Article Highlights Document “reasonable and necessary” services when providing care to terminally ill patients. Medicare will audit services at a later time to evaluate the validity of care provided. Good documentation leads to good medical billing to receive — and keep — revenue for services provided. *** For patients diagnosed with a terminal illness, the

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

Story Highlights Patient satisfaction is priority #1 for healthcare providers. Optimize the registration and check-in process to improve patient satisfaction. Consider contactless check-in in the COVID-19 environment. *** Difficulty with scheduling, long wait times, and delayed access to a physician are just a few of the common qualms that patients have with healthcare providers. While

Article Highlights Constant changes in healthcare affect medical billing and revenue collections. Identify common billing challenges holding back your healthcare organization. Take action by improving processes and outsourcing medical billing to PMB. *** Constant changes to the healthcare industry make it difficult for physicians, medical practices, and other healthcare providers to keep up with things

Article Highlights The vast majority of Americans do not have a full understanding of health insurance. Educate patients on their patient financial responsibility before providing services. Consider outsourced resources from PMB to support revenue collection. *** If you want to receive more payments for services provided, there is an underrated tactic to consider for your

Article Highlights Denial management in healthcare can be overwhelming for medical practices. Understand the root causes of denials and work to improve processes. Work with PMB to support denial management to optimize revenue collections. Denial of service is never an ideal scenario in a health care setting. Advanced scheduling, prompt service, desirable patient outcomes, and

Before the global pandemic, who could have imagined a world where medicine shifted paradigms virtually overnight. While government officials and health leaders urged patients to stay at home, medical professionals struggled to continue providing quality care to their dedicated patients. It certainly expedited the timeline to expand medical practice adoptIon of telehealth services. Prior to

Does your practice manually contact payers to check your claim status? Are you aware that doing so costs roughly $7 per attempt? Your revenue cycle management processes are vital to the financial health and wellness of your practice. Poorly managed handling of claim status inquires costs you not only money but precious time. A few

Physicians, medical practice owners, home health agencies, and hospice groups experienced a tremendous amount of stress during the COVID-19 pandemic. There were so many new challenges to navigate, especially as it relates to how to provide patient care. These challenges likely impacted your ability to focus on revenue cycle management, billing processes, dealing with insurance

When it comes to your finances, every element of your agency plays a significant role. How you work with your clients, train your staff, and implement focused business practices will determine how smoothly everything runs. On top of that, you need to be realistic about your company and how well you are doing financially on

The Centers for Medicare & Medicaid Services (CMS) issued guidance to state health officials designed to drive the adoption of strategies that address the social determinants of health (SDOH) in Medicaid and the Children’s Health Insurance Program (CHIP) so states can further improve beneficiary health outcomes, reduce health disparities, and lower overall costs in Medicaid

The Centers for Medicare & Medicaid Services’ (CMS) Center for Medicare & Medicaid Innovation is announcing a new opportunity to enable Medicaid Managed Care Organizations (MCOs) to better serve enrollees who are dually eligible for Medicare and Medicaid. This new Model opportunity is the first CMS initiative designed to harness the power of Medicaid MCOs

On December 1, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021. The calendar year (CY) 2021 PFS final rule is one of several

The Centers for Medicare & Medicaid Services (CMS) released the annual Physician Fee Schedule (PFS) final rule, prioritizing CMS’ investment in primary care and chronic disease management by increasing payments to physicians and other practitioners for the additional time they spend with patients, especially those with chronic conditions. The rule allows non-physician practitioners to provide