PMB Blog

Insights from the Experts: Attracting and Retaining Healthcare Talent PMB conducted a webinar on March 27, 2023. We discussed the challenges in today’s healthcare industry, one of the most significant challenges is finding and retaining qualified medical professionals. The demand for medical professionals in the United States continues to grow, and there is a substantial…

As of May 2023, several states have initiated Medicaid roll purges as part of their ongoing efforts to maintain program integrity and eligibility compliance. The following states are notable examples: Alabama, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, and Massachusetts. Each state has its own set of…

We are thrilled to share some exciting news with you! Petria McKelvey, CEO of PMB, has taken on a new project as an author. She is set to release a remarkable business book that is sure to captivate and empower readers from all walks of life. In collaboration with Adam Torres from Mission Matters, this…

Managing your in-house medical billing may cost more than you realize. So, how is this compromising your organization’s efficiency? Learn how much you spend on your in-house medical billing and how outsourcing it to a third-party provider such as Precision Medical Billing may be a more practical, effective, and cost-saving solution for your practice. Billing…

The COVID-19 public health emergency and national emergency declarations are set to expire on May 11. The U.S. COVID-19 public health emergency (PHE) and national emergency declarations—both of which have been in place since January and March of 2020, respectively—will expire on May 11, 2023, the White House announced. These declarations have allowed the U.S.…

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…

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…

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…

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…

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…

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…

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…

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.…

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…

Article Highlights Millions of dollars are wasted every month on inefficient revenue cycle management. Physicians can improve revenue cycle management by outsourcing processes. Precision Medical Billing (PMB) has separated ourselves by driving process improvements to optimize revenue collections for our clients. *** Every month, physicians throughout the U.S. waste millions of dollars because of poor…

Article Highlights Physicians are working through financial stress running their practice. Build out your physician billing KPIs to monitor the health of the practice. Outsource medical billing to PMB to collect all revenue you are entitled to. *** Physicians across the U.S. have dealt with a tremendous amount of upheaval since the pandemic. Changes in…

Article Highlights Home health agencies are dealing more and more with private insurance companies, not just Medicare. Working with private insurance companies comes with a unique set of eligibility and prior authorization requirements. Work with PMB to alleviate administrative burden managing the Medicare and private insurance payer mix. *** Home health agencies are accustomed to…

Article Highlights *** For patients diagnosed with a terminal illness, the Medicare hospice benefit provides coverage that goes beyond what Medicare would normally cover in standard situations. For hospice agencies providing the care, the Medicare hospice benefit introduces a new set of billing and documentation challenges that must be closely monitored. The key is that…

Article Highlights Healthcare providers leave billions of dollars on the table every year due to poor medical billing processes. There are many surprising ways for physicians to optimize cash flow through improved medical billing. PMB will handle your medical billing processes to increase cash flow. *** Did you know that healthcare providers fail to collect…

Article Highlights Smaller medical practices are often bogged down by medical billing. Lack of medical billing resources can impair your ability to collect revenue and serve patients. Outsourcing medical billing to PMB can help your practice grow and thrive. *** Each medical practice has its own unique pain points and struggles. While larger medical facilities…

Article Highlights Medicare is very concerned about fraud in home health care claims. Indicating a billing agency on your CMS-855A application shows that you take this seriously. Understand the role of accrediting agencies on the path to being Medicare certified. *** Becoming a Medicare-certified home health agency is a challenging, time-consuming process. CMS, which administers…

Article Highlights Employee turnover can negatively impact home health billing. We provide emergency billing support or virtual billing support in a pinch. We can step in as a medical billing manager to optimize revenue collection. Consider providing education and training to your office staff on home health billing. *** Home health agencies often run into…

Article Highlights Technology has created efficiencies in handling medical billing. Technology has also introduced data security challenges with patient records. Work with PMB to securely manage billings in accordance with HIPAA requirements. *** The growth of technology used in healthcare has been instrumental in creating cohesive medical billing systems and ensuring billing accuracy. Yet, with…

Article Highlights Constant regulatory changes can create intense pressure on healthcare providers. Medical billing often suffers when staff try to keep up with regulations. Outsource medical billing to PMB to support revenue cycle management. *** Regulations are one of the biggest headaches that healthcare providers must deal with to run a successful practice. And, the…

Article Highlights Telemedicine usage is on the rise among seniors. You need processes to support complex telemedicine Medicare billing. Consider outsourcing Medicare telemedicine billing to PMB. *** Medical practitioners may think that telehealth services are only on the rise among younger patients that are accustomed to using technology for everyday life. However, telehealth services are…