Medical Lockbox
The Centers for Medicare and Medicaid Services released its 2019 Medicare Outpatient Prospective Payment System proposed rule on July 25th, which calls for site-neutral payments and would make changes to the 340B program. For the adventurous, a 760-page explanation is here. For the rest of us, Becker’s Hospital CFP Report offers 10 things to know about the…
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The American Medical Association (AMA) updated the Current Procedural Terminology code set (CPT codes) in 2019 to include new codes for connected health services in an effort to encourage the Centers for Medicare and Medicaid Services (CMS) to pay for the services. According to RevCycleIntelligence.com: The 2019 CPT code set contains 335 changes that will…
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Pressure will continue to rise on Revenue Cycle Management services and technologies as the amount patients owe after an insurance settlement continues to rise as well, according to an article at Health Data Management. An analysis by TransUnion Healthcare, released in conjunction with the annual meeting of the Healthcare Financial Management Association, found that patients…
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Healthcare IT News reports communicates an AI and analytics path for healthcare organizations, but as you read, there is a bit of a paradox at work… Expect next-generation revenue cycle management systems to boast quite advanced analytics, said Kellye Sherbet, president of RCM services at Aprima Medical Software, which markets EHR, practice management and revenue…
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One of many highlights from our 2018 Healthcare and Check Payment Technology Conference in Nashville, TN, was Wayne Koch’s presentation exploring The Future of Healthcare Payments. We’ve borrowed the great visual metaphor that Koch used in his presentation: Very often, the amount of reconciled and unreconciled payments that current systems recognize are merely the tip of…
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It shouldn’t take news of a massive data breach on Facebook to remind people in all industries – – particularly healthcare – – that we must remain absolutely vigilant when it comes to security and privacy requirements. As Rosemary McKenna states in her blog at Lexology: Nary a week goes by without news of a data…
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A new report from Future Market Insights has predicted that the global market for healthcare revenue cycle management software will reach $ 43.3 billion by the end of 2022. The global healthcare revenue cycle management software market is projected to soar at a compound annual growth rate of 6.9 percent during the 2017-2022 forecast period. Healthcare IT News analyzes…
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Mainstream technology is beginning to create patient-doctor relationships that are unprecedented. CNBC reports that Apple is moving deeper into healthcare with a service that lets users easily view their medical records. Ultimately, “we’re hoping to enable richer conversations between doctor and patient,” said Sumbul Desai, Apple’s digital health lead who’s also a physician and medical researcher…
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Of course, the best way to handle claim denials is to prevent them in the first place. That’s why this recent list of denial prevention strategies from Becker’s is something no denial manager should miss. We believe though that it has a problem. Boiling down denials to a list like this obscures the fact that…
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You might have heard of some of these “far-out” denials from an HME NewsPoll, but they really are worth a review… …a Medicare prescription denied because it was “written by a girl.” …an agency had a beneficiary “listed as dead, then alive, then dead again.” …multiple providers receiving denials for wheelchairs intended for amputees and…
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