PHE Expired May 11: Get Up to Speed on New Telehealth Billing Rules LEARN MORE

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Get Ready! Your Annual Training Subscription is About to Be Better Than Ever

Effective Tuesday, May 30, 2023, Annual Training Subscription administrators will see several important improvements to their account. Many of these upgrades came from subscriber recommendations. These upgrades will provide you with more control over your online trainings, the staff you allow to take the trainings, their training progress, and results related to their participation. See […]
Information blocking

5 Examples Help You Master Information Blocking Violations

If your practice isn’t familiar with the federal 21st Century Cures Act—also called the information blocking rule—then you could be at risk of violating this law. In essence, your practice must make electronic health information available to patients and others securely and swiftly, at no cost. Practices that prevent patient access may implicate the information […]
Credit card on file

Compliantly Keep Credit Cards on File for Simpler Collections

Medical practices encounter dozens of touchpoints when patient collections can fall through the cracks. From patients who fail to show up for appointments and those who haven’t met their deductibles to people who simply have coinsurance to pay, the possibilities are endless. That’s why some practices choose to keep a credit card on file. While […]
telehealth

Which Telehealth Rules Will Go Away When the PHE Ends?

Ever since the public health emergency (PHE) began during the early days of the COVID-19 pandemic, practices have gotten accustomed to the adjusted rules and regulations, which have included more telehealth flexibilities than ever before. However, when the PHE ends on May 11, many of those provisions will go away. Find out which telehealth PHE […]
Ambulatory surgery center

CMS Debuts 50 New Codes for ASCs – Here’s How to Use Them

Many practices are so busy trying to incorporate new CPT codes into their systems at the beginning of a new year that they may not notice other codes that have rolled out. Such has been the case for some providers this year, who focused so strongly on the changes to the E/​M code set that […]
encryption

To Encrypt or Not to Encrypt: Know the Encryption Pros and Cons

Encrypting your medical records, communications and documents can add a deeper layer of security to the protected health information (PHI) that you share and store. When you encrypt data, you’re obscuring it from unauthorized users, making it less likely to be seen by others. If you’re thinking of launching an encryption policy at your practice, […]
Medicare appeals

5 Pitfalls to Avoid When Appealing Medicare Claims

No one likes to get a claim denial from Medicare. You have a few options in this situation: Either appeal the claim or eat the cost of the denied service. In most cases, filing Medicare appeals will allow you to boost the odds of getting paid, but you must avoid these five common pitfalls. 1. […]
Administrative fee

5 Administrative Fees Your Practice Could Charge to Earn More

Perhaps your practice has had success charging for no-shows or sports physical form completions—or maybe you’re just starting to investigate which administrative fees you might explore. Either way, there are many factors to consider if you’re thinking of charging administrative fees, but before you dot your I’s and cross your T’s, you might want to […]
ERISA

9 Times ERISA Applies to Claims, and 5 Times It Doesn’t

The Employee Retirement Income Security Act (ERISA) affects about 83 percent of the non-Medicare and non-Medicaid claims filed every day by hospitals and physician offices. The employer that sponsors the insurance plan cannot be any form of government or church. When ERISA Applies to Claims However, there may be instances when a patient is employed […]
Split/shared billing rules

Master 2023 Split/Shared Billing Rules With Key Tips & Examples

When a split/​shared visit takes place, both the physician and the nonphysician provider (NPP) perform part of an E/​M visit in the facility setting. The tricky part comes in when determining which provider should actually report the claim for the service. Check out a few tips so you can ensure your practice is following the […]