MedConnex – Days in AR

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Days in Accounts Receivable (A/R) is a key performance indicator used to determine your business health. Most commercial claims have a 90-day timely filing window, that clean claims must be submitted to insurance within.

The No Surprises Act Is Now In Effect

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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

COVID-19 Vaccination Mandate for Health Care Workers

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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.

Medical Necessity and the Revenue Cycle

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By Ann Knutson, CPC-A According to the Center for Medicare & Medicaid Services (CMS), medical treatment or supplies provided by a physician is considered medically necessary when they “are proper and needed for the diagnosis or treatment of your medical condition, meet the standards of good medical practice in the local area, and aren’t mainly for the convenience of your … Read More