Advance Beneficiary Notice (ABN), this is a familiar term for physicians and their beneficiaries. ABN is a notice that a doctor or supplier should give a Medicare beneficiary when furnishing an item or service for which Medicare is expected to deny payment. ABNs only...
Patient billing and payment are significant revenue cycle management (RCM) challenges that practices and medical billing companies face. High-deductible health plans require members to make significant out-of-pocket payments before coverage starts. Last December,...
As the fee-for-service environment becomes outdated, medical billing companies are well aware that the future of revenue cycle management in healthcare could be influenced by alternative payment models such as bundled payments. Under the bundled payment model,...
Many physicians outsource revenue cycle management to medical billing companies to enhance cash flow and reduce costs. However, accurate documentation of the patient encounter is necessary to achieve these goals. In fact, E/M documentation compliance is crucial to...
CPT coding changes for moderate sedation (MS) in 2017 will impact reimbursement across various specialties. Outsourced medical billing companies are prepared for these changes that have created new billing and workflow requirements in practices. As a consequence of...