Healthcare News

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...

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...

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...

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...

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...

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...

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...

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...

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, ...

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...

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 ...

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...

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...

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...

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...