For years, deductibles were so low. Payers paid most of the patient responsibility on claim submission. Those days are obviously gone putting the onus on your practice’s medical collections to keep your revenue stream healthy. “Most patients maybe had a $250 or $500 deductible,” recalls medical collections expert Tracy Bird, FACMPE, CPC, CPMA, CEMC, CPC-I, […]
Update Notice: This blog post was reviewed for accuracy by a Healthcare Training Leader expert and was updated on May 26, 2021. This update included adding the following sections to this post, “What if the Subpoena is Inadequate” and “Identifying Request Requirements,” to ensure the information you receive is accurate, up-to-date and complete. responding to subpoena […]
For providers to get paid when they treat Medicare patients, they have to be enrolled in the Medicare program. But the enrollment process and directions for Medicare enrollment application CMS-855I are complicated and confusing! One wrong entry can delay your application setting you back thousands of dollars while you wait. These FAQs will help you […]
A provider’s laptop is left in a taxi, a front desk sheet lists patients’ names, a practice’s website is hacked, all easy accidents that could happen to you. And how you respond to a HIPAA breach will play a major role in the penalty – if any – assigned. Be sure to follow these compliance […]
Obtaining Medicare reimbursements for telehealth services isn’t always easy — especially considering CMS telehealth originating site rule restrictions. While telehealth coverage is on the rise, a recent Harris Poll study shows practice adoption has not kept up with patient demand for convenience and better population health care for chronic conditions. CMS recently has agreed to […]
What’s the most important position in your practice? If you said “doctor” you’re wrong. It’s actually your front desk customer service staff. They are the “gatekeepers,” and typically the very first contact experience a patient has with your office. If it’s a bad front desk customer service, they won’t be seeing your doctor at all. […]
Knowing what ICD-10-CM code changes you need to focus on updating this Fall can be like finding a needle a haystack. ICD-10-CM code changes for 2020 include 324 code changes (273 new, 21 deleted, and 30 revised codes) – and you need to hone in on the ones you need to educate staff on, watch out […]
Does even thinking about new provider credentialing give you a headache? Sure, you’re anxious for new providers to start generating revenue for your practice. But you’re also dreading those long, complicated forms that are so easy to mess up. Credentialing is anything but simple. One misstep, and your practice’s revenue cycle will slow to a […]
Everyone makes mistakes. Unfortunately, sometimes small mistakes will cost you big time. Such is the case with claim form errors. The CMS form 1500 is your primary means of getting reimbursement from Medicaid, Medicare, and Tricare. Even a minor claim form error can delay processing and payment or worse—lead to denial. On the flip side, […]
CMS won’t release the 2020 Medicare Physician Fee Schedule final rule until later this fall, but that doesn’t mean you should wait to shore up your reimbursement for coding remote patient monitoring based on the proposed rule. Released in July, the proposed rule contains important clues about what you can expect next year. And even […]
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