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Accounts receivable (AR) is an important parameter for any practice’s revenue cycle management. More number of AR days indicate inefficiencies in your overall revenue cycle activities. Things can quickly go out of hand and providers require to write off [...]
Basics of Principal Care Management (PCM) In the Medicare Physician Fee Schedule final rule issued in November 2021, the Centers for Medicare and Medicaid Services (CMS) added four new CPT codes (99424, 99425, 99426, and 99427) in the category of [...]
Billing and coding guidelines for various medical specialities are constantly getting updated due different COVID-19 variants. Before delivering services, providers are really not sure about insurance coverage for that specific procedure. As Public Health Emergency (PHE) has extended beyond [...]
An Alternative Payment Model (APM) is a payment approach that gives added incentive payments to provide high-quality and cost-efficient care. In October 2021, the Center for Medicare and Medicaid Innovation (CMMI) announced a goal of having every Medicare beneficiary [...]
The Advance Beneficiary Notice of Noncoverage (ABN) i.e., form CMS-R-131, is issued by providers (including independent laboratories, home health agencies, and hospices), physicians, practitioners, and suppliers to Original Medicare (fee for service – FFS) beneficiaries in situations where Medicare [...]
