Payers are reimbursing providers for all COVID-19-related testing and treatment they are furnishing to their insured members, but what if the patient is uninsured? Healthcare providers need not write off COVID-19 testing and treatment services...
More InfoDeemed the epicenter of COVID-19 deaths by many, skilled nursing facilities and other nursing home providers are now on the verge of collapsing without financial help, industry leaders say. Skilled nursing facilities are on the verge of...
More InfoEvery year, the Trends in Healthcare Payments Annual Report is distributed to start a conversation about the current state of the industry and shine a light on areas where change is needed. For healthcare providers, the report has consistently...
More InfoFinancial indicators, staffing, and leadership are three key factors emergency departments should prioritize for effective revenue cycle management during the COVID-19 crisis. At the start of the year, emergency departments (EDs) across the...
More InfoThe COVID-19 pandemic continues to send more Utah residents to hospitals. Given the rise in hospital visits, addressing the need for cost transparency and clarity for patients has become more urgent than ever. Surprise Medical bills, a familiar...
More InfoIn unprecedented crisis of COVID-19, the first instinct is to triage our activities, often weeding out the ones that seem to be the least important. Some of those will never surface again and just become part of the detritus left behind. Tucked...
More InfoThe healthcare system is facing an unprecedented crisis, but accurate COVID-19 coding and billing can help providers weather the storm and prepare for future outbreaks. The COVID-19 pandemic is putting strain on the healthcare system, but...
More InfoReimbursement has not been established at this time. The American Medical Association (AMA) CPT® Editorial Panel has revised one code and created two new codes to provide more specificity for serology laboratory testing. The codes, which were...
More InfoThe President signed the Coronavirus Aid, Relief, and Economic Security (CARES) Act on Friday, March 27, formalizing a piece of legislation meant to support and stimulate the economy in the midst of the global pandemic, to the tune of over $2...
More InfoPrior authorizations, or prior approvals, are strategies that payers use to control costs and ensure their members only receive medically necessary care. The cost-control process requires providers to acquire advance approval from payers before...
More InfoIn addition to patient billing and policy, healthcare M&A and workforce diversity will also be major trends going into the new year, according to PwC’s Health Research Institute. Patient billing, policy and regulation, healthcare mergers and...
More InfoNow is the time to begin preparing for the new code set. It is good to be back to talk about ICD-11. Yes, it’s a reality now, and all providers can start to get prepared for this significant new ICD-11 coding system. ICD-11 has been years in the...
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