Tag Archives: Medical billing process

How to improve the Prior Authorization process of your oncology practice?

How to improve the Prior Authorization process of your oncology practice?

Oncology Prior Authorization in medical billing service is an integral part of the cancer facility, to stay steady in the business. If not done precisely, one might end up losing cash.  In a recent survey conducted on oncologists, they said that prior authorization is a vital part of their process and needed by health insurance payers,

Radiation Oncology Bundled Payment Model

Radiation Oncology Bundled Payment Model

The radiation oncology bundled payment model has been proposed and would be mandatory, reimbursing providers in specific areas a prospective, site-neutral payment starting in 2020. This model aims to improve the quality of care for cancer patients undergoing radiotherapy treatment and reduce provider burden. This payment model shall test whether a prospective, site-neutral payment to

Improve your Prior Authorization process

Improve your Prior Authorization process

It is one of the most exasperating challenging tasks for physicians to obtain prior authorizations for prescriptions and testing in their services. In the physician’s percept, prior authorizations are nothing but it’s just insurance companies inserting themselves into the care decision-making process, creating problems for both doctors and patients. Physicians say they have to face

Improper payment rate reductions in Medicare Fee-For-Service

Improper payment rate reductions in Medicare Fee-For-Service

If you read the www.paymentaccuracy.gov website on the topic of ‘The Improper Payments and Elimination and Recovery Act of 2010’ it clearly defines an ‘improper payment’ as any reimbursement/payment which was incorrect or was nor made due to incorrect charge entry, contractual, administrative, or any other federal requirements. Calculating the Improper Payment Rate From a

Maximize your Optometry Cash Flow with Leading Medical Billing Services Company

Maximize your Optometry Cash Flow with Leading Medical Billing Services Company

We at Medisys understand that the revenue cycle management (RCM) for optometry medical practice has become complicated than ever before. With the on-going changes in insurance policies, federal policies, along with rigorous compliance regulations and healthcare reforms, it has become harsh for optometrists and medical billing staff to keep pace. The result, incorrect or delayed

Is your patient experience spoiled due to EHR software?

Is your patient experience spoiled due to EHR software?

Electronic health records (EHRs) are the most important means whose implementation can be widely helpful to improve the safety, quality, and efficiency of health care. This digital makeover of the health care revolution gives scope for personal health information for no direct uses as well, such as research, analysis, public reporting, provider certification and authorization

How patient experience in your practice impacts medical billing and reimbursement?

How patient experience in your practice impacts medical billing and reimbursement?

Medical Payments and Billing are also an aspect of Patient care. A negative payment experience could impact a patient’s overall impression of a healthcare organization. Improving patient satisfaction can benefit in patient retention, accelerating revenue flow and improving patient health. SIMPLIFY BILLING: A complex billing process is a significant hurdle in the collection. Complicated billing

How CMS Will Protect Medicaid Provider Payments?

How CMS Will Protect Medicaid Provider Payments?

CMS’s Existing Initiatives Protect Medicaid In 2014, CMS revised the Medicaid Provider Reassignment Regulation to provide for a new exception to the direct payment requirement for certain providers, which primarily include independent in-home personal care workers. This new regulatory exception authorized a state to make Medicaid payments to third parties on behalf of certain providers.

Final rule for Medicare Advantage and Medicare Part D plans

Final rule for Medicare Advantage and Medicare Part D plans

The CMS (Centers for Medicare & Medicaid Services) issued a final rule on May 16, 2019 that modernizes and improves the Medicare Advantage and Part D programs. Now patient will have transparency into the cost of prescription drug in Part D and will also allow Medicare Advantage plans to negotiate better prices for physician-administered medicines

Oncology Care – Precision Medicine Can Lower Drug Cost

Oncology Care – Precision Medicine Can Lower Drug Cost

There is a lot of connection between the terms “precision medicine” and “personalized medicine.” According to the National Research Council, “personalized medicine” is an older term with a meaning similar to “precision medicine.” Precision medicine is a method to patient care that allows doctors to select treatments that are most likely to help patients based

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