HHS recently updated Provider Relief Fund reporting requirements, extending the period of availability of funds and reporting periods. The update to the Post-Payment Notice of Reporting Requirements states that clinicians now have a period of...
More InfoThe US could see a physician shortage of 37,800 to 124,000 doctors by 2034, including shortfalls in both primary and specialty care, according to the latest numbers from the Association of American Medical Colleges (AAMC). Primary care will see a...
More InfoEnrollees are taking advantage of the opportunity to secure lower out-of-pocket healthcare costs on the federal health insurance marketplace during the special enrollment period, a recent CMS report found. CMS Administrator Chiquita...
More InfoThe billing team at Tucson Gastroenterology was meeting a bar of excellence, according to Julie Wester, contract administrator at the Arizona-based specialty practice. But that bar was threatened when long-time staff members were starting...
More InfoRetroactive code pricing updates may require claims lookback. The Centers for Medicare & Medicaid Services (CMS) has posted a retroactive update to the April Average Sales Price (ASP) pricing file for three Medicare Part B drugs. Also now...
More InfoThe American College of Emergency Physicians said that it “firmly believes that the new policy is in direct violation of the federal Prudent Layperson Standard.” Calling it a “dangerous decision” and a “scare...
More InfoCMS will increase Medicare payments by $35 per dose to administer at-home COVID-19 vaccines in an effort to increase the vaccination rate among beneficiaries. Medicare payments will increase by $35 per dose for providers who administer at-home...
More InfoRevenue cycle executives have a lot of conflicting thoughts about artificial intelligence (AI). They’re intrigued about it, but also sometimes confused and a bit skeptical. Not only do many vendors market tools like bots as AI, but even the...
More InfoShould you outsource the medical billing, coding, and/or administrative needs of your practice? Also, if the answer is yes, make sure you know the difference between outsourcing and offshoring, as some think this is the same thing, and it is not...
More InfoAverage claim denial rates are between 6% and 13%, but some hospitals are nearing a “danger zone” after COVID-19, a survey shows. Hospital claim denial rates are at an all-time high, signaling a need for better claims denial management, a recent...
More InfoPhysicians who institute best practices bring in more revenue and profit than those who do not, and this can be the difference between being successful and being out of business. What’s the difference between a highly successful practice and one...
More InfoThe final rule contains 78,220 code changes, up by 117 from FY 2021. The Centers for Medicare & Medicaid Services (CMS) has released the final ICD-10-PCS codes and guidelines for the 2022 fiscal year (FY). The files included in the...
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