Electronic Health Reporter

SEPTEMBER 12, 2022

This article is copyrighted strictly for Electronic Health Reporter. The article How Modern Technology Revolutionizes Medicare Buying Process appeared first on electronichealthreporter.com. The article How Modern Technology Revolutionizes Medicare Buying Process appeared first on electronichealthreporter.com.

Medicare 91

Medicare Medicare 91

Electronic Health Reporter

NOVEMBER 8, 2022

This article is copyrighted strictly for Electronic Health Reporter. With 82% of 2022 claims denials associated with Medicare, and third-party audit volume rapidly climbing, hospitals and health systems are under intense pressure to protect and grow revenues. Illegal copying is prohibited.

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Medicare Medicare Hospitals 103

Electronic Health Reporter

JUNE 16, 2021

This article is copyrighted strictly for Electronic Health Reporter. The article Vyne Medical Launches Refyne, a SaaS Platform To Facilitate Electronic Submission of Medicare Audit Responses appeared first on electronichealthreporter.com. Illegal copying is prohibited.

Medicare 172

Medicare Medicare 172

Electronic Health Reporter

FEBRUARY 2, 2022

This article is copyrighted strictly for Electronic Health Reporter. Medicare is a lifeline for millions of Americans, ensuring that they have access to all sorts of treatments, as well as things like prescription drugs and vital supplies to keep them healthy and happy. The article Does Medicare Pay For Routine Vision Care?

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Medicare Medicare 87

Electronic Health Reporter

OCTOBER 22, 2020

This article is copyrighted strictly for Electronic Health Reporter. Medicare supplements in Florida are available from a wide list of providers. But how do you choose the best Medicare plan? Medicare Decisions Anyone who is interested in signing up for Medicare has many decisions […].

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Medicare Medicare 91

HIT Consultant

JUNE 10, 2024

What You Should Know: – A new article published in JAMA Internal Medicine reignites the debate about Medicare Advantage and traditional Medicare. Jain, CEO of SCAN Group and SCAN Health Plan , argues in favor of Medicare Advantage, while Drs. – Dr. Sachin H.

Medicare 52

Medicare Medicare 52

Electronic Health Reporter

FEBRUARY 25, 2021

This article is copyrighted strictly for Electronic Health Reporter. Getting the best insurance for Medicare will require in-depth research to obtain a better idea of the best options available. The article What Is The Best Insurance To Get With Medicare? The article What Is The Best Insurance To Get With Medicare?

Medicare 103

Medicare Medicare 103

Electronic Health Reporter

NOVEMBER 5, 2024

This article is copyrighted strictly for Electronic Health Reporter. The healthcare industry is at a pivotal juncture, with $320 million in Medicare readmission penalties impacting 2,273 hospitals this year alone. Illegal copying is prohibited. By Caroline Hodge, CEO and co-founder, Dimer Health.

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Medicare Medicare Hospitals 113

Medisys Compliance

JANUARY 31, 2024

Introduction Understanding the details of Medicare coding and claims submission can be daunting for anyone. This article serves as a guide to help you avoid billing mistakes for Medicare and ensure smooth claims processing for your Medicare patients. Common Billing Mistakes 1.

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Medicare Medicare Medical Billing Outsourcing Medical Billing 59

MedTrainer

AUGUST 8, 2024

As of March 2024, over 67 million in the United States are Medicare beneficiaries. Medicare is the single largest payer for healthcare services in the United States. In FY2021, the Centers for Medicare and Medicaid Services ( CMS ) reported that Medicare processed more than 1.1 Here’s what you need to know.

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Medicare Medicare Compliance Medicaid 52

Medisys Compliance

JULY 15, 2024

Introduction As an internal medicine practitioner, staying updated with the latest Medicare billing changes is crucial for maximizing reimbursements and ensuring compliance. This article explores these changes, providing insights to help you navigate the evolving landscape of Medicare billing.

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Medicare Medicare Medical Billing Outsourcing COVID-19 59

Electronic Health Reporter

OCTOBER 16, 2020

This article is copyrighted strictly for Electronic Health Reporter. The COVID-19 pandemic likely has Medicare members thinking ahead when it comes to their insurance plan and questioning whether they would be covered if they contract […]. Illegal copying is prohibited.

