By: Winona Thomas BS HCS According to Kaiser Health News, there has been a spike in retroactive denials for emergency department care and more patients are being caught in the middle of possibly becoming responsible for unresolved hospital bills. Healthcare providers along with healthcare payers are finding challenges with keeping up with the evolving government guidelines for correct claim submissions … Read More
Although Telemedicine has been around for years, it was really the COVID-19 pandemic that expedited the need for implementing these services rapidly and on a larger scale. According to Medicaid.gov “telemedicine seeks to improve a patient’s health by permitting two-way, real time interactive communication between the patient, and physician or practitioner at the distant site.” This can be accomplished via … Read More
By: Winona Thomas BS HCS The federal No Surprises Act establishes new requirements for healthcare providers, facilities, and providers of air ambulance services to protect consumers from “surprise” medical bills. What are the impacts to healthcare providers with this new act in place for 2022? Previously, when the provider office received a payment as an out-of-network payment from the payer, the typical … Read More
By: Mariellen Mezzacappa Have you increased the amount of Telehealth visits with your patients? If not, you and your patients may be missing out. Over the past two years, the COVID-19 pandemic has changed the landscape of patient care and increased the need for providers to utilize virtual healthcare services. Due to the Public Health Emergency (PHE) policy update, many … Read More
Since the first onset of Covid-19 vaccination mandate in May and June 2021, the VAX mandate has been an abrupt disruption in the lives of millions of Health Care workers.
The Biden-Harris Administration has mandated COVID-19 vaccinations for clinical and non-clinical health care workers employed by a certified Medicare or Medicaid-funded facility.
By: Ann Knutson, CPC-A Facility credentialing is a critical aspect of healthcare revenue cycle management. This is the process in which an insurance carrier evaluates a facility for approval to be ‘in network’ and a participating provider of specific healthcare services. According to the Minnesota Department of Health: “Credentialing is the process used to determine if an individual practitioner and/or … Read More
Medical billing and coding is arguably one of the most important aspects of a practice. Quality care, of course, is a priority, but if you don’t bill for the care, your practice won’t succeed. One of the decisions every practice has to make is whether to keep their billing in-house or to outsource to a trusted partner. A few common … Read More
By Ranadene Tapio, MBA, CMRS, CPCS As healthcare delivery gets more complex, patient reimbursement decreases, and patient demand increases, practices are forced to reevaluate their revenue cycle management (RCM) process. Some people underestimate the importance of effective revenue cycle management. RCM is the lifeblood of your practice. It determines almost all key performance indicators and practice health. Along with the obvious indicators, … Read More
Ranadene Tapio, MBA, CMRS, CPCS Collections aren’t the most glamorous part of running a practice. Perhaps the only thing worse than making collections calls is receiving them! Unfortunately, collections are necessary and if done correctly, it will allow you to collect on accounts that have sat stagnant for months, sometimes years. In our years of experience managing collections for small and medium physician practices, … Read More
By Ranadene Tapio, MBA, CMRS, CPCS Does your office experience a rejection rate in insurance denials that’s higher than you’d like it to be? Does your front-desk and billing staff know the type of information that’s important to obtain when registering a patient? Do they know WHY the information they’re collecting is important? We have found, that the first step in … Read More