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...
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...
The Centers for Medicare and Medicaid Services (CMS) has released an Interim Final Rule on March 21, 2017, which delays the effective date of many new Medicare payment models...
The Centers for Medicare & Medicaid Services (CMS) has recently issued a proposed rule for 2018, and the rule proposes new reforms that are crucial to stabilize the small...
Rep. Tom Price (R-GA) was named as the new secretary of the Department of Health and Human Services recently after a 52-47 vote in favor of Price. Nominated by...
The Department of Health and Human Services (HHS) Office of the Inspector General (OIG) recently submitted a Semi-Annual Report to the Congress. As per the report, the OIG is...
We all know that Donald Trump will be occupying the White House on January 20, 2017 and the GOP will control both the houses of Congress. Trump has already...
The cost sharing amounts and 2017 premiums for Medicare Parts A and B was recently released by the Centers for Medicare and Medicaid Services (CMS). According to the agency,...
The American Medical Association (AMA) recently released many online tools that are aimed to help physicians through pending Medicare payment and delivery changes. This will improve their opportunity for...
The Centers for Medicare & Medicaid Services (CMS) recently announced new arrangements for payments that will be qualified as Advanced Alternative Payment Models (APMs) under the Quality Payment Program...
It is the time of the year when Medicare beneficiaries in the US are allowed to make changes to their existing health insurance plans. They are also allowed to...
The Republicans have been focusing on the way Obama Administration is repaying the insurers who are participating in Federal health insurance exchange under risk adjustment programs established by ACA....
CMS had announced the criteria for participation in Merit-based Incentive Payment System (MIPS) back in July. From January 1, 2017, CMS will start the process of replacing the Medicare...
CMS recently asked for the information of the practice of the payment of insurance premium for the beneficiary by third party. CMS is also requesting data on whether the...
The presidential election is just a few weeks away and the debates between candidates Donald Trump and Hillary Clinton are heating up over the last few months. Both candidates...
The American Association of Family Practitioners (AAFP) recently asked CMS to revoke some of the elements of Medicare physician fee schedule that block reimbursement on telemedicine for ED services,...
The Office of National Coordinator for Health IT recently published a post explaining the newly established metrics by HHS to evaluate EHR interoperability under MACRA. ONC has to develop...
The state officials in Illinois have shut down three CO-OP facilities within the last two month, the most recent one being the Land of Lincoln health insurance company. The...
The Centre for Medicare and Medicaid Services recently released their annual report on Medicare and Medicaid integrity programs. According to the report, Medicare has saved $12.40 during the financial...
The Centers for Medicare & Medicaid Services (CMS) recently released the ICD-10 Procedure Coding System (ICD-10-PCS) for the financial year 2017. Along with that, a set of documents including...