Author: The PMB Pulse

HHS Proposes to Standardize Electronic Health Care Attachments Transactions and Electronic Signature Processes to Improve the Care Experience for Patients and Providers

The Centers for Medicare & Medicaid Services (CMS), on behalf of, the U.S. Department of Health and Human Services (HHS), issued the proposed rule, “Adoption of Standards for Health Care Attachments Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Transaction Standard (CMS-0053-P).” If finalized, the proposed rule, would adopt standards for “health […]

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CMS Announces Increase in 2023 in Organizations and Beneficiaries Benefiting from Coordinated Care in Accountable Care Relationship

Three Innovative Initiatives Will Help CMS Achieve Goal of 100% of Traditional Medicare Beneficiaries in Accountable Care Relationships by 2030 The Centers for Medicare & Medicaid Services (CMS) announced that three innovative accountable care initiatives will grow and provide higher quality care to more than 13.2 million people with Medicare in 2023. More than 700,000 […]

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Facebook Live Presentation – Q&A About NOA’s

A Team of panelists from Precision Medical Billing (PMB) answered specific questions presented in the PDGM Facebook Group about NOA’s.  In addition, the PMB experts provided helpful tips about NOAs throughout the live presentation. Panelists: Petria McKelvey—CEO, Precision Medical Billing Sue Brooks—Director of Billing and Client Services, Precision Medical Billing Rosie Baker—Revenue Recovery Supervisor, Precision […]

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A Guide to Increasing Billing Accuracy for Remote Patient Monitoring

Article Highlights *** One of the newest programs administered by the Centers for Medicare & Medicaid Services (CMS) is designed to use the latest technology to help improve the quality of care for Medicare beneficiaries, especially individuals with chronic conditions. This new program, Remote Patient Monitoring (RPM), was introduced by CMS in 2018 as a […]

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How to Bill for Telehealth and Virtual Healthcare Through Medicare

Article Highlights Physicians need to be ready for increased demand for telehealth and virtual services. Medicare telehealth services have unique medical billing requirements. PMB will provide you with outsourced medical billing services to ensure that you are reimbursed through Medicare. *** In this era of the COVID-19 pandemic, virtual healthcare visits have grown in popularity […]

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2022 Medical Billing Trends That Every Physician Needs to Know

Article Highlights *** The schedule for a busy physician can be daunting to navigate on a daily basis. Not only are you tasked with providing a high level of care to your patients throughout the day, but you also need to be mindful of whether your office is supporting billings so that your practice receives […]

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Prepare Now For the Home Health Value Based Purchasing Model

Article Highlights CMS introduced the Home Health Value Based Purchasing Model (HHVBP) in nine U.S. states in 2016. CMS is planning to roll out the HHVBP program across the entire country in 2022. Home health agencies (HHAs) not currently under the HHVBP program should prepare now to maximize revenue collections. *** The Centers for Medicare […]

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Work With a Denial Management Company to Increase Revenue Collections

Article Highlights More than half of denied claims are not re-worked, leaving thousands of dollars on the table. Optimizing front office practices can help with denial management. Outsourcing medical billing to a denial management company can help physicians collect every owed dollar. *** Physicians often lose significant amounts of revenue on a daily, monthly, and […]

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We Help Home Health Agencies With Review Choice Demonstration (RCD)

Article Highlights Every year, there is considerable home health care fraud in the U.S. CMS has rolled out a Home Health (HH) Review Choice Demonstration (RCD) program to help prevent fraud. PMB can support your efforts to satisfy the Medicare prior authorization requirements through pre-claim review (PCR) so that you can receive payment for services. […]

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We Can Serve As Your Home Health Intake Coordinator

Article Highlights Home health patients are trending toward using insurance, not traditional Medicare. Intake and insurance verification is critical when working with third party payers. Let PMB serve as your home health intake coordinator to receive payment for services. *** Home health agencies have a lot to consider before ever providing services to patients. Because […]

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