COVID-19 pandemic will have lasting financial loss effects on healthcare providers, but leveraging some of the capabilities developed to adjust and continuously provide service to patients during this pandemic can build more strong and smooth revenue cycle management for the healthcare industry. Telehealth is one of the biggest changes that came out of the pandemic […]
The CMS (Centers for Medicare and Medicaid Services) and CDC (Centers for Disease Control and Prevention) recently announced provider reimbursement update available to physicians and health care providers to counsel patients, at the time of coronavirus disease 2019 (COVID-19) testing. Providers educate patients about the importance of self-isolation once they are tested and prior to […]
COVID-19 massively affected US health care. The American Hospital Association estimates that American hospitals incurred more than $202 billion in losses between March 1st and June 30th. Medical billing is also affected due to COVID-19. According to healthcare lawyer Delphine O’Rourke, clinical documentation is critical to serving patients with COVID-19 but also avoiding medical billing […]
Early in August 2020, the Medicare Accelerated & Advance Payment Programs will start to recover the $100 billion in Medicare reimbursements advanced to hospitals and physicians to ease cash flow issues they experienced in March when a handful of COVID-19 cases turned into a national public health emergency. Major hospital groups are asking Congress to […]
Telemedicine permit health care professionals to evaluate, diagnose, and treat patients at a distance using telecommunications technology. It is viewed as a cost-effective alternative to the more traditional face-to-face way of providing medical care that states can choose to cover under Medicaid. Telemedicine allows improving a patient’s health by permitting two-way: Interactive communication between the patients […]
The uninsured population will grow by end of 2020, according to Urban Institute’s new estimate more than 10M people will lose employer-sponsored health insurance as a result on pandemic related job loss in their household between April and December 2020. The total number of uninsured individuals by the end of this year will be about […]
The paycheck protection program is a key resource for small healthcare organizations and the program is established by the Coronavirus Aid, Relief, and Economic Security (CARES) Act. This act provides loans up to USD 10 million for businesses with fewer than 500 total employees. The loans can be fully forgiven if at least 60 percent […]
Patient charts are assigned with CPT, HCPCS, and/or ICD9 codes by medical coders for reimbursement. Each should be precise which helps to accurately describe the procedure performed and diagnosis rendered by patients. Medical Coding Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. To know more […]
CMS is using its authority under section 1135 of the Social Security Act to offer flexibility with Medicare provider enrollment to support the COVID-19 pandemic national emergency. During the PHE, CMS is allowing physicians and non-physician practitioners to temporarily enroll as Medicare providers using a toll-free hotline provided by their MAC. The numbers are listed […]
Oncology practitioners in CMS’s Oncology care model (OCM) are willing to take on two-sided risk, according to the Community Oncology Alliance (COA) survey. The oncology practitioners are confident they can get success in providing quality and cost-effective cancer care as the healthcare system undergoes the shift from fee-for-service to value-based care. Community Oncology Alliance surveyed […]
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