How to Overcome Telemedicine Challenges?

The telemedicine market is expected to grow at a CAGR of 14.9% over the forecast period 2019 to 2026 as more hospitals and healthcare facilities bring this technology online. Telehealth has the potential to reduce healthcare costs, improve patient outreach and health outcomes, and change the way providers treat their patients. There are many benefits […]

How does Medicare work when patient move to a different state?

Medicare, the federal government program that provides health insurance for people who are 65 or older and certain younger people with disabilities. Medicare has some standard billing codes for many treatments and services. Medical billing and coding are important facets to the health care industry. Regulatory changes happen frequently based on input and suggestions from […]

Assistive Technology Assessment (CPT code 97755)

CPT® 97755, Under Physical Medicine and Rehabilitation Tests and Measurements The Current Procedural Terminology (CPT®) code 97755 as maintained by American Medical Association, is a medical procedural code under the range – Physical Medicine and Rehabilitation Tests and Measurements. CPT code 97755, assistive technology assessment (e.g., to restore, compensate for an existing function or augment, […]

Janssen COVID-19 Vaccine CPT Codes

On JAN 19, 2021, the American Medical Association (AMA) announced that the Current Procedural Terminology (CPT®) code set is being updated by the CPT Editorial Panel to include vaccine and administration codes that are unique to the COVID-19 vaccine candidate under development by Janssen Pharmaceutica, a division of Johnson & Johnson. The CPT codes – […]

OPPS Final Rule

The Medicare Outpatient Prospective Payment System (OPPS) final rule for calendar year (CY) 2021 continues cuts to hospitals in the 340B Drug Pricing Program and off-campus provider-based departments (PBDs), and updates the overall hospital star ratings methodology, effective Jan. 1, 2021. Payment Update CMS will increase base payment rates under the OPPS by 2.4 percent […]

Patients’ Electronic Access to Health Information

CMS Rule Building on the CMS Interoperability and Patient Access final rule (CMS-9115-F), this proposed rule would place new requirements on Medicaid and CHIP managed care plans, state Medicaid and CHIP fee-for-service programs, and Qualified Health Plans (QHP) issuers on the Federally-facilitated Exchanges (FFEs) to improve the electronic exchange of health care data, and streamline […]

Provider Credentialing Consultant

Provider credentialing is the one of the important administrative process which contribute significant in to the quality of medical care. It also plays an important role in providers revenue cycle management to reimburse the deserving amount from payers. Without credentialing, providers cannot perform credentialing verification effectively and efficiently. This is the reason, providers are willing […]

Reimbursement for telephone calls

The COVID-19 pandemic has changed how physicians provide patient care in the outpatient setting rapidly and dramatically. During this Public Health Emergency, continuity of treatment of existing patients as well as maintaining a professional relationship with new patients has become difficult. To prevent COVID-19 exposure threats, many geographic areas are under “stay at home” or […]

Benefits of Outsourcing Medical Billing

Deciding whether or not outsourcing medical billing is the right thing to do for your practice can be a difficult decision. Outsourcing is no longer a new technique for the world of medical billing. Outsourcing is now as mainstream as you can get. For medical practices, it turns out that outsourcing medical billing can be […]

Becoming DME (Durable Medical Equipment) Supplier as a Chiropractor

Medicare can pay a strong net financial gain to a chiropractor who is certified as a supplier of Durable Medical Equipment (DME) under Medicare. At this time, the reimbursement levels are very good. Many chiropractors are not aware that these supplies are already obtained by their patients from other sources. For a long time, medical […]