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) […]

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 […]

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 […]

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. […]

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 […]

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 […]

Ways in which Healthcare Analytics are Ensuring Better Patient Satisfaction

Critical patient care has been backed by pushing through the Value based performance payment model along with a few other subsidiary payment models that tie into it. But given the number of footfalls, with the Affordable Care Act (ACA), which has made it mandatory that every American needs to have insurance to avail of healthcare, […]

The Impact of Financial Incentives on ICD-10 Debate

ICD stands for International Classification of Diseases and its codes hold important information with respect to managing health and treating conditions. The healthcare system in USA relies on a set of codes known as ICD-9 to document diagnosis and in patient procedures. These codes were introduced in the late 1970’s and will be replaced soon […]

How Streamlined Medical Billing Helps Deal with Pay-for-Performance Challenges

Due to variations in health plans, physician performance and rise in healthcare costs, a significant number of practices in the US are implementing pay-for-performance incentive program. P4P started in the private sector but due to growing popularity it crossed over to the public sector as well. Browse All: Medical Billing Services As a tool to […]

Will fee-for-Value Billing Model Lead to Employee Attrition in Healthcare?

Fee-for-Value or Pay-for-performance billing models are making waves in healthcare industry and care providers are finding it increasingly difficult to adapt to the changes brought on by them. Most importantly, this change in billing model is accentuating pressure on current workforce and healthcare attrition has seen an all-time high over the past few years. Why […]

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