Healthcare IT Today

FEBRUARY 23, 2023

Streamline the billing process The right RCM partner will help providers optimize revenue by creating faster, easier processes to identify insurance coverage. As Medicare Beneficiary Identifiers (MBIs) only relate to Medicare coverage, providers need tools that will go beyond MBIs and caps from payer searches.

RCM 132

RCM Medical Billing Patient Experience Medicare 132

BHM Healthcare Solutions

MARCH 5, 2019

Editor’s Note: Medicare Advantage organizations (MAOs) continue to do a poor job of maintaining accurate provider directories—and it’s landing some in hot water with the federal government. Seniors continue to be overwhelmingly satisfied with their Medicare supplemental insurance coverage.

Medicare 40

Medicare Medical Billing 40

Health Populi

JUNE 6, 2023

pre-care cost estimates that are accurate (personalized based on their own health insurance plans), payment plans for paying medical bills over time, digital payment options (think: Venmo meets medical bills), a multi-purpose portal, and mobile access for both administrative tasks and care — that is, virtual care/telehealth.

Medical Billing 156

Medical Billing Telehealth Digital Health Medicare 156

Health Populi

MARCH 11, 2021

health care, patient assistance programs, Medicare Advantage plans, and the bundling of proven high-value preventive services into the Affordable Care Act. In the case of Medicare Part D, the drug benefit, Chandra said, “If you’re sick enough to fall into the donut hole, you may have higher mortality.”

Health Policy 245

Health Policy Medicare Pharmaceuticals Life Science 245

Healthcare IT Today

JUNE 29, 2023

However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. Medicare Certification ASCs must sign a contract with Medicare and meet its Conditions for Coverage (CFC) to be paid. ASCs must also meet Medicare’s Conditions for Coverage.

Medicare 52

Medicare Medical Billing HIPAA Medical Billing Services 52

Henry Kotula

APRIL 24, 2018

Some 86 percent of those surveyed said they’re covered either through their employer, have insurance they purchased directly, or through government programs like Medicare and Medicaid. And 53 percent received a bill that was higher than they expected.

Medical Billing 32

Medical Billing Medical Technology Medicare Health Policy 32

Healthcare IT News - Telehealth

JANUARY 4, 2021

"I am proud to sign this legislation which promotes telehealth services that have become vital during this pandemic, expands access to high-quality, affordable care, takes steps to protect consumers from surprise medical bills, and preserves access to COVID-19 testing and treatment," said Baker in a statement. WHY IT MATTERS.

Telehealth 138

Telehealth Medical Billing Mental health Nursing 138

Telebehavioral Health Institute

JUNE 21, 2023

million for medical billing fraud from Medicare. The indictment alleges that the couple conspired with a social worker to submit false claims to Medicare, falsely stating that residents had received individual psychotherapy sessions lasting one hour. Medicare fraud, in particular, increases healthcare costs for everyone.

Medical Billing 76

Medical Billing Telehealth Medicare HIPAA 76

Health Populi

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

HIPAA 340

HIPAA Public Health Leadership Mental health 340

Health Populi

JUNE 23, 2022

An hour after the Morning Consult session, I brainstormed the topic of consumers-as-payers of medical bills and prescription drugs with GoodRx strategy leaders. billion savings that Medicare Part D could accrue if the program bought generic drugs at the prices offered through the Mark Cuban Cost Plus Drug Company.

Medical Billing 288

Medical Billing Medicare Pharmaceuticals 288

Health Populi

OCTOBER 28, 2019

84% of Americans told the Foundation that they were concerned about how much health care costs will affect them in the future, with 42% of patients saying they couldn’t afford to pay over $500 for an unexpected medical bill. Hospital costs contribute to rising medical costs to 49% of health consumers.

Pharmaceuticals 136

Pharmaceuticals Medical Billing Medicare Mental health 136

Health Populi

AUGUST 11, 2019

“In an extreme example of angst over expensive medical bills , an elderly Washington couple who lived near the U.S.-Canadian Canadian border died in a murder-suicide this week after leaving notes that detailed concerns about paying for medical care,” USA Today reported on August 10, 2019. million all-in.

Medical Billing 227

Medical Billing Leadership Medicare 227

Health Populi

JUNE 26, 2023

Note that one-third of people enrolled in Medicare or employer-sponsored insurance (ESI) self-rationed care due to cost in the past year. The top reason people in the U.S.

