Starting January 1, 2022, healthcare providers will be subject to a new surprise billing law that makes it illegal for providers to bill patients more than in-network cost-sharing for out-of-network services and establishes an arbitration process to resolve unexpected out-of-network charges. The law, the No Surprises Act, was passed in December 2020 as part of […]
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 […]
The COVID-19 relief bill the House passed Wednesday is a major win for various sectors in the healthcare industry, and includes the biggest update to the Affordable Care Act since it was enacted 11 years ago this month. The $1.9 trillion American Relief Plan was approved by a party line vote of 220-211, having made […]
With all that has happened over the past year, from the coronavirus pandemic to ongoing social justice movements, healthcare workers and organizations are standing in solidarity with their communities like never before. While these corresponding pandemics emphasize the need for healthcare organizations to empower the communities they serve, they also highlight the necessity to […]
Today, data breaches, ransomware attacks, and identity theft are endangering privacy and well-being. This is true for medical data because if malicious hackers get access to it, human lives and health could be at stake. Scammers may also attempt to benefit from ongoing events to disrupt the data gathering process for healthcare corporations. Medical […]
Healthcare providers face two new rules certain to complicate a busy year already dominated by the pandemic. The nation’s capital is facing a tremendous number of complex issues this week. Amid all this, legislative activity on two healthcare policy initiatives has advanced in the past few weeks – and those two initiatives will add […]
Five tips for improving RCM in a post-pandemic world As a result of the COVID-19 pandemic, the American Hospital Association (AHA) estimates that hospitals and health systems have lost more than $202 billion from a drop in revenue, combined with COVID-19 expenses, during the four-month period from March to June 2020. Healthcare services expenditures also dropped 38% in […]
Healthcare forecasting that can adapt quickly to changes could be as critical to a provider organization’s survival in 2021 as wearing a mask to stop the spread of COVID-19, experts at PwC’s Health Research Institute are saying. Nearly three-quarters of healthcare executives (74 percent) recently surveyed by the Health Research Institute said their organizations would […]
In anticipation of an emergency use authorization from the Food and Drug Administration (FDA), the American Medical Association (AMA) has created Current Procedural Terminology (CPT) codes for AstraZeneca’s COVID-19 vaccine. AMA assigned Category 1 CPT code 91302 to the vaccine manufactured by the Cambridge, United Kingdom (UK) company, as well as vaccine administration CPT codes […]
Now that a COVID-19 vaccine is approved, providers need to execute a medical billing and coding strategy to sustain vaccination efforts. For many providers, the end of the pandemic is in sight with the recent emergency use authorization of a COVID-19 vaccine. And while this may be true, it is just the start of a COVID-19 vaccine […]