In CMS
Apr 18th, 2018
As of July, the Centers for Medicare & Medicaid Services (CMS) is making things easier for medical coders, billers, and implanted pacemaker and defibrillator patients to receive a magnetic resonance imaging (MRI) scan. Clarifying Pacemaker Language CMS said in a Decision Memo dated April 10 it intends to change the language of section 220.2 of ...
Insurance verification and precertification play a big part in payment. Insurance verification and precertification play a major role in a practice or hospital’s revenue cycle management. Without these two fundamental steps, there is a high chance you’ll miss covered charges, eligibility, and patient liability. Each of these can negatively affect a provider’s accounts receivable or ...
In CMS
Oct 14th, 2016
Medicare will pay for the newest CPT influenza virus vaccine, 90674, the Centers for Medicare & Medicaid Services (CMS) announced in a recent transmittal. But because 2017 codes won’t go into effect until after the first of the year, payments won’t begin until January 3, 2017. However, claims with dates of services on or after August 1, 2016 will ...
Proper documentation and verifying coverage criteria prior to claim submission can improve your chances for reimbursement. Many healthcare providers perform tobacco use counseling daily, but they may not be documenting or reporting it appropriately. Reliable guidance is needed to ensure all performed services are claimed and supported by complete documentation. Where Opportunity Knocks The Centers ...
Protect the financial livelihood of your practice through coverage verification and balance collection. Making sure your practice is paid in full for services rendered is a two-step process: First, verify every patient’s eligibility for medical coverage before services are rendered. The turnaround time for claims payment is reduced greatly when coverage is verified prior to ...