The Health Law Firm Blog

DECEMBER 21, 2023

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.]

Medical Billing 52

Medical Billing Licensing Doctors Medicaid 52

The Health Law Firm Blog

SEPTEMBER 26, 2022

Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.].

Medical Billing 52

Medical Billing Licensing Doctors Medicaid 52

Medisys Compliance

JANUARY 30, 2023

The medical billing industry is a complex and ever-changing field, and it is crucial for healthcare providers and billing companies to stay compliant with government regulations. Medicare and Medicaid: Medicare and Medicaid are government-funded healthcare programs that provide coverage to millions of Americans.

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Compliance Medical Billing Medical Billing Outsourcing Telemedicine 52

Medisys Compliance

OCTOBER 20, 2023

Emergency medical billing is a critical component of healthcare services, playing a pivotal role in ensuring that healthcare providers are adequately compensated for their life-saving efforts. Emerging Trends in Emergency Medical Billing The landscape of emergency medical billing is ever-evolving.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Telemedicine 59

Medisys Compliance

APRIL 30, 2024

This article provides a comprehensive guide for anesthesiologists and providers on telehealth anesthesia billing, covering key aspects of telehealth billing. Eligible Services for Telehealth Billing The Centers for Medicare & Medicaid Services (CMS) maintains a list of services eligible for telehealth billing.

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Medical Billing Outsourcing Medicare Medicare Informed Consent 59

Medisys Compliance

NOVEMBER 24, 2023

Mental health modifier 95, designated as “synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system,” plays a pivotal role in this landscape, serving as a crucial identifier for telehealth mental health services.

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Medical Billing Outsourcing Telemedicine Medical Billing Medical Billing Services 59

Medisys Compliance

AUGUST 20, 2024

Behavioral Health Billing Guidelines Billing for behavioral health services is governed by specific guidelines that providers must follow to ensure compliance and avoid claim denials. These guidelines cover everything from who can bill for services to the required documentation and coding practices.

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Medical Billing Outsourcing Licensing Medical Billing Informed Consent 59

Physician Credentialing Company

OCTOBER 25, 2024

In the medical billing field, Current Procedural Terminology (CPT) codes refer to the universal code that is used by healthcare providers to report and bill their rendered services. Therapy sessions billed by code 90834 generally involve structured treatment approaches.

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Licensing Medical Billing Telemedicine Medicare 52

Physician Credentialing Company

NOVEMBER 4, 2024

Diagnosis, treatment and follow-ups are billed using the specific billing codes. These codes are used in medical bills to get reimbursement from the insurance companies. In this article, we will learn the basics of oncology medical billing and its necessary billing guidelines.

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Medical Billing Medicare Medicare Telemedicine 52

Physician Credentialing Company

DECEMBER 13, 2024

99395 CPT code age should be considered important in this regard because billing the same code for other ages leads to claim denial or rejection, resulting in a potential revenue leak. It is important for the providers to have a thorough understanding of each insurance requirement before starting the medical services.

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Health Populi

MARCH 11, 2021

The last bar chart details the study findings by demographic, illustrating that many more Black and Hispanic people faced trouble paying for basic living expenses than White people, and most of those with annual household incomes under $40,000.

Health Insurance 101

Health Insurance ACA Medicare Medicare 101

Healthcare IT Today

MAY 5, 2023

Our uninsured and Medicaid populations receive some of the most fragmented care due to the difficulty in finding consistent primary care and available specialists. In order to improve care outcomes, here is where we need new devices, new algorithms, better technology overall.

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Health Outcomes Doctors Medicaid Medicaid 111

Hall Render

MAY 10, 2024

Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’ Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Jane Sarashon

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. This program will be implemented starting on January 1, 2023.

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COVID-19 Health Insurance Public Health Hospitals 52

Hall Render

JUNE 2, 2023

NATIONAL 9 health systems working with Amazon, Microsoft, Apple 293 hospitals at immediate risk of closure AHA chair-elect participates in CEO roundtable on rural health care crisis AHA report demonstrates benefits of 340B program AHA Urges OCR to Suspend or Amend Online Tracking Guidance AMA and others launch collective call for health equity in Rise (..)

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

MARCH 8, 2024

Bernards ends talks with United Healthcare Brandi Stewart Named Chief Nurse for Baptist Health in Fort Smith, Van Buren A closer look at Arkansas Children’s Hospital expansion CALIFORNIA Adventist Health to buy Tenet Healthcare’s Central Coast hospitals for $550 million California nurses use billboard to voice opposition to hospital sale (..)

