Healthcare News
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You Can Do It: a proper indication of a place of service on claims
12/26/2021
Insurance claims billing has never been an easy process. However, while it is true that the process of claim filing is quite cumbersome because of a lot of seemingly unnecessary information that you need to specify, it is nevertheless critical. Insurance payers must be aware of all the specific...
How the No Surprises Act of 2021 can affect your practice
12/22/2021
Did you know that the US Congress passed the largest spending bill in its history almost 1 year ago?On December 27, 2020, then-President Donald J. Trump signed into law a 5,593 pages-long bipartisan legislation entitled “The Consolidated Appropriations Act, 2021” aimed at distributing CO...
Remote supervision of services performed by therapy assistants
12/20/2021
Did you know that physical therapists are allowed to remotely supervise PTAs that are following the treatment plan previously developed by a PT? Medicare covers remote physical therapy supervision services as long as the Public Health Emergency is in effect. This new flexibility, called "di...
Medicare Part A: what you should expect in 2022
12/16/2021
2021 is coming to an end. Many healthcare providers and their patients receiving hospital care through Medicare Part A, are concerned about any potential updates in their coverage next year. Fortunately, there are no significant policy or coverage updates that affect exclusively Medicare Part A...
Everything you need to know about TMS services
12/15/2021
COVID-19 pandemic has put an extremely serious challenge on doctors and other practitioners all over the country. This challenge is not limited to constant protection and saving us from a new deadly virus. Since early 2020, millions of people worldwide have suffered from mental health disorders. Spe...
How to increase your patient flow – a 5-step approach
12/12/2021
With the COVID-19 pandemic still at its highest, many outpatient healthcare offices are experiencing a shortage in patients’ appointments. While some patients may prefer to have a telemedicine visit in order not to expose themselves to the virus, others may not be wishing to schedule an appoin...
Everything you need to know about Medicare Fraud & Abuse
12/8/2021
Make a habit of two things: to help, or at least to do no harm.© HippocratesDecency & transparency have always been central in medicine. Throughout the history of mankind, doctors have been putting maximum effort into treating their patients regardless of the circumstances. Healthcare provi...
The future of telehealth
12/2/2021
COVID-19 pandemic has already been with us for almost 2 years. Back in early 2020, when states and the federal government rushed to proclaim a public health emergency, many patients had been concerned about whether they would continue receiving care in a matter of a lockdown. Luckily, the CMS has qu...
New DEA form required by NY State Medicaid
11/30/2021
Effective October 1st, 2021, New York State Medicaid requires Drug Enforcement Administration-eligible Medicaid-participating healthcare providers. Basically, any healthcare provider who can make a prescription is obligated to fill & submit this form. This regulation applies to physicians, ...
Today is a due date for the HRSA provider report submission
11/30/2021
Healthcare providers who currently receive relief funds from the United States Health Resources and Services Administration are required to report their Provider Relief Fund payments. Those who have failed to do during the first reporting period in 2021, are obliged to submit this information t...
UnitedHealthcare goes paperless
11/28/2021
Effective February 4, 2022, UnitedHealthcare will stop mailing appeal decision letters and paper-based explanations of payment (EOP)to healthcare providers in 15 states, including New York and New Jersey. UHC is encouraging its participating physicians and groups to utilize its provider portal. The ...
Dental provider credentialing has never been easier
11/24/2021
Just like any other healthcare provider, dental practitioners are required to initiate the credentialing process in order to become enrolled with any insurance or a benefit plan. However, this process is a little bit tricky because dental insurance plans are almost always part of separate, dent...
Debunking myths about Durable Medical Equipment billing
11/21/2021
Today we would like to talk about the complexity of reimbursement flow experienced by those who only render equipment to their patients. There are several myths about DME billing. Let us debunk each of them.DME services need to be billed on a distinctive claim formNo, equipment is billed on the same...
The Federal Government has reported a significant increase in 2022 Medicare premiums and deductibles
11/18/2021
On November 12, 2021, the CMS has announced a notable and rapid increase in Medicare premiums for the calendar year 2022. This 14.5% spike in Medicare Part B premiums will enlarge monthly premium payments for those in the lowest income bracket from a current $148.50 to $170.10 in 2022. This wil...
Your guide to incidental and mutually exclusive conditions. Learn which diagnosis codes cannot be billed together
11/16/2021
Claim denials are always frustrating. A large portion of underpayments occurs because of improper claim processing by insurance payers. However, in some cases, denials may as a result of a provider being non-compliant with a payer’s coding policy, or even with the one established by the CMS. N...