What is ERISA? ERISA is something your practice needs to know about. ERISA, or Employee Retirement Income Security Act, is a 1974-enacted Federal Law conceived to protect the pension plan of an employee. However the law went beyond its initial scope since employers...
Resolving medical claim denials at the right time is critical when it comes to obtaining timely and accurate reimbursement. Unresolved claims can adversely affect the cash flow of healthcare practices. The opportunity to file appeals for rejected claims is a great...
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 debt-ceiling crisis in United States during 2011 paved way for the imposition of Budget Control Act of 2011. The measures to reduce discretionary spending kicked off in January 2013 with the objective of eliminating the $1.2 trillion in federal spending over the...
Medicare has stopped reimbursements for medical diagnostic tests, affecting hundreds of healthcare providers across the country. Medicare’s had provided reimbursement benefits to big laboratory companies, diagnostic labs in academic establishments and smaller firms...
