How to Increase Reimbursement for Telephone Calls?

CMS recently announced that it will provide parity in payment for telephone/audio-only services. Specifically, Medicare payment for the telephone evaluation and management visits would be equivalent to Medicare payment for office/outpatient visits with established patients’ effective March 1, 2020. This means that payment for CPT codes 99441-99443 would increase from a range of about $14-$41 […]

Provider Credentialing Issues in healthcare

If you are a provider and you are going to start the credentialing process then you need to read this provider credentialing issue in healthcare. We observed that there are many potential issues and potential costs in the provider credentialing process. Actually, provider credentialing is the most important compliance issue in medical practice. Without credentialing […]

Newly Approved Telehealth Services During The COVID-19 Pandemic

The Centers for Medicare & Medicaid Services on 14th Oct 2020, announced that it has expanded the list of telehealth services that Medicare will pay for during the COVID-19 public health emergency. Medicare will begin paying eligible practitioners for these 11 newly approved telehealth services delivered via telehealth, including certain cardiac rehabilitation and monitoring services. […]

How can Telemedicine Help My Practice?

Telemedicine was originally envisioned for its use in rural areas. Before the COVID-19 pandemic, telemedicine was started gaining traction in hospitals, large group practices, and online telemedicine services. Now after the COVID-19 pandemic, almost every medical specialty is finding a way to adopt telemedicine. There are some specialties where telemedicine adoption is comparatively high like […]

Billing for Audio-only Telehealth

The Centers for Medicare & Medicaid Services (CMS) made many changes to adapt patient care amid the COVID-19 pandemic. Expanding Medicare coverage to include a range of services through audio-only telehealth visits is one of them. Let’s understand some of the basic coding guidelines for audio-only telephone visits: CPT Code 99441-99443 -audio-only telehealth Code Description […]

Document Checklist for Provider Credentialing

Every healthcare provider has to apply for initial medical credentialing and must get re-credentialed after every 2-3 years. It’s a tedious and time-consuming task, but a necessary one, as it’s required before a healthcare organization or practice can bill on your behalf. The complete medical credentialing process can take up to 3-4 months to complete […]

Basics of Provider Credentialing and Contracting

What is Credentialing in Medical Billing? Credentialing is a process where insurance companies verify your education, professional experience, and training. For insurance companies, credentialing ensures that you meet their internal requirements for serving as an in-network provider. Insurance companies have web-based provider directories where they list all in-network providers for their plans. Such updated provider […]

Vaccine CPT Codes for Coronavirus Immunizations

On 10th Nov 2020, the American Medical Association (AMA) published an update to the Current Procedural Terminology (CPT®) code set that includes new vaccine-specific codes to report immunizations for the novel coronavirus (SARS-CoV-2). The CPT editorial panel has approved a unique CPT code for each of two coronavirus vaccines as well as administration codes unique […]

How to calculate healthcare productivity?

A way to measure efficiency is how you can define productivity classically. Productivity is how to measure the output that comes from units of input if we put it in an economic context. Workplace productivity is an estimate of how efficiently organizations utilize their resources to accomplish business objectives. Improving productivity is important because increasing […]

Provider Relief Funds – Post-Payment Reporting Requirements

The Coronavirus Aid, Relief, and Economic Security (CARES) Act and the Paycheck Protection Program (PPP) and Health Care Enhancement Act, allocated funds to reimburse eligible healthcare providers for healthcare-related expenses or lost revenues attributable to the coronavirus. Health Resources and Services Administration (HRSA) distributes these funds through the CARES Act PRF program. According to the […]

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