Yes, but not routinely. A provider can waive or stop collecting a patient’s share for a real financial hardship, decided case by case and documented. Routinely waiving copays and deductibles, especially for Medicare and other federal program patients, can violate the Anti-Kickback Statute, the Civil Monetary Penalties Law, and your payer contracts. Healthcare service providers […]
The 8-minute rule lets therapists bill one unit of a timed service once at least 8 minutes of one-on-one treatment is provided. Total units come from adding all timed minutes for the date of service and dividing by 15, with service-based codes counted separately. Introduction The therapy 8-minute rule is a vital concept for therapists, […]
Teleneurology Basics Teleneurology uses real-time or delayed communication between neurologists and patients or neurologists and other providers through shared audio, video, secure messaging, and other data exchanges. It has been an essential tool in improving the health and quality of life of those restricted to quality neurological care. These restrictions on care are often due […]
Last updated: October 21, 2026 The Anti-Markup Rule is a Medicare billing rule that stops a billing physician or supplier from profiting on diagnostic tests performed by someone outside their practice. If your practice orders imaging, cardiology, neurology or other diagnostic tests and bills Medicare for the technical component (TC) or professional component (PC), you […]
Requirements Related to Surprise Billing Biden-Harris Administration, through the U.S. Departments of Health and Human Services (HHS), Labor, and Treasury, and the Office of Personnel Management, issued ‘Requirements Related to Surprise Billing; Part I, ‘an interim final rule that will restrict excessive out of pocket costs to consumers from surprise billing and balance billing. Surprise […]
The American Medical Association (AMA) on 16th August 2021 announced that the Current Procedural Terminology (CPT®) code set is ready for the rollout of third doses of the Pfizer and Moderna COVID-19 vaccines. The CPT Editorial Panel has expedited approval of a new administration code that is unique to a third dose of the current […]
During the COVID-19 public health emergency, reimbursements for telehealth continue to evolve. The federal government, state Medicaid programs, and private insurers have expanded coverage for virtual health care services. More Medicare Fee-for-Service (FFS) services are billable as telehealth during the COVID-19 public health emergency. In this blog, we shared telehealth billing guidelines for medical billing […]
Increased Patient Financial Responsibility In the current healthcare climate, more and more patients are opting for high-deductible healthcare plans resulting in increased patient financial responsibility. Due to high deductible healthcare plans patients has to make large out-of-pocket payments to receive treatment. Few years before physician facilities, and hospitals were not that dependent on patient portions […]
By its very nature, oncology is one of the more stressful fields of medicine. Physicians are involved in scenarios dealing with life-threatening diseases and complex treatments every day. That means any other work apart from patient care will add stress. This includes administration and execution of oncology medical billing. Annual changes in medical coding, payer-specific billing […]
What is Eligibility and Benefits Verification? To receive payments for the services rendered, healthcare providers need to verify each patient’s eligibility and benefits before the patient’s visit. According to RemitData, two of the top five claim denial reasons for the year 2013 were insurance coverage related. With more patients choosing high deductible plans, this figure […]
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