Transition to value-based reimbursement is essential for Health disparities

Value-based reimbursement inspires clinicians to care for the whole person, who is essential to addressing health disparities confirmed by claims data from the COVID-19 crisis, CMS says. Health disparities confirmed by Medicare claims data for the period of the COVID-19 crisis underscore the need to transition to value-based reimbursement, according to CMS. Health disparities evident in the […]

Telemedicine reimbursement and healthcare fraud prevention laws

Policymakers of the US quickly took action in this COVID-19 pandemic to relaxed long-standing healthcare regulations which include telemedicine reimbursement and healthcare fraud prevention laws. Moreover, the government and aligned organizations have developed temporary health policies to support the industry’s response to the pandemic. Telemedicine reimbursement policy During this pandemic, most of the practices opt […]

Quality Payment Program Performance Results

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) enforced CMS to implement an incentive program called the Quality Payment Program as MACRA ended the Sustainable Growth Rate (SGR) formula, which significantly cut payment rates for participating Medicare clinicians. Now, clinicians can choose the following ways to participate in the Quality Payment Program: Merit-based […]

FDA Warns of Newly Discovered Potential Drug Interaction

The United States Food and Drug Administration (FDA) is cautioning health care providers regarding the newly revealed potential drug interaction linked to inspectional antiviral drug remdesivir that has given emergency utilization authorization for the treatment of the COVID-19 patients with serious disease. Revision in the fact sheet According to the recent non-clinical laboratory study, the […]

Primary Care Codes for Payment

The technique by which Current Procedural Terminology (CPT) codes are developed so that physicians can get paid for their services and procedures is highly entangled and deserves some explanation. Furthermore, Medical Billers and Coders (MBC) is effectively occupied with this procedure and advocates for the eventual benefits of its clients, which incorporates improved payment for primary […]

Impact of Radiology Billing Mistakes on Reimbursement

There are many hurdles during the process of radiology billing reimbursement. Claim rejection and postponements are not only disappointing to your imaging center but also showcase the extended timeline inpatient care, idle machines, and wasted physician hours. From the past few years, imaging centers have observed an increase in prior authorization declinations. Furthermore, in some […]

SMALL BUSINESS PAYCHECK PROTECTION PROGRAM

Recently, the president signed the Paycheck Protection Program Flexibility Act of 2020 (HR 7010), since this law does not integrate any kind of additional funding to the Small Business Administration (SBA) Paycheck Protection Program (PPP) loan program. The payment protection program offers small businesses with funds in order to pay up to eight weeks of […]

Best Practices for Radiology Billing and Coding process

The radiology billing and coding was usually seen as a bulky process. It is quite difficult to stay upgraded on different changes in rules and regulations of an individual payer. Irregularity in billing and coding can occur in the tough radiology environment. Moreover, this can create hurdles such as lost or under-coded filing and the […]

COVID-19 CHANGED PATIENT EXPERIENCE

It has been a few months since that whole world is facing the COVID-19 crisis. Kudos to health care providers, they are the one who battling the pandemic at the forefront. The outbreak of COVID-19 has triggered an extraordinary healthcare crisis, occupied with tragic deaths, and heavy workload on the medical workforce. However, the experienced […]

Challenges In Emergency Room Medical Billing

It has been observed that for emergency room and urgent care providers, the collection of payment is becoming more complex owing to the increasing number of payers. As a result of which scope of the capacity of payable charges appears to be diminishing. Emergency medicine is widely different from other specialties of healthcare, specifically when […]

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