One way to ensure hospital-owned physician practices are maximizing reimbursement is to outsource the billing of professional medical claims to medical billing companies who specialize in physician billing. Such outsourcing offers several key advantages for hospitals, as well as other corporate entities. Here’s why. READ MORE
As of midnight March 22, 2022, providers are no longer able to submit claims to the COVID-19 Uninsured Program for tests and treatment for uninsured patients. Claims for vaccination claims for uninsured patients will stop being accepted at midnight on April 5, 2022.
Cybersecurity was already one of the top concerns among healthcare organizations at the beginning of 2022, after a record year of healthcare data breaches in 2021. And now, with the ongoing war in Ukraine and the increased international risk of a cyberattack from Russia, its allies, or other bad actors, experts are urging extreme caution and immediate action. READ MORE
A February ruling by Judge Jeremy D. Kernodle in the U.S. District Court for the Eastern District of Texas found portions of the independent dispute resolution process, established by the Departments of Health and Human Services, Labor, and Treasury during last year’s surprise billing rulemaking, to be inconsistent with the No Surprises Act. READ MORE
Payers may deny claim lines with diagnosis codes that lack specificity when it comes to laterality, either because laterality was required and not indicated, or because laterality was indicated as unspecified. In this post, we’ll review ICD-10-CM laterality coding guidelines and offer a few recommendations.