medical billing services

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Improved Patient Care: Medical liability regulatory update

https://www.medicalbillersandcoders.com

Over the past several decades, there have been many efforts to change incentive structures in health care, all with the goal of reducing health-care costs while improving patient health outcomes.

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Transition to value-based reimbursement

https://www.medicalbillersandcoders.com

Value-based reimbursement inspires clinicians to care for the whole person, who is essential to addressing health disparities confirmed by claims data from the COVID-19 crisis, CMS says.

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Telemedicine reimbursement and healthcare fraud prevention laws

https://www.medicalbillersandcoders.com

Policymakers of the US quickly took action in this COVID-19 pandemic to relaxed long-standing healthcare regulations which include telemedicine reimbursement and healthcare fraud prevention laws. 

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Quality Payment Program Performance Results

https://www.medicalbillersandcoders.com

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) enforced CMS to implement an incentive program called the Quality Payment Program as MACRA ended the Sustainable Growth Rate (SGR) formula, which significantly cut payment rates for participating Medicare clinicians.

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FDA Warns of Newly Discovered Potential Drug Interaction

https://www.medicalbillersandcoders.com

The United States Food and Drug Administration (FDA) is cautioning health care providers regarding the newly revealed potential drug interaction linked to inspectional antiviral drug remdesivir that has given emergency utilization authorization for the treatment of the COVID-19 patients with serious disease.

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Primary Care Codes for Payment in 2020

https://www.medicalbillersandcoders.com

Payments to physicians are then made on a for each visit or per-procedure basis as characterized by the CPT codes. Most private payers adopt the values for services from CMS yet may apply diverse transformation factors.

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SMALL BUSINESS PAYCHECK PROTECTION PROGRAM

https://www.medicalbillersandcoders.com

Recently, the president signed the Paycheck Protection Program Flexibility Act of 2020 (HR 7010), since this law does not integrate any kind of additional funding to the Small Business Administration (SBA) Paycheck Protection Program (PPP) loan program.

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COVID-19 Billing Updates for Hospitals

https://www.medicalbillersandcoders.com

Many hospitals are treating Covid-19 patients. CMS has recently issued new Covid-19 billing updates for hospitals. This new update explains reimbursement and coding policies for hospitals treating Covid-19 patients and alternate care sites created by hospitals during the pandemic.

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Medicare Payment Rates for COVID-19 Test CPT Codes and HCPCS Codes

https://www.medicalbillersandcoders.com

CMS recently announced new payment rates for Current Procedural Terminology codes developed by the American Medical Association for Covid-19 diagnostic tests. The federal agency updated guidance on May 19, to include Medicare payment rates.

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Physician and Hospital Billing-What’s the Difference?

https://www.medicalbillersandcoders.com

Physician billing, which is also termed as Ambulatory Surgical Center (ASC) billing or professional billing is the billing of claims for services, which were offered or performed by healthcare professionals or a physician that also includes inpatient and outpatient services.

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