Author: The PMB Pulse

New HHA's under Provision Period of Enhanced Oversight

According to MLN Matters Number SE19005, release date February 15, 2019 new home health agencies in Medicare programs will be placed under a provisional period of enhanced oversight. What does that mean for you and your business? The new statute focuses on Requests for Anticipated Payments (RAPs) from home healthcare agencies. The Centers for Medicare […]

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Medical Billing Challenges for Private Physician Practices

A private medical practice’s success is reliant on revenue cycle management, accurate and timely claims submissions, and prompt reimbursement from insurance carriers. That said, it’s not unusual for a private practice physician to have to wait weeks or longer to receive payments. Even when reimbursement is received, it’s often much less than they charge for […]

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Is your Home Health Care Agency Ready for 2019 OASIS Changes?

[vc_row][vc_column][vc_column_text]Home health care agencies knowledgeable about the Outcome and Assessment Information Set (OASIS) data sets already know how rigorous they are. It then comes to determining measureable data for home health patient care risk factors and outcomes from start of care to discharge. Upcoming changes to OASIS (from OASIS-C2 to OASIS-D) beginning January 1, 2019 […]

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Bill to Enable Non-Physician Practitioners to Certify Home Health Introduced in Senate

Long-time home care champions Senators Susan Collins (R-ME) and Ben Cardin (D-MD) have introduced the Home Health Care Planning Improvement Act (S. 296) in the 116th Congress. This long-standing NAHC priority legislation would enable non-physician practitioners the authority to certify home health orders under Medicare. In the past, this legislation has enjoyed strong, widespread bipartisan support in both […]

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Potential CMS Ruling Would Reduce Billing Burden But Could Harm Patient Care

CMS (The Centers for Medicare and Medicaid Services) proposed plan to reduce paperwork for providers in order to allow them to focus more on their patients. Due to come into effect in 2019 if approved, the AMA (American Medical Association) agrees that the Physician Fee Schedule will “improve patient-centered care and patient care access.” Documentation […]

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CareForum Event Recap: Sharing Our Passion for Providers To Be Paid!

The Precision Medical Billing (PMB) team enjoys attending industry conferences to hear about the latest healthcare trends. We are also reminded of our central mission to make the medical billing process easier for providers. In September, the PMB team attended the CareForum 2018 conference in San Antonio, Texas, presented by Mediware/Kinnser (now WellSky). One of […]

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Study: Patients Prefer Electronic Billing for Healthcare Services

According to a recent survey by Waystar and HIMSS Analytics, the majority of hospitals, health systems, and outpatient facilities continue to bill patients with paper statements. Although paper billing is a standard practice, more than half of the 1,000 patients surveyed said that they prefer electronic billing and payment. Electronic billing aligns with how patients […]

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