Patients using covered Part A and Part B services may be subject to deductible and coinsurance requirements. Medicare subtracts an inpatient hospital deductible amount from the amount payable to the hospital for inpatient hospital services it provides in a spell of illness. When a patient gets such services for more than 60 days during a spell of illness, they’re responsible for a coinsurance amount equal to one-fourth of the inpatient hospital deductible for each day of days 61-90 spent in the hospital. A patient has 60 lifetime reserve days of coverage, which they may use after day 90 in a spell of illness. The coinsurance amount for these days is equal to one-half of the inpatient hospital deductible.
Cybersecurity and Medical Billing and Coding Services: What You Need to Know Today
Cybersecurity might not be the first thing you think of when you think of medical billing companies or medical coding solutions, but it’s highly related.
It’s Time to Focus on Your Own KPIs for Medical Billing Solutions
There are many great recommendations for key KPIs to focus on in evaluating your approach
Monkeypox & Smallpox Vaccines: Include Product Code on Claims
The U.S. Centers for Medicare & Medicaid Services (CMS) had announced in August 2022 to only bill for monkeypox & smallpox vaccine administration when you got the vaccine at no cost from the government. CMS has now clarified that the correct instructions are to include these 3 elements on your claim, even if you get the vaccine from the government for free:
Urgent Care Billing Updates for 2022
Urgent care billing and urgent care coding are going through a period of change, and revenue cycle leaders at multiple types of provider organizations will need to pay attention. From new codes, to the impact of COVID-19 and the No Surprises Act, you’ll need to adjust your urgent care billing services to keep up and make sure you’re keeping your cash flows healthy. Let’s take a look at what’s going on in the world of urgent care billing.
