Category: Revenue Cycle Management

Biden’s Administration on COVID-19 Testing & Treatment

Biden Administration Invests in Expanding COVID-19 Testing and Treatments

The U.S. Department of Health and Human Services is releasing new funding aimed at helping schools reopen and to expand access to COVID-19 testing and treatments among underserved populations. On Wednesday, HHS made two funding announcements – to invest more than $12 billion to expand COVID-19 testing, as well as $150 million to increase access to monoclonal antibody therapeutic treatments […]
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RCM Automation for AR Efficiency

RCM Automation Boosts Practice’s Accounts Receivable Efficiency

  Days in accounts receivable (A/R) is one of the most important key performance indicators for growing practices. In an increasingly complex healthcare environment—and one in which financial responsibility is shifting to the patient—keeping track of how long it takes to collect healthcare revenue that a practice has billed but has yet to receive from payers […]
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COVID-19 Relief Plan

How the COVID-19 Relief Plan Can Make Your Healthcare More Affordable

  The extended unemployment benefits and $1,400 direct payments that are part of the American Rescue Plan Act of 2021 signed into law by President Biden on March 11 have gained much attention. But the new law contains several other provisions aimed at making health insurance more affordable for millions of people with lower and moderate incomes, […]
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April 2021 HCPCS Codes Changes

April Updates Bring HCPCS Changes

Make sure you’re using the latest code files for your Medicare claims. A second quarter update to the HCPCS Level II code set used for reporting products, supplies, and services adds 23 codes. Additionally, six codes are revised and 12 are discontinued, effective April 1, 2021. There are also two codes with changes to Medicare coverage. […]
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COVID Relief Medicare Spending Cuts

Providers Blast Medicare Spending Cuts in COVID Relief Package

  The latest $1.9 trillion COVID-19 relief package includes several provisions advantageous to healthcare providers but will leave them to face significant Medicare spending cuts in the future. Passed by the House yesterday, the American Rescue Plan Act of 2021 will funnel $8.5 billion to reimburse rural healthcare providers for expenses and lost revenues attributable […]
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Medicare rate for COVID-19 vaccinations

MA Reimburses 2X Medicare Rate for Some COVID-19 Vaccinations

Healthcare providers in Massachusetts are getting twice the standard Medicare rate for COVID-19 vaccinations in an effort to accelerate vaccine rollout, according to a recent provider bulletin from the state’s Medicaid office. The provider bulletin released in January 2020 states that providers administering the two-dose vaccines from Pfizer and Cambridge, Massachusetts-based Moderna will receive $33.88 for the […]
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MSP Billing Rules

CMS Issues Reminder on MSP Billing Rules, Appeal Options

  CMS is reminding organizations of Medicare Secondary Payer (MSP) billing and appeal processes after the agency inappropriately denied some claims. Organizations are advised that they must continue to provide services to patients who have open or closed secondary payer records on file or if Medicare inappropriately denied a claim, according to MLN Matters SE21002. Organizations are […]
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Biden’s Administration on COVID-19 Reimbursement

Biden Administration Recommits to COVID-19 Reimbursement

The Biden administration will provide COVID-19 reimbursement to clinicians vaccinating uninsured patients, according to new CMS guidance. The guidance released on Feb. 26, 2021, stated that providers can still seek reimbursement from the FFCRA Relief Fund and the Paycheck Protection Program and Health Care Enhancement Act (PPPHCEA), as well as the Provider Relief Fund, for the […]
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