model to value-based care. […]
Change is the part of life some changes are natural, on the other hand, some grab people by surprise, like the changes which are presently tabulating up the health care industry. Previous days providers were only focused on a number of patients they cared for. Nowadays the scenario is completely different people are expecting value-based […]
A couple of years ago medical professionals treated credentialing as an optional or unnecessary step to increase their clientele. Nowadays the scenario has completely changed, physicians are emphasizing not only on services but also on credentialing. The process of verifying and organizing professional records of the doctor is termed as physician credentialing in the healthcare […]
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