Are you billing “incident to” services correctly?
Lately, we have noticed a lot of confusion from providers regarding billing “incident to” services. We have come across many practices that don’t know the guidelines and have questions on how to bill for incident-to-services. Let’s review the basics. What is incident to services? “Incident to” is a billing policy for mid-level providers to bill…
Are ambiguous state laws slowing the expansion to Telehealth?
According to the American Hospital Association (AHA), ”Limited Medicare coverage impedes the expansion of telehealth services. The current statute restricts telehealth services to patients located in rural areas and in specific settings, covers only a limited number of services, and allows only real-time, two-way video conference capabilities.” In order for Telehealth to grow, the AHA…
Are your patients receiving inaccurate bills from your billing office?
Over the past year, at Merem Healthcare Solutions, we have had coworkers, family members, friends, and even doctors ask us to look at their personal medical bills to see if they were accurate. To our surprise, only around 60% we have reviewed recently were accurate. A friend of mine had a bill from a lab…
Is Your Practice Getting Paid?
After talking to over 100 orthopedic surgeons in the last month (mostly at AOSSM this past weekend), there seems to be some commonality that many are experiencing in their practices…..increasing accounts receivable. Since 2005, High Deductible Health Plans [HDHP] have become increasingly more popular among employers. So much so, they have increased by almost 600%…
Medical Billing and Coding Services – CMS Update on MIPS
An Important CMS Update on MIPS Participation Under pressure from the MGMA and other physician advocacy groups, CMS will be sending letters to physician practices throughout the month of May with important, practice-specific information regarding eligibility to participate in the Merit-Based Incentive Payment System (MIPS) at the group/individual level for the performance year 2017.
Making Sense of MACRA/MIPS
If you are like many providers, you were probably just getting used to the CMS programs PQRS and Meaningful Use when they passed their latest payment reform policy—MACRA. Now, you may find yourself confused and concerned with how this new program will affect your practice.
ICD-10: Holiday Edition
Attention physicians and medical professionals- the holidays are upon us. Fear not; we have you covered with an ICD-10 cheat sheet listing a few codes you may see throughout the season.
Medical Auditing
Have you found yourself thinking of ways to improve your healthcare organization? Updating your clinical documentation through medical auditing is the best way for improvement. An audit assists in detecting incorrect coding practices and it could be considered by federal agencies when questioning if steps were taken to avoid and detect fraud and abuse. What…
Physicians- What Is Your Hospital Value?
What is your value to your hospital? Merrit-Hawkins, a national physician search firm, recently released a study regarding physician referral impact as it relates to revenue for hospitals. For the study, researchers from Merritt Hawkins asked hospital CFOs to quantify the amount of revenue physicians in 18 different medical specialties generated for their affiliate hospital in the…
Electronic Payment Posting
Many practices are utilizing electronic payment posting and many insurances now use this as their only form of receiving payment. There are still several practices that have not taken advantage of this process. If your practice has not adopted electronic payment posting, consider these points: • As stated above, many insurance companies are using this…
