Interoperability role in medical billing: A growing number of physicians practice in an interconnected world, which means that medical practices and hospitals need to seamlessly share information in order to be able to provide good health management and ensure that patients are treated safely and effectively. Health care interoperability is an important concept that has […]
Medical Billing Myths: Medical billing is an important part of the complicated world of healthcare management. However, many practice owners struggle to negotiate the complexities of medical billing. Myths and misconceptions about medical billing can exacerbate problems, resulting in financial losses and administrative headaches. To help keep you educated and empowered, we’ve developed a list […]
Secure Medical Billing Practices: In the ever-evolving healthcare landscape, protecting patient privacy and safeguarding sensitive medical information remains paramount. The Health Insurance Portability and Accountability Act (HIPAA) serves as the cornerstone of these efforts, dictating robust data security standards for covered entities handling protected health information (PHI). As we navigate 2024, staying updated on HIPAA […]
The Interoperability and Prior Authorization Final Rule (CMS-0057-F) aims to streamline the prior authorization process, reducing delays in patient care and lowering administrative costs. Finalized by CMS on January 17, 2024, this rule is expected to save approximately $15 billion over the next decade by reducing burdens on patients, providers, and payers. Key Impacts of […]
The federal No Surprises Act (NSA) has generated millions of complaints but serves to protect consumers from unexpected out-of-pocket healthcare costs, according to a new survey. AHIP, a U.S. health insurance trade group, and the Blue Cross Blue Shield Association (BCBSA) released a report that estimates the NSA prevents more than 1 million surprise bills […]
The Healthcare industry 2022 survey found that most hospitals fail to meet new billing measures. There is a shortage of qualified billing representatives at most hospitals, and patient itemized bills are not issued on time. Based on the Healthcare Industry survey’s new measures added in 2022, a study published in Healthcare media examined the quality […]
As a result of their hospital stays that exceeded three days – all of which were outpatient Part B stays – a group of Medicare beneficiaries filed a class action lawsuit in 2010 to recover their costs from stays in skilled nursing facilities (SNFs) for rehabilitation following an illness. It was probably the height of […]
To capture Medicare reimbursement for complex Medicare patient visits, you must know when to use this G2211 Code add-on code. To report the additional time, effort, and related practice expenses associated with caring for Medicare patients across the continuum of care, qualified healthcare providers can begin billing HCPCS Level II codes on Jan. 1, 2024. […]
In addition to being a blessing to humanity, healthcare is frequently a maze of perplexing invoices and obscure codes. But don’t worry, tired traveler! With a few clever modifications, this terrible beast can be transformed into a controllable monster burrow. Prepare your clever sword and defeat the 5 Hacks for Healthcare Billing dragons listed below: […]
Upcoding in Medical Billing, the act of billing for a higher level of service than was actually provided in medical billing, is unfortunately not uncommon. While it may seem like a harmless way to boost revenue, the consequences are far-reaching and detrimental to both patients and the healthcare system as a whole. Upcoding in Medical […]