Reading Time: 3 minutesThe pandemic brought with it a shift in how medical care is carried out. Due to the fear associated with catching COVID 19, the rules surrounding telehealth were relaxed. As a result, it brought telehealth to the forefront, and providers were able to care for their patients even through the stay-at-home orders and social distancing […]
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Reading Time: 4 minutesRemote Patient Monitoring (RPM) is a subset of telehealth that involves reporting and collection of a patient’s health data and thus the evaluation of a patient’s health. This is done by utilizing mobile devices, smartphone apps, and internet-enabled devices outside of traditional physical medical settings. Example: Someone with diabetes may have a glucose monitor or […]
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Reading Time: 3 minutesThe CY 2022 Medicare Physician Fee Schedule Final Rule was released on November 2, 2021, and with it came some important changes including updates to payment rates for 2022, expanding the use of telehealth for mental health, and allowing PAs to bill Medicare directly. Conversion Factor Decrease A significant change was made to the conversion […]
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Reading Time: 3 minutesWe all have witnessed how the COVID 19 Pandemic has brought on new, little-known terminology to the healthcare forefront. Terms like telehealth and telemedicine have now become more mainstream in the healthcare community and not many are aware of the subtle differences in definition. What is Telehealth? Telehealth is defined as the broader method […]
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Reading Time: 3 minutesA recent MGMA poll, asking “How have your days in A/R changed in 2021?”, found that 49% of respondents said their time in A/R has increased in 2021. Thirty-seven percent (37%) said they stayed the same, but is that good? Only 15% said that it had decreased. It is well known that the longer a […]
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Reading Time: 3 minutesUntil now, costs for healthcare were anything but transparent. A majority of people receive medical services without a clear understanding of what the charges will be, how much their insurance company will cover, and that prices can be vastly different from hospital to hospital. However, this situation is changing. New rules from CMS, which are […]
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Reading Time: 3 minutesMedical Group Management Association (MGMA) released findings from their Stat poll, conducted on August 10, 2021, regarding medical practices being forced to pay fees to receive EFT payments from payers. According to their research, 57% of respondents, when asked “Are insurers charging your practice fees you didn’t agree to when sending payments via EFT?”, responded […]
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Reading Time: 6 minutesBackground In part one, we discussed exactly what the “No Surprises Act” (NSA) is. Passed as part of the Consolidation Appropriations Act of 2021 in December of 2020, the NSA is aimed at eliminating large unexpected or surprise medical bills. Those bills usually come from one of three sources – 1) an emergency where a […]
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Reading Time: 4 minutesIn a Kaiser Family Foundation survey, data showed that one-third of insured patients had received a surprise medical bill in the past two years. An additional 67% said they had concerns about receiving a surprise medical bill. Data from Health Care Cost Institute showed that even when being treated at an in-network facility, one in […]
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Reading Time: 4 minutesSilent PPO is a name used to describe when a contracted payer’s fee schedule is applied by a non-contracted payer or plan administrator to services rendered by a medical provider without that provider’s knowledge. How Silent PPO Happen Silent PPO is a complicated repricing scheme, around since the early 1990s, that sees the practice of […]
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