One of the most delicate subjects medical office staff must discuss with patients is what to expect for their financial responsibility. The insurance trend in past years has consisted of skyrocketing deductibles, co-insurance percentages, and out of pocket limits. The best advice I have for the situation is: be honest. Honesty promotes trust. No matter the industry, …
A Dozen Facts about MACRA
The Medicare SGR was axed in 2015 much to the pleasure of physicians and healthcare administrators around the country. We are now getting a picture of how the replacement payment plan set forth in The Medicare Access and CHIP Reauthorization Act (MACRA) law will work. Get a free demo of Shavara’s healthcare billing solution: Iridium Suite. Here are 12 …
Biller’s Blog Special Edition: Claim Rejections Part 2 – Payer Level
Last month I wrote about common clearinghouse claim rejections and how to prevent them. If you missed it, click here. Not a Shavara customer yet? Get your free demo today! In this edition of our Biller’s Blog, we will look at payer level rejections. Timely payer reimbursements are crucial to the cash flow of any medical practice or billing service. …
Biller’s Blog Special Edition: Claim Rejections Part 1 – Clearinghouse Level
It has been a particularly busy time around the Support Department in the first third of 2016. We have had the pleasure of adding several new private medical practices and a couple of billing service customers. Not a customer yet? Get your free demo today! In the process of training those new customers to use their Iridium Suite practice management …
CMS Reverses View on Bundling 77300 Into 77290
On January 5, 2016 in the medical billing blog titled “Radiation Oncology Billing – An Ever Moving Target” we talked about numerous CMS radiation oncology coding changes. One of the more financially negative ones was the implementation of a NCCI edit effecting 3D radiation therapy treatment planning. CPT code 77295 was going to include the basic dosimetry calculation(s) represented by …
Radiation Oncology Billing – An Ever Moving Target
Click Here to Learn more about Iridium Suite Software For 2015 radiation oncology medical practice management was thrown into a billing conundrum with the temporary “G” codes introduced by Medicare for radiation therapy treatment delivery and image guidance. Hospital based providers were told to use them, unless a commercial payer wanted the “77” codes. Free-standing providers were directed to …
