The Truth about Denied or Rejected Claims in Family Practice Billing You might think a single denied claim is just a minor setback for your family practice billing. However, the overall impact can be much bigger than you can imagine. Did you know that almost 20% of all claims are denied, and up to 60% […]
Family Practice Billing Without the Pain of denials and Rejection
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Things to know about covid vaccine reimbursement
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 […]
What you should know about Healthcare Provider Credentialing?
Healthcare provider credentialing involves many parties and all basic educational information. Healthcare providers all need to prove their education, skills, and training required to see patients. Simultaneously, healthcare oversight organizations monitor the work of medical providers to evaluate reports of improper care, among other matters. All these reporting and monitoring need to be checked periodically, […]
How can physicians secure data in the digital age?
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 […]
Changed Role of Non-Physician Practitioners (NPPs) in Diagnostic Testing
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 […]
Coding for Subcutaneous Cardiac Rhythm Monitors
On Nov. 2, 2020, the American Medical Association (AMA) CPT® Editorial Panel announced the approval of a new Category III CPT® code to describe remote programming of subcutaneous cardiac rhythm monitors. The new code will be effective July 1, 2021. Please note that the existence of a Category III CPT® code does not guarantee payment. […]
What Providers can do to Prevent Claims from being Denied or Rejected?
Every healthcare provider has a complicated relationship with payers. Healthcare providers are busy in providing treatment to patients and they spend much time with patients and many of the time payers deny payments for the services provided. Providers can prevent claims denials and can ease the denial management that does not come so easy to […]
How to Set a Fee Schedule for Medical Practice?
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 […]
Ambulance Transport Waiver – Cost-Sharing Obligations Updates
The Office of Inspector General (OIG) recognizes that, in the present public health emergency resultant from the outbreak of the COVID-19, the health care industry must focus on delivering required treatment to patients. Let’s discuss in more detail about Cost-Sharing Obligations Updates. OIG’s Part in Cost-Sharing Obligations As part of OIG’s mission to encourage economy, […]
How to credential a group practice?
COVID-19 pandemic has made a drastic impact on the healthcare industry. Some licensed providers are returning to a partly insurance-based model of private practice because of the lack of private pay patients. If you are running a group practice then you have multiple questions regarding credentialing, like how to credential a group practice? Do we […]