COVID-19 91

COVID-19 Medicare Medicare 91

Medisys Compliance

JULY 19, 2024

Introduction The landscape of Medicare and Medicaid billing for behavioral health services has undergone significant changes recently. This article discusses the latest changes, providing a comprehensive guide to navigating the evolving billing landscape. All rights reserved.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Electronic Health Reporter

MARCH 4, 2019

Roberts, a Medicare insurance expert and co-founder, Boomer Benefits. The article How Does Medicare Cover Telemedicine? This content is copyrighted strictly for Electronic Health Reporter. By Danielle K. It saves money on travel and improves efficiency in healthcare as well. While telehealth options […].

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Telemedicine Medicare Medicare 115

Electronic Health Reporter

OCTOBER 19, 2022

This article is copyrighted strictly for Electronic Health Reporter. The article The Inflation Reduction Act: The Impact of Medicare Negotiation of Prescription Drug Prices on Hospitals and Health Systems appeared first on electronichealthreporter.com. Illegal copying is prohibited. In August, H.R.

Prescription Drug Pricing 91

Prescription Drug Pricing Medicare Medicare Hospitals 91

MRO Compliance

SEPTEMBER 19, 2023

The Centers for Medicare and Medicaid Services (CMS) Medicare Advantage Risk Adjustment Data Validation (RADV) audit season peaks from March through April every year. View Full Article  Health information (HI) professionals nationwide anticipate a looming tsunami of payer requests for medical records.

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Medicare Medicare Medicaid Medicaid 130

Hall Render

SEPTEMBER 10, 2024

On July 10, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued its calendar year 2025 Medicare Physician Fee Schedule (“MPFS”) proposed rule (“Proposed Rule”), to implement certain payment updates effective January 1, 2025. Hall Render blog posts and articles are intended for informational purposes only.

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Medicare Medicare Medicaid Medicaid 40

YouCompli

AUGUST 22, 2023

Approximately 65 million Americans are enrolled in Medicare – about 34 million in traditional Medicare and the rest in Medicare Advantage. Traditional Medicare is administered by the federal government, and individuals pay a separate monthly premium for hospital visits, doctors/outpatient, and prescription drugs.

Medicare 52

Medicare Medicare US Department of Health and Human Services Compliance 52

Electronic Health Reporter

APRIL 8, 2019

This article is copyrighted strictly for Electronic Health Reporter. The article Contract Year 2020 Medicare Advantage and Part D Flexibility Final Rule appeared first on electronichealthreporter.com. Illegal copying is prohibited. CMS took significant action to increase MA plan choices for the […].

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Medicare Medicare Medicaid Medicaid 89

Hall Render

MARCH 8, 2024

On January 30, 2024, the Centers for Medicare and Medicaid Services (“CMS”) issued a Request For Information (“RFI”) seeking input from interested parties regarding Medicare Advantage (“MA”) data. Hall Render blog posts and articles are intended for informational purposes only.

Medicare 40

Medicare Medicare Medicaid Medicaid 40

Medisys Compliance

JUNE 24, 2022

What’s a Medicare Administrative Contractor (MAC)? Its quite common for any provider to get confused while billing to Medicare for healthcare services, as they not billing to Medicare but to a MAC. In this article, we discussed about what is MAC and activities handled by all these contractors.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Electronic Health Reporter

MARCH 10, 2020

This article is copyrighted strictly for Electronic Health Reporter. The Centers for Medicare & Medicaid Services (CMS) issued a fact sheet with additional guidance for healthcare providers and patients about the telehealth benefits in the agency’s Medicare program. Illegal copying is prohibited.

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Medicare Medicare Medicaid Medicaid 79

Med Law Blog

NOVEMBER 6, 2023

CMS issued the Final Rule for the 2024 Medicare Physician Fee Schedule (PFS) on November 2, 2023, for payments to be effective on or after January 1, 2024. Fee Schedule Link The overall payment rates under the PFS will be reduced by 1.25% in calendar year 2024. The final PFS conversion factor will be $32.74, which is a decrease of 1.15

Medicare 52

Medicare Medicare 52

Medisys Compliance

JUNE 16, 2023

G0108 is a Medicare code used for the initial preventive physical examination, also known as the IPPE or “Welcome to Medicare” visit. In this article, we will explore the guidelines surrounding how often G0108 can be billed.

Medicare 52

Medicare Medicare Medical Billing Outsourcing Medical Billing 52

Electronic Health Reporter

MAY 8, 2020

This article is copyrighted strictly for Electronic Health Reporter. The article Medicaid, Medicare and Telehealth: What the Pandemic Has Taught Us appeared first on electronichealthreporter.com. Illegal copying is prohibited. By Kayla Matthews, freelance journalist, Productivity Bytes.

