May 28, 2020 | Revenue Cycle Management Solutions
What Is Medical Billing? Medical billing is the process of creating insurance claims & bills for patients using medical codes extracted from the medical coding process. Medical billing claims are precisely generated & collected through accurate patient...
Mar 19, 2020 | Medical Credentialing, News, Revenue Cycle Management Solutions
Centers for Medicare and Medicaid Services (CMS) is taking aggressive action, including regulatory flexibilities and blanket waivers, to help healthcare providers combat the spread of COVID-19 for the duration of the pandemic. For skilled nursing facilities...
Mar 18, 2020 | News, Revenue Cycle Management Solutions
This information was updated March 16, 2020 The Centers For Disease Control and Prevention (CDC) has issued supplemental medical coding guidelines for encounters and telehealth screenings related to the COVID-19 Coronavirus. These codes are to be used in conjunction...
Mar 18, 2020 | News, Revenue Cycle Management Solutions
Starting March 6, 2020, and for the duration of the COVID-19 pandemic, Medicare has expanded payment for telehealth services under the 1135 waiver authority and Coronavirus Preparedness and Response Supplemental Appropriations Act. Doctors, nurse practitioners,...
Mar 13, 2020 | Revenue Cycle Management Solutions
In healthcare, revenue cycle management (RCM) is the process used to track and collect revenue from patients. RCM begins with scheduling a patient for a clinical encounter through the final payment for the healthcare services rendered. The Healthcare Financial...
Feb 21, 2020 | Revenue Cycle Management Solutions
Providing outstanding medical services is at the very heart of your mission and vision. However, actually treating patients is just one part of running a new medical practice. The rest is business “stuff” that takes up a lot of time, and can quite frankly be...
Feb 11, 2020 | Medical Credentialing, Revenue Cycle Management Solutions
Hospital administrators, physicians, and members of every healthcare office billing department know that if their practice or hospital provides services to Medicare patients, they must be prepared to possibly receive a request to be audited from the Medicare Parts C...
Feb 11, 2020 | Medical Credentialing, Revenue Cycle Management Solutions
Hospitals strive to place two goals at the forefront of their day-to-day operations: patient safety and continual improvement of the quality of care that the facility provides for its patients. These goals are often diametrically opposed to another key item on the...
Feb 11, 2020 | Medical Credentialing, Revenue Cycle Management Solutions
Among healthcare practitioners, there is sometimes confusion between “payer enrollment” and “medical credentialing”. The process of payer enrollment and credentials verification is intricate and it becomes more so with each passing year. Contract with a CVO Without...
Feb 11, 2020 | Medical Credentialing, Revenue Cycle Management Solutions
CVO credentialing refers to the use of a Credentials Verification Organization to perform medical credentialing on behalf of a healthcare practice or organization. The CVO is tasked with obtaining primary source verification of a provider’s documents on the...