Preparing Yourself for Malpractice Suit
Increasing Number of Malpractice Suits For many providers, it’s not a matter of if they will be sued at some point in their career, but when it will happen. It’s quite a common occurrence in today’s...
View ArticleHow to Manage Common Denials for RPM?
Remote Patient Monitoring (RPM) is a health care delivery method that benefits patients, providers, caregivers, and the healthcare system as a whole, by leveraging technology advances to gather patient...
View ArticleReducing Risks Leading to Malpractice Claim During Telehealth
Telemedicine and telehealth services were growing before the COVID-19 pandemic, and demand has soared during the pandemic as patients and providers alike recognized the efficiencies and convenience of...
View ArticleHow you can Maximize Patient Collection at time of Service?
Collecting from patients is one of the more challenging tasks of practice management. For the financial sustainability of your practice, you must make a concerted effort to collect co-payments,...
View ArticleRole of Medical Billers and Coders in RCM
Medical billing and coding translate a patient encounter into the form healthcare facilities use for claims submission and reimbursement. Medical billing and coding are separate processes, but both are...
View ArticleImproving Bottom Line of Your RCM
Revenue Cycle Management (RCM) is defined as the process of handling claims, processing payment, and generating revenue for your practice. It includes all functions associated with different steps of...
View ArticleCan You Bill Multiple E/M Visits in Same Day for Same Patient?
Multiple E&M visits on the same day for the same patient addresses those instances when a single code is reported by a physician(s) or other qualified health care professional(s) for multiple...
View ArticleIs Outsourcing Billing, the Right Option for Me?
Medical billing which is part of Revenue Cycle Management represents all activities resulting in receiving accurate payment for services rendered to a patient. Medical billing and coding require...
View ArticleCoping up with Changed Requirements of Prior Authorization
Providers continue to wonder how we can live in a world where so many RCM processes are handled quickly with technology, yet decisions that affect patient health are slowed by faxes and bureaucracy,...
View ArticleReducing Denied Claim Percentage
When you submit a claim to any insurance carrier, it will either get paid, fully or partially, or it might get rejected or it might get denied. Most of the time, providers get confused between claim...
View ArticleStreamline Your Billing with EDI Enrollment
Electronic Data Interchange (EDI) represents a digital communication channel to deliver the data from payer to providers digitally and securely. Most of the providers have a lot of confusion over what...
View ArticleImproving Documentation for Pain Management Services
Documentation of medical services is necessary to provide information to assist health care professionals in providing services to patients which are medically necessary. Apart from helping in medical...
View ArticleUrgent Care Coding Updates for 2022
The Centers for Medicare & Medicaid Services (CMS) every year releases the Medicare Physician Fee Schedule (MPFS) to announce policy changes. In this blog, we shared important coding updates for...
View ArticleDeclaration of Blanket Waivers for SNFs
On 7th April 2022, in response to the COVID-19 PHE and under section 1135 of the Social Security Act, CMS passed several temporary emergency declaration blanket waivers which were intended to provide...
View ArticleMedicare R&N Requirements for Glucose Monitors
Home blood glucose monitors (BGMs) and continuous glucose monitors (CGMs) are covered under the Durable Medical Equipment (DME) benefit. In order for a beneficiary’s DME to be eligible for...
View ArticleBilling for Continuous Glucose Monitor (CGM)
On December 28, 2021, the Centers for Medicare & Medicaid Services (CMS) published a final rule which was implemented on February 28, 2022. This final rule addressed the classification and payment...
View ArticleTips to Improve Your Practice Collection in 2022
Most practices are struggling to stay afloat due to shrinking reimbursements and the recent impact of the COVID-19 pandemic. The days of submitting an insurance claim and getting paid within 30 days...
View ArticleMedicare and Telehealth Coverage after the End of PHE
Medicare, Medicaid, and private payers had relaxed their billing guidelines and revised reimbursement policies so that physicians can provide better care during the COVID-19 pandemic. A Public Health...
View ArticleRemoval of Temporary Emergency Waivers for Nursing Home
During the Public Health Emergency (PHE), The Centers for Medicare & Medicaid Services (CMS) used a combination of emergency waivers, regulations, and sub-regulatory guidance to offer health care...
View ArticleOutsourcing Your Medical Billing Operations in Year 2022
Unique Medical Billing Operations in the Year 2022 With a considerable number of claims being denied, most medical practices have struggled during the COVID-19 pandemic. Recently, Apollo Healthcare has...
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