Medical Billing Services Archives - Page 8 of 13

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HHS requests a hold on its surprise billing appeal

After appealing the courts’ ruling on vacating a piece of arbitration within the No Surprises Act, HHS asks the court for a hold on its plea. HHS recently requested for a hold on its appeal of a Texas federal court ruling vacating parts of the independent dispute resolution (IDR) process in the surprise billing interim […]

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April 20, 2022
Blog, Medical Billing
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CMS pitches inpatient payment rule for 2023: 10 things to know

CMS released its annual Inpatient Prospective Payment System proposed rule April 18, which proposes a reimbursement boost for acute care hospitals. Here are 10 things to know about the 1,786-page proposed rule: Payment rate update. Under the proposed rule, acute care hospitals that report quality data and are meaningful users of EHRs will see a […]

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April 11, 2022
Blog, Medical Billing
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How The No Surprises Act Seeks to Change Surprise Billing

The act seeks to reduce surprise billing through independent dispute resolution and incentives for providers to join health plan networks. The No Surprises Act used a couple of methods to reduce surprise billing, though the need for some modifications may remain, according to a resource from AHIP. “The real problem of surprise medical bills tended […]

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new guidelines for billing splitshared visits

Updates Clarify Medicare Split/Shared Billing

Know the facts for ensuring proper payment of these claims in 2022. New policy for split/shared evaluation and management (E/M) visits (including critical care services and prolonged services) was finalized in the calendar year (CY) 2022 Medicare Physician Fee Schedule (MPFS) final rule. Knowing the new guidelines for billing split/shared visits performed in the facility […]

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March 31, 2022
Blog, Medical Billing
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EHR documentation too focused on billing, doctors say

One-third spend at least two hours daily on documentation outside of office American doctors are of two minds when it comes to their EHRs. They are satisfied with the technology overall but resent the amount of documentation time EHRs require for billing purposes. Those are among the results of an analysis of responses to the […]

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Healthcare Tech Company Launches Online Price Transparency Tool

Through the online price transparency tool, users can view hospital service prices and assess machine-readable file completeness. A healthcare technology company has launched an online price transparency tool that allows consumers to compare hospital costs before seeking care. Turquoise Health’s Price Transparency Scorecard lets consumers find prices by searching for specific services or providers. […]

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March 17, 2022
Blog, Medical Billing
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Hospitals Saw Substantial Underbilling for Medicare Telestroke Services

One-third of hospitals across the country offered telestroke services, but less than 40 percent submitted Medicare telestroke claims in the year before the COVID-19 pandemic. Following the Furthering Access to Stroke Telemedicine (FAST) Act, Medicare claims for telestroke services increased in rural and urban emergency departments. However, there was still substantial underbilling from hospitals with […]

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March 17, 2022
Blog, Medical Billing
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Telehealth Utilization Increasing Medicaid Provider Reimbursement

Not only has Medicaid ensured care access for enrollees during the pandemic, but its coverage of telehealth services has proved a boon to Medicaid providers in California. Increased use of telehealth services by Medicaid beneficiaries in California is leading to positive financial outcomes for providers in the state. CLOSEDLOOP.AI TOPS EPIC, CERNER FOR AI PLATFORM […]

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March 10, 2022
Blog, Medical Billing
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Congress cuts COVID-19 funds loose from $1.5T spending package

Lawmakers had landed on $15.6 billion as of a Wednesday morning draft but ultimately removed the relief following pushback from Republicans, according to House Speaker Nancy Pelosi. That draft, divided into $10.6 billion for domestic efforts and $5 billion for international support, already fell short of the $22.5 billion requested by the White House […]

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Medicare Advantage Plans Boost Supplemental Benefits Offerings

Medicare Advantage plans expanded their supplemental benefits offerings in 2022, with more health plans offering special supplemental benefits for the chronically ill (SSBCI), according to an issue brief commissioned by Better Medicare Alliance. Medicare beneficiaries typically join Medicare Advantage plans because of the array of supplemental benefits that the program offers in addition to traditional […]

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Tag: Medical Billing Services

HHS requests a hold on its surprise billing appeal

CMS pitches inpatient payment rule for 2023: 10 things to know

How The No Surprises Act Seeks to Change Surprise Billing

Updates Clarify Medicare Split/Shared Billing

EHR documentation too focused on billing, doctors say

Healthcare Tech Company Launches Online Price Transparency Tool

Hospitals Saw Substantial Underbilling for Medicare Telestroke Services

Telehealth Utilization Increasing Medicaid Provider Reimbursement

Congress cuts COVID-19 funds loose from $1.5T spending package

Medicare Advantage Plans Boost Supplemental Benefits Offerings

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