Medical Billing Insights

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TELEMEDICINE: The "new normal" in medical billing

Industry InsightsTELEMEDICINE: The “new normal” in medical billingInsightsTELEMEDICINE: The “new normal” in medical billing…COVID-19 is changing everything today. Healthcare is on the forefront of this pandemic. So much is changing so rapidly and Telemedicine is evolving into a HUGE opportunity for providers of all types and specialties. But how do you care for your patients,

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HBMA RCM Advisor Q4 2019 – President’s Message

Industry InsightsHBMA RCM Advisor Q4 2019 – President’s MessageInsightsAll Around EngagementPatient engagement is a concept that combines a patient’s knowledge, skills, ability, and willingness to manage their own health and care with interventions designed to increase activation and promote positive patient behavior.*1 Trading “patient” for “attendee,” this is exactly what we saw at this year’s

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HBMA RCM Advisor Q3 2019 – President’s Message

Industry InsightsHBMA RCM Advisor Q3 2019 – President’s MessageInsightsNavigating the Evolving Topic of Business IntelligenceAs I began in the medical billing field, some of the highest “business intelligence” needed was simply convincing healthcare providers they should change from their antiquated internal system of pegboard accounting and ledger cards to using a billing company that could

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HBMA RCM Advisor Q2 2019 – President’s Message

Industry InsightsHBMA RCM Advisor Q1 2019 – President’s MessageInsightsStaying on Top of ComplianceOur medical billing and revenue cycle management industry is evolving continually. Our companies must be adding expertise, implementing more technology, generating new ideas, and finding operational efficiencies to keep up with competition, pricing pressure, and ever growing client needs and demands. In such an

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HBMA RCM Advisor Q1 2019 - President's Message

Industry InsightsHBMA RCM Advisor Q1 2019 – President’s MessageInsightsFrom Silver to Gold…I am grateful for the opportunity to lead HBMA this year and sincerely appreciate those who have served before me for helping HBMA become the organization it is today. I must also recognize those who serve and have served on the board of directors, as

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How to Simply Avoid the 2018 MIPS Penalty

Industry InsightsHow to Simply Avoid the 2018 MIPS Penalty InsightsHow to Simply Avoid the 2018 MIPS PenaltyEligible Clinicians may have difficulty finding the time and resources to fully participate in the 2018 MIPS reporting year – especially if you are part of a small practice. CMS has made 2018 another “Transition Year” for the new

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MIPS: Individual vs. Group Reporting

Industry InsightsMIPS: Individual vs. Group ReportingInsightsMIPS: Individual vs Group Reporting ExplainedThe Quality Payment Program (QPP) allows physicians to choose whether they will participate in the MIPS program as an individual or a group. This is one of the first decisions a practice will need to make when planning their MIPS reporting strategy. The impact of this

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Jul - Aug 2020 NCDS Update

On August 3, 2020 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on the proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues, on or after January 1, 2021.

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May - Jun 2020 NCDS Update

We’ve heard from physicians that they are concerned about the risks involved in reopening their practices. In response to these concerns, we offer the following 10 recommendations:

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MIPS: Transition Year vs. Full Reporting

Industry InsightsMIPS: Transition Year vs. Full ReportingInsightsIf you think the new Quality Payment is easy, it may be because we are in the transition year. CMS has made 2017 a transition year to get practices up to speed with the new requirements. This year you only need to report the bare minimum to avoid the

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MIPS: Choosing the Right Quality Measures for Your Practice

Industry InsightsMIPS: Choosing the Right Quality Measures for Your Practice InsightsNow that we have covered the basics of MIPS (read here), let’s get into the main focus- how to choose the right quality measures for your practice. Even if you do not plan on fully participating this year, you will need to in 2018. Picking

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MIPS: Understanding the Basics

Industry InsightsMIPS: Understanding the BasicsInsightsMIPS: The basics explainedIf you haven’t thought about MACRA yet, the time to start is now. The new Quality Payment Program came into effect January 1, 2017. Let’s start out with the basics…If you see more than 100 Medicare patients or bill more than $30,000 to Medicare a year, you are