Original Medicare Coverage and Payment Related to COVID-19

Diagnostic Tests Medicare Part B, which includes a variety of outpatient services, covers medically necessary clinical diagnostic laboratory tests when a doctor or other practitioner orders them. Medically necessary clinical diagnostic laboratory tests are generally not subject to coinsurance or deductible. Medicare Part B also covers medically necessary imaging tests, such as computed tomography (CT) […]


Read More.. Original Medicare Coverage and Payment Related to COVID-19

Medicare Advantage Plan Coverage and Payment Related to COVID-19

Medicare Advantage plan (also known as “Part C”) is an “all in one” alternative to Original Medicare. Medicare Advantage plans cover Medicare Part A and Part B services, and usually prescription drugs covered under Medicare Part D. These plans also may offer extra benefits Original Medicare doesn’t cover. Medicare Part D also called the Medicare […]


Read More.. Medicare Advantage Plan Coverage and Payment Related to COVID-19

ASCs vs HOPDs – Understanding Payment Difference

When performing outpatient procedures, many orthopedic surgeons operate in either an ambulatory surgery center (ASC) or a hospital-based outpatient department (HOPD). Although some of the workflows and services offered may appear similar between the two, the background operations are substantially different from business and regulatory perspectives. An HOPD is owned by and typically attached to […]


Read More.. ASCs vs HOPDs – Understanding Payment Difference

Revenue Cycle Management (RCM) Tips To Shorten The Claim Length

Revenue cycle management (RCM) is the commercial process that uses medical billing software, which healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance. In simple terms, it refers to the process of tracking the payments for the services rendered at a provider’s office, from […]


Read More.. Revenue Cycle Management (RCM) Tips To Shorten The Claim Length

How To Explore Untapped Potential Of Your Practice?

Today, the majority of deaths worldwide are due to four noncommunicable diseases such as cancer, cardiovascular disease, type 2 diabetes, and respiratory diseases; most of these deaths are potentially preventable. Four sets of behaviors contribute to the high and growing burden of noncommunicable disease: consumption of tobacco, alcohol, and highly processed foods, as well as […]


Read More.. How To Explore Untapped Potential Of Your Practice?

Key Takeaways For Physicians From Value-Based Reimbursement

In the rapidly changing healthcare landscape, payers are asking medical providers to shift from volume-based care; the fee for service to a value-based reimbursement structure. This evolution toward value-based reimbursement benefits the patient, the healthcare provider as well as the payers. Value-based reimbursement encourages healthcare providers to deliver the best care at the lowest cost. […]


Read More.. Key Takeaways For Physicians From Value-Based Reimbursement

Guiding Principles Every Physicians Should Know About Patient Environment

Not to be confused with traditional ideas of patient care, patient-centered care pushes the boundary of healthcare to create systems and processes that are truly custom-made to enhance the health, well being, and treatment plans for both health professionals and patients. Recently, the Mountain State Healthcare Alliance (MSHA) received the 2012 National Healthcare Award from […]


Read More.. Guiding Principles Every Physicians Should Know About Patient Environment

What Medical Billing Resolutions Should Be Followed For Your Medium – Sized Practice?

It has become imperative in this ever-changing healthcare environment to focus on a medical billing practice’s financial health. In the case of small and medium-sized practices, ancillary services are added, but the best way to increase revenue is by focusing on efficiency. Some Billing Suggestions For Medium-Sized Practices Are: Patient Collections: This must be a […]


Read More.. What Medical Billing Resolutions Should Be Followed For Your Medium – Sized Practice?

Inquisitive Questions to Ponder Upon Your Oncology Practice

As with other specialties, oncology Practice to undergoes recurrent technological and process changes. This affects the entire revenue cycle of this clinically focused specialty; be it in the documentation, billing, and coding or filing of claims. Hence, apt coding is mandatory for timely collections/reimbursements in oncology practice. As per the American Society of Clinical Oncology […]


Read More.. Inquisitive Questions to Ponder Upon Your Oncology Practice