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...
Feb 11, 2020 | Medical Credentialing
Verifying medical credentials is an essential consumer safety component of the health care system. To safely administer health care for their patients, organizations must verify the qualifications of their licensed medical providers by assessing their background and...
Feb 11, 2020 | MACRA Solutions
In April 2015, Congress eliminated the SGR (Sustainable Growth Rate) — the formula used to calculate Medicare payments to healthcare providers. In its vacancy came the newly proposed Quality Payment Program and MACRA (Medicare Access and CHIP Reauthorization Act of...
Feb 11, 2020 | Medical Credentialing, Revenue Cycle Management Solutions
As a physician or other healthcare provider, you must apply for initial medical credentialing and be re-credentialed every 2-3 years, depending on the state in which you live and the policies of your payers. It’s a monumental task, but a necessary one, as...