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

NOVEMBER 18, 2022

Alabama Medicaid Agency expands covered visits for cancer patients after cancer center push. Kansas pediatrician pleads guilty to conducting $300K telemedicine scheme. Who’s opposed to Mississippi Medicaid expansion and why? Sale of Medical Office Building in South Dakota. MercyOne locations named for performance.

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Hall Render

DECEMBER 22, 2023

governor pushes new Medicaid expansion proposal with work requirement Missouri state senator wants voters to have say in KU Health System, Liberty Hospital merger Kansas ACLU request to halt excessive wait times at Larned turned down by judge ‘Who cares about us? health care spending hits $4.5

Nursing Homes 40

Nursing Homes Nurses COVID-19 Hospitals 40

Hall Render

MAY 19, 2023

SOUTH CAROLINA Grand Strand hospitals hope to see positive impact from Certificate of Need repeal McMaster signs South Carolina’s certificate of need repeal Newly-passed bill allows MUSC to move forward with delayed Nexton Hospital build Prisma Health records $31.7M

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Hall Render

MARCH 1, 2024

Reeves doesn’t mention Medicaid expansion or health care crisis in State of the State address U.S. Health system looks to competitor for new hospital leader Missouri House bill would set minimum staffing at assisted living centers Owners of St. R1 RCM posts $3.3M R1 RCM posts $3.3M

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 40

Health Populi

DECEMBER 20, 2024

As such, my lens here frames the health/care consumer for whom medical bills and workflows feel like retail and thus, I have expanded my use of the phrase retail health beyond the pharmacy and traditional use of the term to cover patients responses to the scenario as someone feeling cut-off or fragmented away form a streamlined health care system.

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COVID-19 Health Insurance Medicare Medicare 118

Healthcare IT News - Telehealth

DECEMBER 23, 2020

Digital health advocates also expressed mixed feelings, with the American Telemedicine Association representatives saying the organization appreciated some of the provisions in the bill while noting other ways in which it fell short. Alexandria Ocasio-Cortez (D-N.Y.) saying they hadn't had time to read the mammoth legislation.

Medical Billing 187

Medical Billing Telemedicine Medicare Medicare 187

Hall Render

JUNE 16, 2023

24 spot in national ranking of life science talent What changes did CT make to its Medicaid program in 2023? 24 spot in national ranking of life science talent What changes did CT make to its Medicaid program in 2023? before Baptist merger Bankruptcy Trustee Wants Doctor To Pay Her $1.6M

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

JANUARY 10, 2025

million recovered for Kent County Memorial Hospital workers denied overtime Connecticut ASC postpones surgeries after car damages building Connecticut judge nixes appeal for new ASC Connecticut psychiatrist settles fraud allegations CT OHS fines Johnson Memorial Hospital $153.5K

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

OCTOBER 14, 2022

Bill would use CMS’s Five-Star system to punish consistently 1-star nursing homes. Telemedicine regulation more aggressive now than before the pandemic? California medical group to pilot Google’s clinical software for outpatient care. Providers raise concerns over California’s value-based Medicaid reforms.

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Hall Render

JANUARY 20, 2023

for obesity rate, is getting heavier Medical Properties Trust Sponsors Children’s of Alabama Primary care group makes major local acquisition, doubling footprint in state ALASKA Juneau’s hospital is losing more than $1M a month Alaska’s flu season appears to have peaked. To Pay $1.5M

Nursing Homes 40

Nursing Homes COVID-19 US Department of Health and Human Services Nurses 40

Hall Render

SEPTEMBER 15, 2023

billion clawback in Northern District of Texas Fort Worth The Hospital at Westlake Medical Center files for Chapter 11 bankruptcy protection 11 best hospitals in Texas for orthopedic surgery Johns Hopkins physician leader to join UT Southwestern Medical City Fort Worth’s New CEO and Texas Health Stephenville’s $12.5

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40

Hall Render

MARCH 28, 2025

’s ‘Scorched-Earth’ Sanctions Bid YNHH hands out 150 pink slips at Northeast Medical Group s DC Ascension’s Providence Hospital shut down its urgent care center.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Hall Render

FEBRUARY 7, 2025

fraud scheme Banner names Seattle physician-scientist to C-suite role Bill would require Arizona hospitals to ask about immigration status Phoenix Children’s receives $2.25 Alaska Mental Health Trust Authority chooses new chief executive ARIZONA Arizona couple pleads guilty to $1.2B The university says no. area clinics, eyes more D.C.

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Nurses Nursing Homes Hospitals Medicaid 40