CMS has released the Calendar Year (CY) 2025 Medicare Physician Fee Schedule (PFS) Final Rule, outlining key updates to payment policies, payment rates, and other provisions under Medicare Part B. These changes directly affect physicians and healthcare providers across the country, influencing reimbursement rates and practice operations. Key Updates in the 2025 Fee Schedule 1. […]
Novitasphere, a vital online portal for Medicare providers, is undergoing a significant redesign to improve user experience in 2025 and beyond. This enhanced portal offers a modernized layout, better navigation tools, and new features designed to streamline billing and claims management for healthcare providers. To ensure a smooth transition to this updated system, Novitas Solutions […]
We are thrilled to announce that Precision Medical Billing (PMB) has officially been certified as a Great Place to Work—a prestigious recognition that is awarded based on employee feedback and the company’s commitment to creating an outstanding workplace culture. This achievement underscores our dedication to fostering an environment where every team member feels valued, supported, […]
The upcoming public reporting of the OASIS Section GG items, particularly GG 0130 and GG 0170, will impact home health agencies’ quality scores starting January 1, 2025. Ensure your team understands the reporting requirements for the Discharge Function Score, Home Health Quality Reporting Program (HH QRP), and Home Health Value-Based Purchasing (HHVBP) program.
A recent analysis shows a steady increase in prior authorization denials for Medicare Advantage (MA) beneficiaries, creating challenges for home health agencies. With denial rates on the rise, agencies must stay informed about MA payer guidelines to prevent delays in care.
Several hospice agencies have reported erroneous claim denials under Medicare error code 17729. This issue is affecting claims related to specific physicians, where claims process smoothly if the certifying physician’s SOC date is prior to June. However, claims with SOC dates in June and onward are being denied even after meticulous verification of the physician’s […]
We are thrilled to announce that Petria McKelvey, CEO of Precision Medical Billing, has been honored as one of Houston Business Journal’s 2024 Most Admired CEOs. This prestigious recognition celebrates Petria’s exceptional leadership, business acumen, and unwavering commitment to the success of PMB and the broader community. The Most Admired CEO Awards highlight top executives […]
We are proud to announce that Precision Medical Billing, under the leadership of CEO Petria McKelvey, has been recognized as one of Houston’s top emerging minority business enterprises by receiving the prestigious 2024 Emerging 10 (E-10) Award. This award honors PMB’s continued growth, commitment to overcoming business challenges, and deep involvement in the community. The […]
Effective June 3, 2024, a critical update will be implemented for hospice agencies regarding the enrollment status of certifying physicians. According to the Centers for Medicare & Medicaid Services (CMS), physicians must be enrolled in or opted-out of Medicare through the Provider Enrollment, Chain, and Ownership System (PECOS). Implementation Stages: Stage 1 (June 3, 2024 […]
Home health agencies are reminded of the policy concerning Electronic Visit Verification (EVV) Home Phone Landline Requirements. Compliance with these requirements is mandatory to ensure proper tracking and billing of home health services. Landline Requirements: The landline must be the member’s home phone number or a frequently used location like a family member’s or neighbor’s […]