Before the global pandemic, who could have imagined a world where medicine shifted paradigms virtually overnight. While government officials and health leaders urged patients to stay at home, medical professionals struggled to continue providing quality care to their dedicated patients. It certainly expedited the timeline to expand medical practice adoptIon of telehealth services. Prior to […]
Does your practice manually contact payers to check your claim status? Are you aware that doing so costs roughly $7 per attempt? Your revenue cycle management processes are vital to the financial health and wellness of your practice. Poorly managed handling of claim status inquires costs you not only money but precious time. A few […]
Physicians, medical practice owners, home health agencies, and hospice groups experienced a tremendous amount of stress during the COVID-19 pandemic. There were so many new challenges to navigate, especially as it relates to how to provide patient care. These challenges likely impacted your ability to focus on revenue cycle management, billing processes, dealing with insurance […]
When it comes to your finances, every element of your agency plays a significant role. How you work with your clients, train your staff, and implement focused business practices will determine how smoothly everything runs. On top of that, you need to be realistic about your company and how well you are doing financially on […]
The Centers for Medicare & Medicaid Services’ (CMS) Center for Medicare & Medicaid Innovation is announcing a new opportunity to enable Medicaid Managed Care Organizations (MCOs) to better serve enrollees who are dually eligible for Medicare and Medicaid. This new Model opportunity is the first CMS initiative designed to harness the power of Medicaid MCOs […]
On December 1, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021. The calendar year (CY) 2021 PFS final rule is one of several […]
The Centers for Medicare & Medicaid Services (CMS) released the annual Physician Fee Schedule (PFS) final rule, prioritizing CMS’ investment in primary care and chronic disease management by increasing payments to physicians and other practitioners for the additional time they spend with patients, especially those with chronic conditions. The rule allows non-physician practitioners to provide […]
When a natural disaster, extreme weather or emergency occurs that affects providers and the Medicare beneficiaries that they serve, special emergency-related policies and procedures may be implemented. For detailed information on these policies and procedures, please see the following resources: For information when an applicable 1135 waiver (PDF, 346 KB) has been granted For information on […]
On November 20, the Centers for Medicare & Medicaid Services (CMS) finalized changes to outdated federal regulations that have burdened health care providers with added administrative costs and impeded the health care system’s move toward value-based reimbursement. The Physician Self-Referral Law, also known as the “Stark Law,” generally prohibits a physician from making referrals to […]
The Centers for Medicare & Medicaid Services (CMS) announced that starting today consumers can preview 2021 healthcare plans and prices on HealthCare.gov. This is an opportunity for consumers to compare coverage options ahead of Open Enrollment for the Federal Health Insurance Exchange, which officially kicks-off on November 1. As in previous years, window shopping allows […]