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 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…