Baptist Memorial Health Care Enhances Patient Collections with IVR
Giving patients the option to pay medical bills how they want to has become increasingly key to optimizing patient collections. Patients already owe more out of pocket for their healthcare than ever...3 Ways to Improve Medical Coding Quality for Accurate Reimbursement
While some have said medical coding sits quietly in the middle of the healthcare revenue cycle, it is a key step that, when done inadequately, can impact each part of the revenue cycle after it....AMA Adds CPT Codes for Multi-Virus Tests for COVID-19, Flu
In response to the COVID-19 pandemic, the American Medical Association (AMA) is adding two new codes to the Current Procedural Terminology (CPT) code set. The codes are for multi-virus tests that...White House Gives Congress Until Dec. 31 to Ban Surprise Billing
UPDATED 09/30/2020 An executive order on a number of healthcare issues includes a new timeline for a surprise billing solution and further advancements in hospital price transparency. Signed by...CMS to Expand Prior Authorizations for Certain Ambulance Transports
CMS is expanding a program integrity payment model that saved Medicare $650 million by targeting inappropriate overuse of ambulance services using prior authorizations. In an announcement yesterday,...Top Ways to Improve Collection of Patient Financial Responsibility
As the cost of healthcare continues to rise and patients increasingly owe more for their care, providers are finding that collecting patient financial responsibility is becoming one of their biggest...Chronic Care Management Code Use Increases, But Uptake Still Lagging
Providers are increasingly using chronic care management (CCM) codes to address care fragmentation issues for patients with multiple chronic conditions. However, utilization patterns among...AMA Introduces CPT Code to Account for COVID-19 Safety Protocols
Shortly after releasing the 2021 Current Procedural Terminology (CPT) code set, the American Medical Association (AMA) added two more codes related to COVID-19, including one that accounts for the...2021 CPT Code Set Simplifies E/M Coding, Adds COVID-19 Tests
The American Medical Association (AMA) implemented major changes to the 2021 Current Procedural Terminology (CPT) code set in an effort to simplify coding and documentation of office visits and...Providers Confused by COVID-19 Coding, Claim Requirements
Erratic claim volumes and confusion over COVID-19 coding and claim requirements are the top issues impacting revenue cycle operations, according to a new survey of financial leaders at US hospitals and...Surprise Billing Price Controls Decreasing Care Quality in CA
Researchers at the Pacific Research Institute are warning Congressmembers to steer clear from price controls as a solution for surprise billing after finding that the policy approach had unintended...AMA Announces New CPT Codes for Coronavirus Testing
The American Medical Association (AMA) recently expanded its Current Procedural Terminology (CPT) code set to include four new CPT codes for coronavirus testing, according to a special coding guidance...Surprise Billing Action Needed, But Hospitals Urge Congress to Wait
Lawmakers are focused on addressing surprise billing through federal legislation, but providers do not want the next coronavirus stimulus package to prohibit the practice that can cost patients...CMS Pays for Coronavirus Counseling, Other COVID-19 Billing Updates
Provider reimbursement is now available to physicians who tell their patients to self-isolate at the time of COVID-19 testing, according to CMS. For more coronavirus updates, visit our resource...Medical Billing Mistakes for Malnutrition Led to $1B in Overpayments
CMS should recoup the portion of nearly $1 billion that was incorrectly paid to hospitals because of medical billing and coding errors involving severe malnutrition diagnosis codes, HHS’ Office...Estimate Shows Uninsured Population Rising by 2.9M By End of 2020
Approximately 31.5 million individuals will be uninsured by the end of the year, largely stemming from job losses related to the COVID-19 pandemic, according to new estimates from the Urban...Banner Health Adopts Cerner’s Revenue Cycle Management Product
Banner Health and Cerner recently expanded their partnership to implement an end-to-end comprehensive suite of revenue cycle management (RCM) solutions and drive population health...Telehealth Billing Increased 8,336% from April 2019 to April 2020
Telehealth billing continued to surge amid the COVID-19 pandemic, with telehealth claim lines increasing by 8,336 percent in April 2020, according to a new FAIR Health data. New data from FAIR...Sponsored by XIFIN
