The Obamacare Employer Mandate, one of the most vaunted provisions of the Affordable Care Act (ACA), was supposed to come into effect in 2014. The mandate insists that companies with more than 50 full-time employees provide health coverage for their employees by 2014...
The annual National Insurer Report Card published by the American Medical Association (AMA) provides information on the claims revenue cycle activities of the major commercial health insurers and Medicare. AMA recently stated that a change to its report card shows...
The faulty submission of medical claims can get you into serious financial trouble and adversely impact the bottom line of your practice. A recent example is the case of the St Luke’s University Health Network which faced allegations that it erroneously submitted...
Two new CPT Transitional Care Management (TCM) codes have been created to ensure better coordination of care and to provide better incentives so that patients are treated in a primary care physician (PCP). Codes 99495 and 99496 became available to PCPs in January this...
If you are a Medicare physician, it’s important that you get maximum reimbursement for the services provided to keep your practice afloat. To get 100% reimbursement from Medicare, services and supplies must be properly provided and properly billed incident-to a...