Insights

Outsourcing Medical Billing Will Increase

Research Shows the Outsourcing Medical Billing Market Will Increase

By Raul Neyra / February 28, 2022 / Comments Off on Research Shows the Outsourcing Medical Billing Market Will Increase

Reading Time: 3 minutesAccording to the Global Medical Billing Outsourcing Market Size study, the global medical billing outsourcing market was worth US$10.2 billion in 2020 and is projected to register a compound annual growth rate (CAGR) of 12.6% during 2021-2027. Some of the driving forces behind this projected growth come from the pandemic and private physicians needing to […]

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Telehealth Medical Claim Denials

 Six Tips to Avoid Telehealth Claim Denials

By Raul Neyra / February 11, 2022 / Comments Off on  Six Tips to Avoid Telehealth Claim Denials

Reading Time: 3 minutesThe pandemic brought with it a shift in how medical care is carried out. Due to the fear associated with catching COVID 19, the rules surrounding telehealth were relaxed. As a result, it brought telehealth to the forefront, and providers were able to care for their patients even through the stay-at-home orders and social distancing […]

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What is Remote Patient Monitoring?

By Raul Neyra / January 28, 2022 / 0 Comments

Reading Time: 4 minutesRemote Patient Monitoring (RPM) is a subset of telehealth that involves reporting and collection of a patient’s health data and thus the evaluation of a patient’s health. This is done by utilizing mobile devices, smartphone apps, and internet-enabled devices outside of traditional physical medical settings.  Example: Someone with diabetes may have a glucose monitor or […]

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Medicare Physician Fee Schedule Final Rule CY 2022

CMS Medicare Physician Fee Schedule Final Rule CY 2022

By Raul Neyra / January 21, 2022 / 0 Comments

Reading Time: 3 minutesThe CY 2022 Medicare Physician Fee Schedule Final Rule was released on November 2, 2021, and with it came some important changes including updates to payment rates for 2022, expanding the use of telehealth for mental health, and allowing PAs to bill Medicare directly. Conversion Factor Decrease A significant change was made to the conversion […]

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Telehealth vs Telemedicine

What is Telehealth vs Telemedicine?

By Raul Neyra / January 4, 2022 / 0 Comments

Reading Time: 3 minutesWe all have witnessed how the COVID 19 Pandemic has brought on new, little-known terminology to the healthcare forefront. Terms like telehealth and telemedicine have now become more mainstream in the healthcare community and not many are aware of the subtle differences in definition.   What is Telehealth? Telehealth is defined as the broader method […]

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Are Your Accounts Receivables Going in the Wrong Direction?

By Raul Neyra / December 20, 2021 / 0 Comments

Reading Time: 3 minutesA recent MGMA poll, asking “How have your days in A/R changed in 2021?”, found that 49% of respondents said their time in A/R has increased in 2021. Thirty-seven percent (37%) said they stayed the same, but is that good? Only 15% said that it had decreased. It is well known that the longer a […]

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Price Transparency in Healthcare

Price Transparency in Healthcare – What Does it Mean?

By Raul Neyra / December 13, 2021 / 0 Comments

Reading Time: 3 minutesUntil now, costs for healthcare were anything but transparent. A majority of people receive medical services without a clear understanding of what the charges will be, how much their insurance company will cover, and that prices can be vastly different from hospital to hospital.  However, this situation is changing. New rules from CMS, which are […]

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Predatory EFT Fees

EFT Fees – MGMA Pushes Back Against Predatory Business Practices

By Raul Neyra / December 3, 2021 / 0 Comments

Reading Time: 3 minutesMedical Group Management Association (MGMA) released findings from their Stat poll, conducted on August 10, 2021, regarding medical practices being forced to pay fees to receive EFT payments from payers. According to their research, 57% of respondents, when asked “Are insurers charging your practice fees you didn’t agree to when sending payments via EFT?”, responded […]

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The No Surprises Act Part 2 – Second Interim Final Rule Released

By Raul Neyra / November 18, 2021 / 0 Comments

Reading Time: 6 minutesBackground In part one, we discussed exactly what the “No Surprises Act” (NSA) is.  Passed as part of the Consolidation Appropriations Act of 2021 in December of 2020, the NSA is aimed at eliminating large unexpected or surprise medical bills. Those bills usually come from one of three sources – 1) an emergency where a […]

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The No Surprises Act – What Is It?

By Raul Neyra / November 8, 2021 / 0 Comments

Reading Time: 4 minutesIn a Kaiser Family Foundation survey, data showed that one-third of insured patients had received a surprise medical bill in the past two years. An additional 67% said they had concerns about receiving a surprise medical bill.  Data from Health Care Cost Institute showed that even when being treated at an in-network facility, one in […]

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