Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Medical Billing

7 Reasons Why You Should Regularly Compare Reimbursement to Contracted Rates

According to an MGMA poll from earlier this year, only about 50 percent of respondents said they compare their actual reimbursement to payer contracts at least quarterly. The other 50 percent were unsure how often they do it or don’t do it at all. So what’s the big deal? Why is important to regularly compare the payments you receive to the contracted payment rates you’ve negotiated? Here are 7 reasons you should establish a plan for your own practice and begin monitoring your payer payments today. Read more

Medicare to Remove Social Security Numbers from Medicare Cards

Medicare will soon begin replacing beneficiaries’ social-security-based Health Insurance Claim Number with new randomly-assigned Medicare Beneficiary Identifiers (MBI) to help protect against fraud and identity theft. Congress mandated the change through the Medicare Access and CHIP Reauthorization Act (MACRA) with an April 2019 deadline. Read more

Proposed Changes to the Medicare Fee Schedule that Could Affect Emergency Physicians

Emergency physicians may benefit from future changes in Medicare billing policy outlined in the proposed Medicare Physician Fee Schedule released earlier in June. CMS is asking for comments on two different guidelines that could ease documentation guidelines and improve reimbursement for coding and billing E/M services in the emergency department. Read more

The Problem with Comparing ER Charges

Emergency physicians charge uninsured or out of network patients as much as four times more than what they are willing to accept in payment from Medicare, according to a recent study from Johns Hopkins School of Medicine. But the American College of Emergency Physicians says the study relies on flawed methodology and incorrect assumptions about the cost of emergency care. Read more

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