Several Key HHS Positions Filled By the Trump Administration

The senate has been much busy over the last few months in confirming the new cabinet nominees and other key staff members of the president since Donald Trump took charge as the President of United States of America. President Trump also seems to be busy making political appointments, which were not subject to the approval of the Senate. One of the most notable Senate confirmations that happened last month was the approval of the President’s nominee, Seema Verma as the new Administrator of the Centers for Medicare and Medicaid Services (CMS). Verma was…Read more …

GAO Reviews HHS Efforts In Bolstering Patient Usage Of Electronic Health Information

A recently released report by the Government Accountability Office offers an insightful review into the effectiveness of numerous attempts undertaken by the Department of Health and Human Services. It covers how these efforts have enhanced the accessibility to patients in the usage of electronic health information. Through the years, HHS has been working to provide patients with simple electronic access to health data, which is also useful in professional medical billing purposes. The efforts of HHS to bolster the ability of patients in electronically accessing their health information along with the degree in…Read more …

CMS Publishes Final ACA Enrollment Figures

January 31 marked the official conclusion of the third open enrollment period for the health insurances that were sold on the exchanges established under the Affordable Care Act. The final open enrollment report by the CMS shed more details on the total ACA enrollment figures. CMS’s report indicated that approximately 12.2 million people in the country enrolled for health insurance coverage through both state and federal exchanges during the enrollment period of 2017. However, the total number of enrollments for the year 2017 was estimated to be about 500,000 less than the enrollment…Read more …

Two Health Reform Bills Passed By The House Republicans

Even though the House Republicans were not successful in passing the American Health Care Act (AHCA), they did pass two major health reform bills recently in their efforts to make healthcare in the US better. The reform bills passed by the House Republicans concentrate on separate issues from the Affordable Care Act (ACA). A three-phase strategy was earlier proposed by the Republicans in order to replace and repeal ACA. According to the proposal, the first phase will be the budget reconciliation process whereas the second phase will see regulatory changes by the federal…Read more …

Significance Of Revenue Cycle Management In Health Care Delivery

Revenue Cycle Management (RCM) is the process of managing the claims payment, processing, and generation of the revenue. It uses technology like medical billing software for keeping records in tracking patient care from registration, scheduling of appointments, and final balance payments. RCM becomes more important as many hospitals and other medical institutions advance into more value-based care delivery environments. Health care experts have concluded that revenue cycle management plays a key role in medical billing and coding companies since hospitals are adopting cost-cutting strategies. Recent studies have concluded that in the United States…Read more …

The Need Of Credit Balance Resolution

Experts say that credit balancing is the “stealth aircraft of hospital patient accounting,” as credit balance is a liability that is hidden in the account receivable folder. Credit balancing is very important because the liability carries with it serious and real, compliance, and financial risks. It is the responsibility of your medical billing service to manage these risks for you. Medical billing industry data shows that more than fifty-five percent of the credit balances are caused because of incorrect allowances posting. Federal Register issued rules on credit balancing in March 2016 and as…Read more …

Vote On American Healthcare Act Cancelled By House Republicans

The House Republicans recently cancelled a vote that was planned on the American Health Care Act (AHCA). AHCA is planned to repeal and replace big parts of the Affordable Care Act (ACA) making use of the budget reconciliation process. Sources said that the vote was canceled, as the House Republicans do not have enough members who were committed to the voting of the AHCA. The Republican leaders originally planned to conduct the vote on March 23, which was the seventh anniversary day of the passage of the Affordable Care Act, but was unable…Read more …

Medicare Advantage Payment Rates Increased Slightly By CMS

It is reported that the Medicare Advantage health plans will be seeing an average payment increase of 0.45 percent in the year 2018. The payment increase proposed by the Centers for Medicare and Medicaid Services (CMS) in their advanced rate notice released on February 1 was 0.25 percent. The average change in revenue with this increase, while taking into account the various coding trends, would be 2.95 percent, rather than the 2.75 percent change in the notice by CMS in February. This latest update in the payment increase in due to the changes…Read more …

States Looking To Revamp Medicaid Expansions

Dr. Tom Price is the new secretary of Health and Human Services and the future of Medicaid under Dr. Price will be revealed soon, as the HHS has to decide if Arizona and Kentucky can remodel their efforts to expand Medicaid. States like Indiana, Arizona, Montana, Michigan, Iowa, and New Hampshire currently operate their Medicaid expansions making use of federal waivers, which is a system offering them more flexibility to make healthcare policies that are designed with the idea of promoting financial responsibilities among the various enrollees. The state of Kentucky is in…Read more …

AAFP Responds To The Proposed Payment And Policy Changes By CMS

The American Academy of Family Physicians (AAFP) recently offered detailed recommendations and comments to the officials of HHS. The suggestions submitted by AAFP was regarding CMS’s advance policy of proposed policy and payment changes to the Medicare Advantage and prescription drug plans for next year. In a letter, which was signed by AAFP Board Chair Wanda Filer reacted to certain proposals of the CMS that were related to three main issues such as network adequacy determinations, Medicare Part D formulary submissions, and quality measures. Quality Measures In an advance notice published by CMS,…Read more …