A proposal aimed at streamlining prior authorization through CPT codes was recently withdrawn after the American Medical Association revealed that prior authorization is already specified in the long descriptions of certain CPT codes—information rarely accessed by physicians. A Fierce Healthcare piece by Noah Tong emphasizes the need for better access to and understanding of these descriptions to ensure proper billing and reimbursement. The AMA is working to publish new resources on its website to help physicians better understand the codes and provide answers to coding and billing questions. https://hubs.la/Q02FHnPk0
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Can employers negotiate hospital bills? Yes, if they understand hospital billing hieroglyphics. Yes, if they understand clinical medical notes to match CPT and DRG codes. Yes, if they have access to Medicare reimbursement rates to negotiate a fair payment. Yes, if they have a legal team to manage balanced bills. Seems easy until you breakdown the art and science of negotiating a hospital bill. Different works if you are willing to go down the rabbit hole and think contrarian. Read the article below by Mark Meiselbach to learn more 👇 https://lnkd.in/erUZtDiH
Can Employers Negotiate Hospital Costs?
https://www.leadersedge.com
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Healthcare Bluebook | Quantros Teach, Motivate & Incent people to comparison shop their medical care & Rx (w/in their existing plan) based on objective scores for appropriateness of care, treatment outcomes, & cost.
7 updates on the No Surprises Act The No Surprises Act, which creates cost transparency for patients and protects against balance billing, took effect Jan. 1, 2022. It has shifted care and billing rules for Ambulatory Surgical Centers (ASCs) and hospitals, and has been extremely controversial over the last two years.
7 updates on the No Surprises Act
beckersasc.com
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Attention Physicians! Novitas Solutions has identified the top 10 Medicare claims errors to avoid, including filing duplicate claims and billing for unnecessary procedures. Visit their website for detailed instructions. Stay proactive in verifying patient eligibility and ensure services are covered. Reach out to TMA for billing assistance and check out the Payment Resource Center for more help. Let's work together to prevent claim errors and secure fair reimbursement. Click the link below to learn more! #MedicareBilling #TMA #NovitasSolutions #PhysicianResource
Novitas Solutions Warns of Top 10 Medicare Claims Errors
texmed.org
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Is It Time for a Change? Understanding the Process of Changing Medical Plans in Orlando, Florida How Do I Change My Medical Plan in Orlando Florida? Changing your medical plan in Orlando, Florida can seem like a daunting task, but it doesn’t have to be. With the right information and guidance, you can smoothly transition to a new plan that better fits your needs. In this article, we will explore the […] #DisabilityInsurance, #FamilyPlans, #HealthInsurance, #HealthInsuranceAgents, #HealthInsuranceForStudents, #HealthInsuranceQuotes, #Specialist
Is It Time for a Change? Understanding the Process of Changing Medical Plans in Orlando, Florida
https://www.ushoptions.com
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Let’s work together towards a more efficient and financially sound healthcare system. In this article, I discuss the real costs and consequences of billing inefficiencies in the medical field, and how practices can achieve greater success while improving patient outcomes.
Stop living in denials – The impact of inefficient billing processes
physicianspractice.com
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And the so-called healthcare solution was the unaffordable careless act, called the patient protection and affordable care act or PPACA or ACA, alias Obamacare… A destruction of the patient position relationship and government wholesale takeover of healthcare writ large. I called it from the beginning @MedEconomics https://lnkd.in/e7aPEnQe
Wax: Decision is dark chapter in American history
medicaleconomics.com
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Texas County Sells Almost $100 Mln in Healthcare Bonds The county that includes Austin, Texas, issued $99.6 million in bonds to build medical clinics. The bonds were sold in two series by Travis County Healthcare District. The Series 2023A bonds mature between 2024 and 2033, yielding between 3.13% and 3.37%. The Series 2023B bonds, which are taxable, mature between 2024 and 2043, yielding between
Texas County Sells Almost $100 Mln in Healthcare Bonds
munichain.com
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https://lnkd.in/gjhhgBgP - Bad debt and a lot of red tape- these are some of the frustrations Healthcare2U's Chief Medical Officer Dr. John Rodriguez says physicians face while working in a traditional clinic model. Check out the second blog in our Q&A series with Dr. Rodriguez to learn more about why he thinks switching to #DirectPrimaryCare is the answer to these problems and more. #DPC
Ask Dr. John Part 2 – The Struggles Physicians Face While Working in a Traditional Care Model
healthc2u.com
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Is your #SkilledNursingFacility aware of the updated #SNF reimbursement rates and other reimbursement updates? Gain insight and achieve uninterrupted cash flow, prevent costly write-offs, maximize reimbursement opportunities, and strengthen regulatory compliance with BerryDunn's #Medicare reimbursement checklist. https://bit.ly/48V5J1O
CMS updated SNF Medicare A reimbursement rates
berrydunn.com
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Administrators must understand what qualifies as an IRC 213(d) expense. These are the medical care expenses that can be reimbursed under an ICHRA. Section 213(d) defines the term "medical care" for the purposes of the income tax deduction for qualified medical expenses. Check here for a one-page overview on what qualifies as "expenses."
Basics of IRC 213d Reimbursements- Stacy Edgar.docx
hracouncil.org
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