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...
The annual cap amount established for rehabilitation services under Medicare remains a bottleneck for patients who need long term treatment from an outpatient therapy clinic. If the therapy services exceed the cap amount, patients are forced to either stop the therapy...
The deadline for setting up a state-based health insurance exchange has been extended until December 14. Announcing this, Health and Human Services Secretary Kathleen Sebelius said that this was based on requests from the governors of the still undecided states. The...
