Overpayments might not top your list of physician billing issues, but with recent CMS actions, it might be time to rethink that stance.
Orthopedic trauma surgery reimbursements have been dropping. According to a study in the Journal of Orthopaedic Trauma, reimbursement for trauma surgery has dropped by almost one-third over the past 20 years .
Patients hate surprise bills and soon, they’ll be much less common, thanks to the “No Surprises Act” . But while the bill protects patients it adds new complexities for physicians. In many ways, it shifts the balance of power to commercial health plans, something that could work out negatively for physicians.
The COVID-19 pandemic has changed healthcare. Most attention has been paid to shifts in telemedicine and remote work, but other changes are emerging. One of the biggest is the concept of the “hospital at home”.
While some of the news around CMS’ release of the payment rule for CY 2021 has been positive, many home health agencies are likely bristling at new policies around the Requests for Anticipated Payment (RAPs) for 2021 and beyond.
With the recent CMS announcements, 2021 is looking like it’s going to be a transitional year for home health billing and home health coding. The agency has made multiple changes to home health regulations to improve efficiency and make better use of technology across the country.
We’re coming into the end of the year, which means now is a great time for healthcare leaders and medical billing and coding managers to survey recent CMS updates as you work to ensure the financial health of your organization.
Next year promises interesting changes for the Medicare Physician Fee Schedule — many of which will help medical billers and medical coders adapt to a world that has heavily shifted to telehealth and that is still responding to a pandemic.
Cost containment has been a central topic in the healthcare revenue cycle management (RCM) conversations for years now, and the pressures of a pandemic have made it even more important.
Covid-19 has changed medical billing services. Healthcare providers around the country have been forced to rethink the most basic elements of their billing and coding. This has included everything from how to address new and emerging codes to how to keep their workers safe while still keeping medical coding and billing processes flowing.