Charging Payers Interest on Unpaid Claims

As a healthcare provider, you probably deal with unpaid claims or delays in reimbursement commonly. This could be from the payer or insurance company delaying reimbursement, the patient exhausting benefits or perhaps certain services are limited or excluded from coverage. Claims follow up a standard process in practices. One way to ensure more prompt payment…

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E&M Revisions for 2021 Now in Effect

Back in January, revisions to office and outpatient evaluation management (E&M) went into effect. Now, previous code calculations have been changed or removed altogether. With the revisions, codes are now calculated in two ways – time or medical decision making (MDM).1 These E&M revisions were made to reduce the administrative challenges created by documentation and…

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CMS and Executive Order Propose to Expand Medicare Telehealth Permanently

We previously discussed how Medicare telehealth benefits for the patient health emergency (PME) had been extended for 90 days, but it was still unclear if/when Medicare telehealth benefits would return to normal (link to that previous blog) or if certain aspect would stick around even after the PME ended. Well, we recently got a little…

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The Impact of Medicare Telehealth Returning to “Normal”

Back in March, the Centers for Medicare and Medicaid (CMS) expanded telehealth for Medicare beneficiaries, as COVID-19 was drastically increasing the need for virtual appointments. This included expanding Medicare telehealth so all beneficiaries could receive telehealth in any location, including their homes. They also announced additional temporary rules and waivers to expand Medicare telehealth services,…

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2021 E&M Revisions: The Why Behind the Changes

(Scroll down for webinar) As you may have heard, revisions to office and outpatient evaluation and management (E&M) will take effect January 1, 2021. The 2021 E&M revisions guidelines were created by a workgroup put together by the American Medical Association (AMA). The group also represents the AMA’s Current Procedural Terminology (CPT) Editorial Panel and…

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