Category: Blog

Appeals

When Appeals Are Not Enough

If you are as enthusiastic about medical billing and reimbursement, it can be vexing when we receive a denial. Here are some tried and true points that every biller should know to address a true appeal correctly. Know Your Coding: In today’s multi-tasking office you will often find billers who are certified in both collections […]
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CMS Finalizes 2018 MPFS Payment and Policy Changes

The Centers for Medicare & Medicaid Services (CMS) has finalized 2018 payments and policies under the Medicare Physician Fee Schedule (MPFS). Most notable is the leniency in adopting federally-mandated policies. MPFS Final Rule Highlights: Taking into account the 0.5 percent automatic adjustment under the Medicare Access and CHIP Reauthorization Act (MACRA), CMS estimates the resource-based […]
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How Physicians Can Stabilize Revenue? Stabilize Your Revenue With These Tips

Physician practices are facing confusion and frustration due to the shift to value-based care and the ever-rising cost of care. Physicians seeking to stabilize their revenue amidst this chaos typically find themselves facing several challenges. 1. Collecting Patient Payments: Enrollment in high-deductible health plans is growing rapidly, leaving patients responsible for a larger portion of […]
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CMS Finalizes 2018 MPFS Payment and Policy Changes - Allzone

CMS Releases Physician Fee Schedule For 2018: 6 Things To Know

CMS issued its 2018 Medicare Physician Fee Schedule, which cuts Medicare payments for services provided by certain provider-owned off-campus hospital departments. Here are six things to know about 1,250-page final rule: 1. Physician payment rates will increase 0.41 percent in 2018 compared to this year: CMS arrived at this increase after accounting for a 0.5 […]
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How Small Practices Can Increase Revenue

Virtual Groups Will Allow More Clinicians To Participate In Mips To Earn Incentive Payments: Clinicians who were ineligible to participate in the Merit-based Incentive Payment System (MIPS) in 2017 will have a better chance of qualifying in 2018. Although the Centers for Medicare & Medicaid Services (CMS) has proposed to increase the low-volume threshold, they’ve […]
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Ending the Aging Process: How to Control Your Accounts Receivable

When your reimbursement staff is working old accounts receivable while also trying to stay up-to-date with current billing and collection activity, they can quickly feel overwhelmed. While the high dollar claims always need to remain a priority, you also need to keep a watchful eye on aging claims to ensure that NOTHING is resolved past […]
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10 Revenue Cycle Tips For Healthcare Organizations

As patients take on more out-of-pocket costs, and patient satisfaction continues to influence the financial health of hospitals, revenue cycle management has become increasingly important to organizations. Amid these and other changes, many revenue cycle professionals have offered thought-provoking insights. Here are 10 RCM tips from industry experts: 1. “To make sure that your organization […]
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Do You Know About MACRA? The Majority of Clinicians Don’t

Most Clinicians Still Do Not Know About MACRA Major financial penalties loom for providers not following reporting requirements. We are more than halfway through the first year of the Medicare Access and CHIP Reauthorization Act (MACRA), and a majority of clinicians still do not understand the program. In fact, the Centers for Medicare & Medicaid […]
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Outsourcing idea

Why ICD-10 Makes Outsourcing Billing a Splendid Idea

Healthcare is an industry in an ongoing state of flux. In October 2015, the use of ICD-10 billing codes became mandatory in the United States. This created a major transformation in billing procedures for medical providers ranging from a solo physician office to mega-hospitals. The number of codes available to medical billers when they used […]
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