Medical Billing 156

Medical Billing Mental health Patient Experience Medicare 156

Telebehavioral Health Institute

JUNE 21, 2023

million for medical billing fraud from Medicare. The indictment alleges that the couple conspired with a social worker to submit false claims to Medicare, falsely stating that residents had received individual psychotherapy sessions lasting one hour. Medicare fraud, in particular, increases healthcare costs for everyone.

Medical Billing 40

Medical Billing Telehealth Medicare HIPAA 40

DrKumo Remote Patient Monitoring

APRIL 24, 2024

” In the dynamic landscape of modern healthcare, staying abreast of the latest developments in medical billing and coding is paramount for healthcare providers seeking to optimize patient care delivery and revenue generation. Welcome to our comprehensive guide to “What Is CPT Code 99457.”

Medicare 40

Medicare Medical Billing EHR Telehealth 40

Health Populi

SEPTEMBER 27, 2023

healthcare spending, with curves moving up and to the right, and the Medicare Hospital Insurance Trust Fund moving into the opposite direction toward insolvency by 2033. adults saying inflation has made it harder to pay medical bills.

Primary Care 240

Primary Care Medical Billing Medicare Patient Experience 240

Healthcare IT Today

OCTOBER 15, 2023

Partnerships Brightside Health is now offering telemental health access to Medicare and Medicaid beneficiaries through partnerships with payers such as Centene, Optum, and various Blues plans. KeyCare is partnering with Remission Medical to provide virtual rheumatology care. Intermountain Health chose ClearSense for data archiving.

EHR 108

EHR Medical Billing Healthcare IT Digital Health 108

DrKumo Remote Patient Monitoring

JANUARY 26, 2023

Properly utilizing COPD codes can help healthcare providers (HCPs) with medical billing and coding, leading to accurate claim submission and reimbursement for their services. Therefore, it is important for HCPs to use these codes correctly when coding their medical services. Tobacco dependence (code: F17.2)

Medical Billing 52

Medical Billing Medicare 52

Health Populi

JANUARY 18, 2019

On the positive side of transparency, the Centers for Medicare and Medicaid Services mandated that health care providers must post prices online, the requirement discussed here on CMS’s website. As the Harvard Chan-POLITICO study points out, prescription drug costs are top-of-mind for health consumers in America.

BioTech 160

BioTech Medicare Medical Billing Patient Experience 160

Healthcare IT Today

AUGUST 6, 2023

Partnerships Fintech company Cedar is working with Google Cloud to build AI-powered tools to hep patients understand medical bills. Chicago-based RUSH University System for Health chose Cadence for remote monitoring and virtual care for Medicare and Medicaid patients with chronic conditions.

EHR 89

EHR Interoperability RCM HIE 89

Healthcare IT Today

OCTOBER 23, 2023

For example, as outpatient services such as infusions outpace projections , and as the Centers for Medicare & Medicaid Services open the door to more outpatient procedures by moving 11 procedures off its “inpatient only” list, ambulatory providers must have the financial strength to make the investments needed to support growth.

RCM 95

RCM Patient Experience Medical Billing Medicare 95

Henry Kotula

AUGUST 28, 2023

Americans today pay twice as much for the same medications as people in Europe largely because of Congressional legislation passed in 2003. Now, under provisions of the new Inflation Reduction Act , the government will be able to negotiate the prices of 10 widely prescribed medications based on how much Medicare’s Part D program spends.

Mental health 41

Mental health Medicare Medical Billing Telemedicine 41

Henry Kotula

JUNE 21, 2020

While the survey didn’t ask people why they were putting off care, there is ample evidence that medical bills can be a powerful deterrent. “We A pharmacist helped, but Mr. Chapman no longer has insurance, and is not sure what he will do until he is eligible for Medicare later this year.

Medical Billing 41

Medical Billing Medicare Primary Care Telemedicine 41

Telebehavioral Health Institute

JUNE 3, 2023

However, they are only covered entities if they transmit information electronically concerning a transaction for which HHS has adopted a standard, such as billing Health Plans. Insurance companies, HMOs, company health plans, and government programs like Medicare and Medicaid Health Care Clearinghouses.

HIPAA 52

HIPAA Health Information Health Data Medical Billing 52

Telebehavioral Health Institute

JULY 11, 2023

However, they are only covered entities if they transmit information electronically concerning a transaction for which HHS has adopted a standard, such as billing Health Plans. Insurance companies, HMOs, company health plans, and government programs like Medicare and Medicaid Health Care Clearinghouses.

