Tag: Revenue Cycle Management

pros-cons-of-non-emergency-medical-transportation-benefits

Pros, Cons of Non-Emergency Medical Transportation Benefits

MACPAC’s June 2021 report to Congress included findings about non-emergency medical transportation benefits in Medicaid programs that could prove useful for benefits design. A small fraction of the Medicaid population utilizes non-emergency medical transportation (NEMT) benefits, but for that community of beneficiaries NEMT programs can be indispensable, a MACPAC report recently found. It has been […]
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new-provider-relief-fund-rules

New Provider Relief Fund Rules Give More Time to Use, Report Money

HHS recently updated Provider Relief Fund reporting requirements, extending the period of availability of funds and reporting periods. The update to the Post-Payment Notice of Reporting Requirements states that clinicians now have a period of availability of funds based on the date they received the payment, rather than the original deadline of June 30, 2021. […]
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costs-continue-to-drop-on-federal-health-insurance-marketplace

Costs Continue to Drop on Federal Health Insurance Marketplace

Enrollees are taking advantage of the opportunity to secure lower out-of-pocket healthcare costs on the federal health insurance marketplace during the special enrollment period, a recent CMS report found. CMS Administrator Chiquita Brooks-LaSure, who was confirmed as CMS Administrator on May 25, pointed to the American Rescue Plan as central to this influx of enrollees […]
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revenue-cycle-outsourcing-solves-staffing-challenges-for-az-practice

Revenue Cycle Outsourcing Solves Staffing Challenges for AZ Practice

The billing team at Tucson Gastroenterology was meeting a bar of excellence, according to Julie Wester, contract administrator at the Arizona-based specialty practice. But that bar was threatened when long-time staff members were starting to retire. “Some people had been there for a long time, like 19 years, and they were retiring and moving on,” […]
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emergency-physicians-call-united-healthcares-ed-denial-policy-dangerous

Emergency physicians call United healthcare’s ED denial Policy ‘Dangerous’

The American College of Emergency Physicians said that it “firmly believes that the new policy is in direct violation of the federal Prudent Layperson Standard.” Calling it a “dangerous decision” and a “scare tactic,” the American College of Emergency Physicians (ACEP) is condemning UnitedHealthcare’s recent announcement to retroactively deny emergency care claims. “ACEP firmly believes […]
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hhs-budget-other-health-spending-plans

Biden Requests $133.7B for HHS Budget, Other Health Spending Plans

  President Joe Biden has requested an increase in the HHS budget next year to strengthen public health infrastructure and crisis-related needs, among other top health spending proposals. The president’s budget for fiscal year (FY) 2022—Biden’s first since taking office—requests a total of $6 trillion. Of that, the president requested $133.7 billion for the HHS […]
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Physician Compensation Plateaus Despite Pandemic Losses

Despite a fiscally challenging year for the healthcare industry, physician compensation for most specialties has remained the same or has slightly increased, a new report from the Medical Group Management Association (MGMA) reveals. However, most specialties showed an overall decrease in productivity in 2020. The report utilized data from 185,000 providers spanning over 6,700 organizations, […]
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