medicare claims
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Revenue Cycle Management (RCM)
Top 5 Challenges with Healthcare Revenue Cycle Management
If you have ever come across or worked in a healthcare organization, you must be aware of the importance of…
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Medical Billing Services
Understanding Medicare’s Outpatient Mental Health Treatment Limitation
By law, Medicare payment for outpatient mental health services is limited to 62.5 percent of covered expenses incurred in any…
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Medical Billing Services
How to Fill SNFABN (Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage)
The SNFABN provides information to the beneficiary so that he can decide whether or not to get the care that…
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Medical Billing Services
Ostomy Documentation Tips
For the 2018 reporting period, insufficient documentation accounted for 81.6 percent of improper payments for ostomy supplies. Additional types of…
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Medical Billing Services
Critical Care Services and Medical Necessity
Critical care services must be medically necessary and reasonable. Services provided that do not meet critical care services or services…
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Primary Health Care
Primary Care First (PCF) and Alternative Payment Models
Primary Care First Model Options is a set of voluntary five-year payment options that reward value and quality by offering…
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Practice Management
POP for Simplifying Documentation Requirements
Patient over Paperwork (PoP) Initiative Through ‘Patients over Paperwork,’ CMS established an internal process to evaluate and streamline regulations with…
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