CMS recently announced the proposed rules for the ‘Inpatient Psychiatric Facility Prospective Payment System and Inpatient Rehabilitation Facility Prospective Payment System’ for FY 2022. This proposed rule would update the prospective payment rates for IRFs for Federal FY 2022. The proposed FY 2022 IRF Prospective Payment System rule would boost Medicare payments by 1.8%, or […]
In the US, providers are struggling daily basis with healthcare frauds. These frauds generally cost the healthcare industry 3 to 15 percent of the total expenditure in the United States hence healthcare fraud and abuse must be critical. What are healthcare fraud and abuse? Generally, fraud and abuse are referred to describe a range of […]
The physician or other qualified healthcare professional are using CPT codes from the range 99202-99499 which is called Evaluation and management (E/M) codes to represent services offered by physicians. These codes are applicable while evaluating and managing patient health. These (E/M) codes have been around for many years still reporting timed-based services is confusing. So let’s […]
A patient portal is a website which offers patients convenient, 24 by 7 access to personal health information irrespective geographic location with an Internet connection. Patient portals have various features like patients can conveniently access appointment requests, get to know the authentic information about diseases, etc. This portals save patient’s time and encourage ongoing participation in […]
Ambulatory Surgical Centers brought a revolution in surgical care, enabling affordable, safe outpatient surgery. Moreover, the ASC industry is ahead of the curve in identifying avenues to improve health care delivery. ASCs are a rare example of a successful transformation in healthcare delivery. Hence, stakeholders must understand ASCs and their benefits and growth factors: For […]
The account receivable turnover ratio is referred as an important financial ratio to indicate the Ability of the company to collect its accounts receivable. When you are setting a benchmark to accelerate receipt of payment for services and then improve the processes to support the goal; you should consider the account receivable turnover ratio as […]
COVID-19 affected the healthcare system badly in 2020 hence there is an immense opportunity for the payers and stakeholder collaborators to rebuild the healthcare system into a more effective and consumer-centric system in 2021. Virtual care is a broad term and it comprises various ways that healthcare providers are using remotely interact with their patients. […]
Globally it is observed that patient compliance consists a multidimensional and complex health issue. Approximately 50% of patients do not take their medications as prescribed. They don’t follow instructions for the timing, dosage, and frequency of their medications which comprise the health of the patients. Hence it is necessary to understand the importance of patient […]
Co-management compliance is tracking down by the U.S. Department of Health and Human Services OIG (Office of Inspector General). You should manage the patient’s transfer of care correctly as well as it must be medically acceptable (determination is made by the surgeon and the patient). Transfer of care is defined as a transfer of responsibility […]
The prior authorization process is seeking “approval from a health plan that may be required before you get a service or fill a prescription for the service or prescription to be covered by your plan”. What is Authorization in Medical Billing? Authorization in medical billing refers to the process of obtaining approval from a patient’s health […]
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