Healthcare costs and healthcare payments are closely tied, but worlds apart. As the COVID-19 episode slowly winks out (for now), hundreds of millions of Americans are confused, paying higher premiums…
The testimony came as the Trump administration continues to purge inspectors general across sectors of the federal government. The U.S. Department of Health and Human Services (HHS) Office of…
Did you know that the United States has over 6,000 hospitals? Unfortunately, not all of them can provide high-quality treatment due to the lack of equipment. If you’re running a…
Despite modest improvements in their safety performance over the past decade, the electronic health record (EHR) systems used in US hospitals fail to detect up to 1 in 3 potentially…
Healthcare professionals across the globe have emerged as the true heroes of the COVID-19 crisis. Through a mission of care and compassion, they deliver urgent medical support for those battling…
The Inpatient Prospective Payment System (IPPS) Proposed Rule for the 2021 fiscal year was published on May 11 by the Centers for Medicare & Medicaid Services (CMS). Comments are due…
The new face of the SDoH: The healthcare workforce The end of 2019 saw healthcare jobs become the hottest career around, with over 1.9 million jobs added and eager anticipation…
As the novel coronavirus continues to take hold throughout the country and healthcare facilities attempt to quickly reconfigure care delivery for patients and consumers who are being advised to stay…
Hospitals around the country are afraid to send out hundreds of thousands of bills related to COVID-19 testing. That’s because Congress mandated there would be no copays and no out-of-pocket…
CMS’s 4/30/2020 rule states that practices could bill 99211 for new or established patients during the public health emergency for COVID-19 specimen collectionCPT had previously recommended thisThe new HCPCS codes…
Providers nationwide are seeking to identify ways to mitigate the uncontrolled spread of the virus amid vulnerable populations. Since the first American case of COVID-19 was reported in January, approximately…
Historically, there was a belief in healthcare that revenue cycle management (RCM) was only a job for the back office. But today, medical practices are well-aware all staff members are…
COVID-19 is changing the way we practice medicine. Social distancing measures have led to a surge in demand for telemedicine, while practices around the country are seeing a reduced number…
Waivers, modifiers, lab tests, multiple diagnosis codes…the layers and specifics of COVID-19 coding cannot be overlooked when ensuring appropriate reimbursement and safeguarding claims against third-party payer audits. As hospitals and…
HRSA is not a HIPAA-covered entity, so the official coding rules do not need to be followed when submitting claims. EDITOR’S NOTE: On this week’s Monitor Mondays, Dr. Ronald Hirsch…
Several doctors have created a guide to quickly implement an outpatient telemedicine program during the COVID-19 pandemic. The toolkit, published in the Journal of the American College of Surgeons, discusses…