Medicare enrollment

Medicare Enrollment Rule Expands Disclosures for Your Providers and Candidates

It’s fall — and that usually means CMS will soon drop its final rule on the Medicare Physician Fee Schedule. But this September, a brand new final rule just fell into your lap: the “Program Integrity Enhancements to the Provider Enrollment Process” Final Rule. This rule extends CMS’s authority to take action against “unqualified and […]
CMS ASC Approved Procedure List

CMS ASC Approved Procedure List Challenges: Look to HR 4350

If your practice has an Ambulatory Surgical Center (ASC), you’re part of the millions Medicaid saves every year. However, you reap fewer benefits than Hospital Outpatient Departments (HOPDs). A new bill on the table could serve to ease some of the burden your ASC faces, especially relating to the variable CMS ASC approved procedure list. […]
medicare enrollment application cms-855i

For Fast Approvals Master Medicare Enrollment Application CMS-855I

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 […]
coding remote patient monitoring smart watch reading

Maximize Billable Opportunities for Coding Remote Patient Monitoring

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 […]
MIPS Promoting Interoperability 2019 deadline

Ace Changes for MIPS Promoting Interoperability 2019 with 11 Tips

Did you receive a perfect score in the MIPS Promoting Interoperability category in 2017 or 2018? Most practices did in those first two years, but this year, it will be much more difficult to achieve even a high score let alone a perfect one with the changes for MIPS Promoting Interoperability 2019. The worst case […]
Medical Credentialing Doctor With Credentials

Medical Credentialing: What Is It & Why Is It Important for Reimbursement?

Without proper medical credentialing, a medical practitioner legally cannot work at a hospital or partner with insurers. Having medical staff credentialing training is crucial to ensure a new physician or practitioner is allowed to see patients, receive insurance reimbursements, and hospital privileges. Fail to attain on-time credentialing and the new staff will fail to meet […]
Medicare telemedicine policy

Updated 2019 Medicare Telemedicine Policy

Several months ago, the Centers for Medicare & Medicaid Services (CMS) released an updated Medicare telemedicine policy for Medicare, which went into effect on Jan. 1, 2019. The new changes in the CMS’ finalized Calendar Year 2019 Physician Fee Schedule for Medicare telemedicine policy are brought with the goal of streamlining the healthcare system, and […]
Payer Contract

6 Tips to Negotiate the Payer Contract You Want

Payer contract negotiations don’t have to be painful. Consider these action items to help keep you focused, avoid payer pressures, and prioritize your organizational goals to ensure the right outcomes for your practice...
Medicare Exclusions

Don’t Pay the Price for Medicare Exclusions

Making the mistake of employing an excluded physician, nurse, nonphysician provider or administrator will lead to you facing thousands in civil money penalties — not to mention the money you’ll lose for services you’ve provided that can never be billed. Thinking that this can’t affect your practice is a HUGE mistake. In fact, the Office […]