Billing / Collections / Coding
The Centers for Medicare and Medicaid Services (CMS) released its final rule that includes timelines for when the patient is entitled to receive a GFE. It can depend greatly upon the patient's insurance status, the provider's insurance network status, and the type of care and location of the service.
In today’s ever-changing healthcare environment, it’s important to have resources to keep you up to date on issues affecting patient care and practice revenue. CAP is here to support all members with vital updates.
CAP’s My Practice program has received several calls from CAP members about COVID vaccine reimbursement and denials, as there has been much confusion on how to bill. As if the pandemic hasn’t been stressful enough due to income loss and other challenges, billing has become even more difficult to navigate.
Over the past decade, the healthcare industry has gone through significant change. With value-based care, physicians are reimbursed based on quality rather than volume. The goal is to support patients at their highest possible level of wellness rather than wait to provide care until they get sick, which is often more complex and expensive.
The Court of Appeal has told a health plan, in effect, “not so fast” after the plan refused to consider a surgeon’s attempt to correct an initial coding error after an alleged emergency surgery.
As a CAP member, you can take advantage of the myriad no-cost or discounted practice management programs that leverage the buying power of your nearly 12,000 member-strong cooperative.
The Centers for Medicare & Medicaid Services recently distributed the following notice about MIPS: The Centers for Medicare & Medicaid Services is reviewing claims and letting practices know which clinicians need to take part in MIPS, the Merit-based Incentive Payment System.
The updates to ICD-10 will impact CMS's ability to process data reported on certain quality measures for the 4th quarter of the 2016 calendar year.
One of the Certified Medical Scribe Specialists core responsibilities is to capture accurate and detailed documentation of the physician/mid-level encounter and increase clinical workflow efficiencies, creating time and space for clinicians to appropriately care for patients.
Problem solving. It is what physicians do every day, whether determining the best course of treatment for patients, or finding creative ways to keep up with the barrage of regulations and requirements constantly hurled at them.
The Centers for Medicare and Medicaid Services (CMS) has unveiled a proposal that would carry out a major overhaul of its payments for physicians. The proposed rules, released on April 27, stem from a mandate included in last year’s passage of the Medicare Access and CHIP Reauthorization Act (MACRA).