Category: Blog

regulations-open-doors-for-telehealth-services-in-fqhcs

Regulations Open Doors for Telehealth Services in FQHCs

Make sure your facility is aware of all the Medicare policy changes that permit payment for expanded services. Telehealth as a healthcare delivery platform has been in existence since the late 1960s. It was first introduced through projects initiated by the National Aeronautics and Space Administration (NASA) and the Nebraska Psychology Institute. The declaration of […]
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Leaders say Pre-registration, Insurance Follow-up largest gaps in Rev Cycle

Pre-registration difficulties were top of mind at the recent HealthLeaders Revenue Cycle Exchange. When asked to identify areas that see the biggest gaps in their revenue cycles, 68% of the leaders pointed the finger at pre-registration. Another area of difficulty is insurance follow-up, as 64% of attendees marked this as a gap in their operation. […]
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No Surprises Act May Have Blocked 2M Surprise Billing Claims | AllZone Management Services Inc.

Healthcare spending could drop $11.4B next year if ACA premium subsidies expire, research finds

Healthcare spending could drop by more than $11.4 billion next year if enhanced premium tax credits enacted in the American Rescue Plan expire, new research finds. Hospital spending would decline by $3.8 billion, while spending on physician practice services would drop by $1.3 billion, according to a report from the Robert Wood Johnson Foundation and […]
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mgma requests updates to independent dispute resolution portal | AllZone Management Services Inc.

MGMA Requests Updates to Independent Dispute Resolution Portal

The organization recommended CMS update the independent dispute resolution portal to improve communication between disputing parties and adjust the form field requirements. The Medical Group Management Association (MGMA) has asked CMS to update the federal independent dispute resolution (IDR) portal to streamline the arbitration process for determining an out-of-network payment rate for a surprise medical […]
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AMA says health insurance industry failing on prior auth reform

Survey shows little progress after four years of promises The American Medical Association says that despite insurance industry promises to reform and improve prior authorizations, little effort has been made to do so. This comes despite evidence that insurer-imposed authorizations can be hazardous and burdensome to patient-centered care. In January 2018, the AMA and other […]
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Healthcare Finance Leaders Facing Revenue Cycle Workforce Shortages

More than 400 healthcare finance leaders reported having revenue cycle workforce shortages, with almost 20 percent seeing 30 or more vacancies. Healthcare finance leaders are experiencing revenue cycle workforce shortages, with one in four reporting that they need to hire more than 20 employees to fully staff their department, according to a survey commissioned by […]
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5 Benefits of Addressing Payment Integrity Before Payments Are Ever Made

  Payment integrity in Medicaid—the concerted effort to keep tight control over fraud, waste and abuse—can be addressed at any stage in the claim cycle. Of course, the earlier it is addressed, the easier it is for health plans to avoid improper payments and the administrative burden of recovering them. And while pre-payment integrity programs […]
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