In today's healthcare landscape, a fundamental aspect of a healthcare organization is documentation and coding. The pressure on providers to maintain compliance, ensure accurate documentation, and optimize reimbursement is important as ever. With physicians spending up to 4 hours daily in electronic medical records (EMR), it is paramount to have a centralized training platform. This supports a clear understanding of billing and coding responsibilities while enhancing efficiency in clinical documentation.
Learn moreIf you’re a primary care provider or part of a billing team, you’ve likely heard about the new 2025 codes—G0556, G0557, and G0558—for Advanced Primary Care Management (APCM). You might be wondering, "How can we efficiently implement and bill for these services?" With so many care management codes available, it’s easy to feel overwhelmed. However, one thing is certain: care management services are here to stay!
Learn moreEvaluation and management (E/M) coding is a fundamental aspect of a medical practice, influencing how healthcare providers document patient encounters and receive reimbursement for their professional services.
Learn moreWe’re excited to share the latest updates to Telemedicine Evaluation and Management (E/M) Services for CPT 2025. These changes reflect the growing role of telemedicine in delivering equitable, efficient, and accessible care.
Read moreIn the intricate world of healthcare, provider-payer enrollment is often an overlooked yet critical component of financial health. Commonly referred to as payer credentialing, this process extends beyond the organization or facility itself, encompassing each individual billing provider within the organization. Unfortunately, the responsibility for maintaining up-to-date payer enrollment is frequently undefined, exposing organizations to revenue delays, compliance risks, and potential legal challenges.
Learn moreIn the evolving healthcare landscape, transparency is becoming a cornerstone for fostering trust and efficiency. The introduction of the Pricing Transparency Machine-Readable Files (MRF) data has opened new avenues for both providers and payors to negotiate contracts more effectively. RubinBrown, with its expertise in financial and business advisory services, this data can be harnessed to drive better outcomes in contract negotiations.
Learn moreWhen navigating the complexities of obstetric services, understanding coding and billing practices is crucial for healthcare providers. This article explores the differences between global obstetrical packages and itemized services, highlighting their significance in accurate billing and reimbursement.
Read MoreEffective revenue cycle management is critical for healthcare providers, yet it faces ever-increasing challenges. Complex payer contracts, evolving regulations, and the rise of patient financial responsibility add to the difficulty of maintaining a healthy cash flow. Without proper management, these issues lead to lost revenue, directly impacting the bottom line. To navigate this, many organizations turn to experts for a comprehensive revenue cycle assessment that analyzes every step from patient registration to final payment.
Read MoreIn today’s healthcare landscape, care management services are continuously evolving. This is driven by the recognized need to provide comprehensive support for patients. Care management aims to ensure that patients, particularly those with chronic or complex conditions, receive coordinated care across multiple providers, settings, and services.
Read MoreThe Volume Decrease Adjustment (VDA) is an important benefit to assist Medicare Dependent Hospitals (MDH) and Sole Community Hospitals (SCH) when they experience a decline in inpatient volume of greater than 5%.
Read moreA 2.9% payment rate increase is around the corner for hospitals paid under the (Inpatient Prospective Payment System) IPPS, starting with October 1, 2024 discharges.
Learn MoreAs previously communicated, healthcare providers who received more than $10,000 of Provider Relief Fund (PRF) payments from the department of Health and Human Services (HHS) on or before June 30, 2020, are required to report on their use of the funds by September 30, 2021.
Learn moreThis is to serve as a reminder and update on previous communications regarding the Provider Relief Fund.
Learn moreAfter much delay and waiting on the part of Providers who received funding, on June 11, 2021, the department of Health and Human Services (HHS) released updated reporting requirements, and related deadlines, for recipients of Provider Relief Fund (PRF) payments.
Learn moreThe application deadline for Phase 3 Provider Relief is November 6, 2020.
Learn moreOn September 19, 2020, the Department of Health and Human Services (HHS) released a post-payment notice of reporting requirements aimed at the recipients of the general and targeted distributions of the Provider Relief Fund (PRF) as established in the Coronavirus Aid, Relief, and Economic Security (CARES) Act.
Learn moreOn August 27, 2020, the Department of Health and Human Services (HHS) announced the Nursing Home Infection Control targeted distribution.
Learn moreOn August 14, 2020, a notice detailing the timing of future reporting requirements was released for recipients of payments exceeding $10,000 or more in the aggregate from the Provider Relief Fund (PRF).
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