The insurance preauthorization process is tedious and frustrating, but it’s a requirement if you want to get paid for services you provide. One of the main issues with the process is that each payor has its own requirements for getting procedures preauthorized. Further complicating the system is the fact that what one payor requires preauthorization […]
Legally, you are not required to bill a patient’s secondary insurance plan if you are out of network. Instead, you can choose to bill the patient directly, but doing so can put you at odds with the No Surprises Act implemented Jan. 1st of this year. This new regulation requires that you follow very clear […]
You can now get paid more for using digital health technology with your patients. As of January 1st, new codes for Remote Therapeutic Monitoring (RTM) allow you to get reimbursed for monitoring non-physiologic data. These codes opened up more patient care options, allowing your practice to use newer technology and still get reimbursed for it. […]
You’ve just opened the mail to discover several more denials by insurance payors. With reasons ranging from non-covered services to lack of proper documentation, battling back the seemingly never-ending tide of denials can feel like a full-time job. No-win appeals. Not only do stacks of denials seriously eat into the time you could be spending […]
The No Surprise Billing Act threw a wrench into how you bill self-pay patients and insured patients who don’t want their plan billed for services. The law, which went into effect January 1, laid out clear – if complicated – guidelines for just what can be considered a Good Faith Estimate (GFE) for anticipated services. […]
CMS has good news for you and your patients regarding the telehealth mental health care you’ve provided since the pandemic: Medicare will continue to reimburse for these services for at least two more years. Originally, the addition of reimbursement for telehealth mental health services was temporary due to COVID, and expected to expire at the […]
The November 3rd release of CMS’ 2022 Medicare Physician Fee Schedule (PFS) is chock full of changes that have the potential to significantly modify how you bill and receive payment next year. Unfortunately, one of the most disappointing changes is that Congress has decided not to renew the additional 3.75% conversion factor rate added during […]
The Answer: Yes, you can charge your self-pay patients less, as long as you don’t break federal Medicare laws when doing it. Knowing how and when to apply a discount and write-off for a self-pay patient is essential to your practice. It can reduce your risk of violating Medicare and other federal laws – including the […]
The No Surprises Act is about to dramatically change how your practice gets paid for out-of-network services. The Department of Health and Human Services (HHS) is not kidding around when it comes to the enforcement of the No Surprises Act. If you fail to comply, you can be hit with fines of up to […]
You MUST use a totally different system to get paid and code for COVID-19 vaccine administration; unlike other vaccines that use generic administration CPT codes, coronavirus vaccine reporting requires unique codes. Get up to speed now on the available vaccines and how to report them correctly from your very first claim without over billing. There […]
Live Webinar: You attend the training online at a specific date and time along with the expert presenter who will answer your questions.
CD-ROM: A recording of the actual live event (including the Q&A). Your CD-ROM will be mailed to you via USPS First Class Mail within 48 hours of the live training date.
On-Demand Recording: Watch a recording of the live event anytime – as often and for as long as you’d like. Access the recording (including Q&A) online within 24 hours of the live training date and time. Simply log into your Healthcare Training Leader account.
Live + CD-ROM: You attend the training online at a specific date and time along with the expert presenter who will answer your questions. You’ll also be mailed a recording of the actual live event on CD-ROM.
Live + On Demand: You attend the training online at a specific date and time along with the expert presenter who will answer your questions. You’ll also have access to a recorded version of the training to access at your convenience.
Corporate Access: Select this option to receive online, on-demand access to your training across each of your locations. Setup will be initiated by our account team within 48 hours of your enrollment and can be utilized by your entire team.
You and your entire team, at all your locations, can attend as many live and view as many recorded trainings as you like for 12 months.
You and your team, in one single location, can attend as many live and view as many recorded trainings as you like for 12 months.