Medical Billing Archives - Page 23 of 33

January 12, 2022
Blog, Medical Billing
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Why Claims Payment Optimization is Crucial for Providers

Most claims payments are now electronic, but providers can still realize millions in cost savings and reduce burden through true claims payment optimization. Claim payment is one of the most important steps in the claims management process. Healthcare providers rely on this step to keep their operations running smoothly for patients. But while claim […]

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January 4, 2022
Blog, Medical Billing
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Telemedicine Providers Take Note – The No Surprises Act Is Effective January 1, 2022

On December 27, 2020, the No Surprises Act was signed into law as part of the Consolidated Appropriations Act, 2021. In July and October 2021, respectively, the Department of Health and Human Services, the Department of Labor, the Department of the Treasury and the Office of Personnel Management (the Departments) issued two Interim Final […]

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November 20, 2021
Blog, Medical Billing
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Early Warning: Hospital Billing Errors Portend Bleakness

Hospitals across the nation are seeing lower profits, and it’s all because of a sudden tsunami of Medicare and Medicaid provider audits. Whether it be by Recovery Audit Contractor (RACs), Medicare Administrative Contractors (MACs), Unified Program Integrity Contractors (UPICs), or otherwise, hospital audits are rampant. Billing errors, especially “supposed bundling,” are causing a high rate […]

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November 16, 2021
Blog, Medical Billing
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Claims Payment Transformation Benefits Payer, Providers, and Members

Payers, providers, and members can all benefit from transforming the manual and patchwork claims payment process to a digital environment that also automates claims data delivery. Payers, providers, and members are all central to the healthcare experience, working together to create a seamless, coordinated encounter from registration and the clinical visit to claims payment and […]

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November 15, 2021
Blog, Medical Billing
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Patient Financial Assistance with Hospital Bills Increased in 2021

Patient financial assistance with hospital bills was sought out at a higher rate in 2021 compared to 2020 partly due to hospital billing practices, according to new data from TransUnion Healthcare. Patients may receive financial assistance from hospitals to help them understand all the options available to them when it comes to paying their medical […]

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November 13, 2021
Blog, Medical Billing
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CMS Releases 2022 Physician Fee Schedule Final Rule

The Centers for Medicare & Medicaid Services (CMS) has finalized 2022 payments and policies under the Medicare Physician Fee Schedule (MPFS). The rule includes updates to payment rates for physicians and other healthcare professionals for calendar year (CY) 2022; expands the use of telehealth for mental health; clarifies policies related to split (shared) visits, critical […]

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November 11, 2021
Medical Billing
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Lawmakers Seek Changes to No Surprises Act Implementation

More than a third of Representatives call on the federal government to revise No Surprises Act implementation, specifically around the independent dispute resolution process. A bipartisan group of 152 House members wrote to the secretaries of Health and Human Services, Treasury and Labor and urged them to amend the interim final rule (IFR) that will […]

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November 1, 2021
Blog, Medical Billing
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How Billing Turns A Routine Birth Into A High-cost Emergency

Caitlin Wells Salerno knew that some mammals — like the golden-mantled ground squirrels she studies in the Rocky Mountains — invest an insane amount of resources in their young. That didn’t prepare her for the resources the conservation biologist would owe after the birth of her second son. Wells Salerno went into labor on the […]

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October 29, 2021
Blog, Medical Billing
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How 5 Steps For Transforming Patient Access Saved $20M

‘If you can get it right up front, you’re ensuring accuracy, preventing rework, and preventing denials,’ says Alicia Auman, director of patient access at KSB Hospital. Patient access plays a tremendously important role within the revenue cycle, which is why Alicia Auman, director of patient access at KSB Hospital in Dixon, Illinois, has worked […]

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September 29, 2021
Blog, Medical Billing
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No Surprises Act Notice Requirements: The Good and Bad News for Providers

Surprise billing occurs when patients receive care from out-of-network providers without their knowledge. On July 1, the Biden Administration passed an interim final rule: the first portion of the “Requirements Related to the Surprise Billing Act,” in an attempt to curb excessive costs patients are required to pay in relation to surprise billing. The rule […]

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Category: Medical Billing

Why Claims Payment Optimization is Crucial for Providers

Telemedicine Providers Take Note – The No Surprises Act Is Effective January 1, 2022

Early Warning: Hospital Billing Errors Portend Bleakness

Claims Payment Transformation Benefits Payer, Providers, and Members

Patient Financial Assistance with Hospital Bills Increased in 2021

CMS Releases 2022 Physician Fee Schedule Final Rule

Lawmakers Seek Changes to No Surprises Act Implementation

How Billing Turns A Routine Birth Into A High-cost Emergency

How 5 Steps For Transforming Patient Access Saved $20M

No Surprises Act Notice Requirements: The Good and Bad News for Providers

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