HIPAA 40

HIPAA Health Information Health Data Medical Billing 40

Telebehavioral Health Institute

JUNE 3, 2023

However, they are only covered entities if they transmit information electronically concerning a transaction for which HHS has adopted a standard, such as billing Health Plans. Insurance companies, HMOs, company health plans, and government programs like Medicare and Medicaid Health Care Clearinghouses.

HIPAA 40

HIPAA Health Information Health Data Medical Billing 40

Lloyd Price

JUNE 8, 2019

In April, at Fortune’s Brainstorm Health conference in San Diego, Bruce Broussard, CEO of health insurer Humana, said he believes technology will help patients receive help during medical crises, citing the benefits of home monitoring and the ability of doctors’ visits to be conducted by video conference.

Telemedicine 46

Telemedicine Medical Billing Telehealth Nursing 46

Chilmark Research

SEPTEMBER 26, 2014

Medicare’s Pioneer program down to 19 ACOs after three more exit. After Surgery, Surprise $117,000 Medical Bill From Doctor He Didn’t Know. And plenty of other great reading too. Enjoy the articles and have a great weekend! Melanie Davis for Modern Healthcare. ” – Brian.

eHealth 60

eHealth Private practice EHR Medical Billing 60

HIStalk Weekender

MAY 18, 2018

As a cash-strapped buyer who just wants to know what I will be billed when my PCP orders a dermatology test for a sun spot that I’ve had for 10 years, what am to do? My first inclination is to at least publish the Medicare price. I absolutely hate when non-clinical people compare healthcare with any other industry.

Nursing 28

Nursing Medicare EMR Medical Billing 28

Health Populi

MARCH 26, 2020

” These factors come out of the 2019 Medicare Trustees Report and include but aren’t limited to tax policy, the state of insurance marketplaces, and employer-sponsored health insurance assumptions. Others of us who need to are having trouble accessing our health records.

Medical Billing 182

Medical Billing Public Health Medicare Health Information 182

Health Populi

OCTOBER 28, 2019

In addition to paying for “my” medical bills, most people in the U.S. also say that income inequality and inadequate social services significantly contribute to high medical spending for every health citizen in the nation. This year’s poll was conducted in September 2019 and included input from 2,001 U.S.

Medical Billing 130

Medical Billing Medicare Mental health Public Health 130

GlobalMed

OCTOBER 7, 2019

at least, we now expect that extensive medical treatment – whether that’s chemotherapy, ongoing dialysis visits or surgery to repair a broken femur – may involve significant medical bills. Hospital stays, outpatient visits, tests and medications can all add up, even when patients have health insurance. In the U.S.

Medical Billing 40

Medical Billing Telemedicine Mental health Medicare 40

Health Populi

DECEMBER 22, 2022

The updated ACO Reach payment model from the Centers for Medicare and Medicaid Services (CMS) sets forth a value-based model of capitated payments to physicians who meet quality and spending targets – combined with a plan to deal with health equity.

Health Technology 156

Health Technology Mental health Digital Health Primary Care 156

Healthcare IT Today

SEPTEMBER 19, 2023

I would continue to advance CMS’ directive that by 2030 all Medicare and the bulk of Medicaid beneficiaries be in care engagements governed under a value-based contract.

Healthcare IT 130

Healthcare IT Interoperability HIPAA Nursing 130

TheraNest

AUGUST 20, 2018

CCHPCA State Laws and Reimbursement Policies and their State Telehealth Laws and Reimbursement Policies PDF (April 2017) – This resource also you to stay up to date on all Telehealth laws, policies, regulations, and Medicare/Medicaid programs state by state. Understanding Telehealth Billing. Marketing Your Telehealth Service.

Telehealth 75

Telehealth Mental health Private practice Telemedicine 75

Healthcare IT Today

DECEMBER 22, 2023

Wave HDC offers several insurance “curators” including Coordination of Benefits, Eligibility, and Medicare Beneficiary Identifiers, and serves hospitals, laboratories, billing companies, and physician groups.

Medical Billing 109

Medical Billing Medicare healthcare technology Healthcare IT 109

TheraNest

AUGUST 20, 2018

CCHPCA State Laws and Reimbursement Policies and their State Telehealth Laws and Reimbursement Policies PDF (April 2017) – This resource also you to stay up to date on all Telehealth laws, policies, regulations, and Medicare/Medicaid programs state by state. Understanding Telehealth Billing. Marketing Your Telehealth Service.

Telehealth 40

Telehealth Mental health Private practice Telemedicine 40