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Medicaid Medicaid Medicare Medicare 79

Hall Render

NOVEMBER 17, 2023

The Centers for Medicare and Medicaid Services (“CMS”) Medicare Advantage final rule for 2024 (“Final Rule”) clarified that Medicare Advantage plans must adhere to the “two-midnight rule” when making coverage determinations for inpatient services. 1395w-22(a) ). d)(2) ).

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Medicare Medicare Hospitals Medicaid 40

Medisys Compliance

AUGUST 1, 2022

Medicare enrollment is the first step towards becoming Medicare provider or supplier. CMS has shared complete process flow chart for successful Medicare enrollment. Being leading medical billing company, Medisys Data Solutions helped lots for providers and suppliers in successful Medicare enrollment.

Medicare 52

Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Medisys Compliance

JULY 13, 2023

Medicare recognizes the importance of diabetes self-management training and offers coverage for eligible beneficiaries. However, there are specific guidelines and conditions that need to be met for Medicare billing. Diabetes Education Billing Guidelines for Medicare Who May Furnish the Training?

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Medicare Medicare Medical Billing Outsourcing Health Outcomes 52

Hall Render

NOVEMBER 29, 2023

On November 2, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued the 2024 Medicare Physician Fee Schedule Final Rule (“Final Rule”) for calendar year (“CY”) 2024. Standards for benchmarking and data completeness for the Medicare CQM collection type will mirror the MIPS benchmarking and scoring policies.

Medicare 40

Medicare Medicare Nurses Payment Systems 40

Electronic Health Reporter

JUNE 10, 2019

This article is copyrighted strictly for Electronic Health Reporter. The article What Does It Take To Earn Top Medicare Advantage Ratings? Illegal copying is prohibited. By Abhinav Shashank, co-founder and CEO, Innovaccer. In an industry which had primarily been fee-for-service based, healthcare […].

Medicare 96

Medicare Medicare 96

Electronic Health Reporter

JANUARY 20, 2020

This article is copyrighted strictly for Electronic Health Reporter. The article The Doctor Won’t See You Now: The Unintended and Perhaps Inevitable Consequences of Medicare-for-All appeared first on electronichealthreporter.com. Illegal copying is prohibited. By Ken Perez, vice president of healthcare policy, Omnicell, Inc.

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Doctors Medicare Medicare 111

Medisys Compliance

FEBRUARY 20, 2023

Healthcare providers often get confused about the appropriate use of modifiers GA, GX, GY, and GZ while billing Medicare. GA modifier indicates that an Advance Beneficiary Notice (ABN) is on file and allows the provider to bill the patient if not covered by Medicare. Medicare does not pay for all health care costs.

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Medicare Medicare Medical Billing Medical Billing Outsourcing 52

Hall Render

OCTOBER 22, 2024

Effective October 1, 2024, the Centers for Medicare & Medicaid Services (“CMS”) introduced significant updates to the CMS-855A form , specifically requiring a new Skilled Nursing Facility (“SNF”) Attachment for every SNF. Hall Render blog posts and articles are intended for informational purposes only.

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Medicare Medicare Nurses Medicaid 40

Hall Render

JULY 28, 2023

Starting on August 1, 2023, Medicare validation edits will be activated to require service location addresses on the UB-04 hospital claim form to match exactly with the service location enrolled in Medicare’s Provider Enrollment, Chain, and Ownership System (“PECOS”).

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Medicare Medicare Compliance COVID-19 40

Fierce Healthcare

JULY 30, 2024

As artificial intelligence rapidly makes inroads in healthcare, federal agencies already have the authority to regulator AI at the hospital bedside, according to some healthcare researche | An article published in JAMA Health Forum argues that through the conditions of participation in Medicare and Medicaid, CMS has the authority to oversee how hospitals (..)

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Hospitals Medicaid Medicaid Medicare 133

Health Law RX

FEBRUARY 21, 2024

The Centers for Medicare & Medicaid Services (CMS) has revised certain payment policies under the Medicare physician fee schedule, and updated provider and supplier enrollment regulations. Summary of Major Updates The below outlined changes are described in more detail in this article.

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Medicare Medicare Licensing Compliance 52

Innovaare Compliance

DECEMBER 11, 2023

Before the Medicare Advantage Open Enrollment Period (MA OEP) [1] begins on January 1, 2024, Medicare Advantage Organizations (MAOs) still have time to review if they are completely ready for a new contract year. This blog article focuses on some of the “must make” changes to take effect as of January 1, 2024, or before.

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Medicare Medicare Compliance Medicaid 52