by Marketing | Jun 18, 2019 | AR Management, Coding, Data Analytics and Reporting, Medical Billing, News, Physician Practitioners, Practice Education, Revenue Cycle Management
If CVS Health officials felt uneasy about the federal hearing into the company’s Aetna acquisition that started Tuesday, they certainly didn’t let on as they boasted to analysts and investors in New York about their plans to dramatically expand the scope...
by Marketing | May 15, 2019 | Data Analytics and Reporting, Hospital Billing, Medical Billing, News, Revenue Cycle Management, Services
The knives are out over legislation to end surprise medical bills and specifics haven’t even been unveiled yet. The industry is pushing back hard against a particular principle laid out by President Donald Trump last week. The administration wants all out-of-network...
by Marketing | Apr 18, 2019 | News, Physician Practitioners, Practice Education, Revenue Cycle Management
What value-based payment changes are coming at the federal level? CMMI plans to continue to use mandatory payment models in cases of “widespread selection bias.” The next generation of value-based payment models aims to provide a positive cost-benefit result. New...
by Marketing | Mar 5, 2019 | Auditing Documents, Coding, Contract Reimbursement Analysis, ICD-10, News, Non Physician Practitioner, Office Staff, Revenue Cycle Management
These CPT Category II codes can be billed once per member per service per calendar year. The CPT Category II codes are: 3117F – for patients who have congestive heart failure; heart failure disease-specific structured assessment tool completed. Provider completes...
by Marketing | Feb 27, 2019 | Affordable Care Act, Data Analytics and Reporting, Denials Minimization, News, Revenue Cycle Management
Healthcare.gov marketplace insurers denied nearly one out of every five claims (19%) submitted for in-network services in 2017, and enrollees only appeal a tiny share (0.5%) of those denied claims, a KFF analysis of recently released claims data finds. The analysis...
