In Billing
Feb 8th, 2019
Michigan-based Trinity Health is replacing its current electronic health record (EHR) and revenue cycle management (RCM) platform while centralizing patient billing service centers, affecting hundreds of medical coders, billers, and others. The 22-state health system’s plan is to adopt Epic as a single EHR and RCM to standardize billing, share data, and cut costs. The ...
In Billing
Feb 8th, 2019
If your 2019 Medicare Part B claims payments aren’t adding up as expected, there may be a good explanation: the Centers for Medicare & Medicaid Services goofed. The agency recently discovered that an error in the implementation of the 2019 Merit-based Incentive Payment System (MIPS) payment adjustment was causing Medicare Part B drugs and other ...
In Billing
Feb 7th, 2019
As of January 25, only 62 percent of healthcare providers submitted fee-for-service claims with the new Medicare Beneficiary Identifier (MBI), according to the Centers for Medicare & Medicaid Services (CMS)(MLN Connects, Feb. 7). Is your provider among the 28 percent who haven’t begun to use the MBI for Medicare transactions? Providers have until Dec. 31 ...
In Billing
Feb 5th, 2019
Coding clean-up crew lays the groundwork to improve healthcare reimbursement through denial management. In large healthcare business offices, medical billers and coders are often in separate departments, with separate leadership. Although the medical billers are largely responsible for denial management, they often don’t have the necessary coding expertise required to properly work coding denials. ...
A 7 percent payment update in your professional claims is at stake. That’s a nice bonus on top of the automatic 0.5 percent update to the Physician Fee Schedule (PFS). This is the last year for the automatic update, however. The only shot clinicians have at a PFS payment update in 2020 and beyond is ...