Implementing Telehealth

doctor with prescription calling on phone

The landscape of healthcare delivery has undergone a profound transformation in recent years, with telehealth emerging as a pivotal player in enhancing patient access and convenience. The COVID-19 pandemic expedited the widespread adoption of telehealth, pushing medical practices to explore the possibilities of this digital frontier. In this comprehensive guide, we will delve into the […]

Navigating the New Medicare G2211 Code: A Comprehensive Guide

Flatlay of Medical Tools

As the healthcare industry moves forward into the new year, practitioners across the United States are gearing up for significant changes in Evaluation and Management (E/M) services. The impending implementation of the Healthcare Common Procedure Coding System (HCPCS) code G2211 on January 1, 2024, is particularly noteworthy. This add-on code is designed to address the […]

Empowering Success

The Case Against Micromanagement and the Power of Processes and Metrics Introduction: In the fast-paced and dynamic world of business, effective leadership is essential for success. However, there’s a fine line between providing guidance and stifling creativity through micromanagement. In this blog post, we’ll explore the drawbacks of micromanaging staff and advocate for a more […]

Mastering Medicare’s Quality Payment Program (QPP)

Cute boy lying on hospital bed

Introduction In the ever-evolving landscape of healthcare, physicians face the ongoing challenge of staying abreast of regulatory changes while providing optimal patient care. One such initiative that has garnered attention in recent years is Medicare’s Quality Payment Program (QPP). In this blog post, we will delve into the intricacies of QPP, exploring its objectives, the […]

PAMA Reporting Delayed Again – November 2023 Update

Startup business meeting to analyze and discuss the situation on the financial report in the

In the ever-evolving landscape of healthcare policy, the Protecting Access to Medicare Act (PAMA) has been a focal point of discussions and debates. PAMA, enacted in 2014, aims to ensure that Medicare pays market-based rates for clinical laboratory services. However, the road to its implementation has been marked by delays and challenges. As of November […]

Deciphering the No Surprises Act and ABN Forms

Navigating the complexities of healthcare billing and insurance can be a puzzling and confusing journey, often filled with surprises, many of which are not enjoyable. Patients have often been caught unprepared by bills they didn’t expect and hidden costs. However, with the introduction of the No Surprises Act and the continued use of Advance Beneficiary […]

The Power of EFTs and EDI Enrollments

Doctor using mobile phone blank white screen to put your message made.

In today’s rapidly evolving world of business and technology, streamlining processes and improving efficiency are top priorities for organizations. Electronic Funds Transfer (EFT) and Electronic Data Interchange (EDI) are two powerful tools that play a pivotal role in achieving these objectives. EFT and EDI enrollments have become increasingly important, offering a seamless and secure way […]

The Golden Rule of Medical Billing

The world of healthcare is complex, with countless intricacies and regulations to navigate. One of the fundamental aspects of this field is medical billing and coding. Accurate billing and coding are not only essential for healthcare providers to get reimbursed for their services but also crucial for maintaining patient trust and complying with legal requirements. […]

Top Credentialing Tips for Renegotiating Payer Contracts

Running a small private medical practice comes with its unique set of challenges, and one of the most important aspects is negotiating and renegotiating payer contracts. These contracts determine the reimbursement rates and terms for the services you provide to your patients. In this blog post, we’ll explore some valuable tips to help small private […]

Telehealth Billing in 2024: 3 Essential Coding Tips

Telehealth has transformed the way healthcare is delivered, making it more accessible and convenient for patients. As telehealth continues to evolve, so do the regulations and coding requirements for billing. In 2024, staying up-to-date with the latest coding guidelines is crucial for healthcare providers to ensure accurate and timely reimbursement. In this blog post, we’ll […]