Author: PMB

7 Reasons Your Hospice Agency Should Outsource Medical Billing

Managing your in-house medical billing may be costing more than you realize, compromising your agency’s efficiency. Outsourcing to a provider like Precision Medical Billing can be a practical, effective, and cost-saving solution. Here are seven compelling reasons to consider: Outsourcing your hospice billing to Precision Medical Billing can streamline your operations, reduce costs, and enhance […]

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Coding Updates for 2024

The world of medical billing and coding is undergoing significant changes in 2024, impacting healthcare providers, coders, and patients alike. These updates, primarily focusing on the Current Procedural Terminology (CPT) and the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code sets, are crucial for ensuring accurate documentation, billing, and overall healthcare management. Key […]

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The Evolution of Medicare in 2024: Navigating New Rules and Regulations

The landscape of Medicare, particularly concerning Medicare Advantage (MA) and Part D programs, has undergone significant changes with the finalization of new rules by the Centers for Medicare & Medicaid Services (CMS) for 2024. These changes aim to streamline processes, enhance access to care, and safeguard beneficiaries against misleading marketing practices, ultimately reflecting a significant […]

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Navigating the Paperwork Maze: The Impact of Insurance Policies on Healthcare Delivery

Cigna’s modifier 25 policy has sparked widespread concern among the American Medical Association (AMA) and over 100 other healthcare organizations. This policy, requiring the submission of office notes alongside certain claims, is seen as an unnecessary and burdensome process that could lead to delays in patient care. The AMA and other groups have vehemently requested […]

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Navigating the Transition to Electronic Visit Verification (EVV)

Discover the future of home health care compliance and efficiency through the latest advancements in Electronic Visit Verification (EVV). As the 21st Century Cures Act’s deadline approaches, read how state-of-the-art EVV solutions are here to ensure your agency meets the requirements seamlessly. Dive into the details of EVV readiness for your state and embrace the transition with confidence.

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Updated Billing Guidelines for Disposable Negative Pressure Wound Therapy Devices in Home Health Care: Effective January 2024

Starting January 1, 2024, Home Health Agencies (HHAs) must follow new billing procedures for disposable Negative Pressure Wound Therapy (NPWT) devices. These will now be billed and paid separately under the period of care claims, Type of Bill 032x. It’s crucial for billing staff to note the application of deductibles and coinsurance, as well as the necessary coding changes. Stay updated to ensure compliance and efficient billing processes.

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Telehealth’s Challenge: Ensuring Completion of Medical Tests and Referrals

In an era where telehealth is becoming increasingly prevalent, a recent article from Physician’s Weekly titled “Rates of Loop Closure Are Below Satisfactory for Telehealth” sheds light on a critical challenge facing this mode of healthcare delivery. The study highlights a notable discrepancy in the completion rates of medical tests and referrals ordered during telehealth […]

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Innovative Healthcare: Embracing Hospitals in the Home

The concept of ‘Hospital at Home’ is revolutionizing the healthcare industry. This model, as discussed in a compelling article from Healthcare Transformers, brings hospital-grade care to the patient’s doorstep. It’s not just about convenience; it’s a paradigm shift in healthcare delivery. Key Highlights: This innovative approach signifies a major advancement towards more accessible, efficient, and […]

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Electronic Visit Verification (EVV)

EVV Vendor Transition Overview Effective October 1, 2023, Texas Health and Human Services Commission (HHSC) is transitioning from two Electronic Visit Verification (EVV) vendor systems, DataLogic/Vesta and First Data/AuthentiCare, to a new single state-funded EVV vendor system provided by HHAeXchange. An overview related to this transition is listed below. HHSC will continue providing details and […]

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