by admin | Dec 30, 2019 | Billing Terms, Codes, Denials Management, Patient Billing
Changes coming in 2021 2020 looks to be a transition year on the payment front, as many programs and changes expected to go into effect this year have been delayed until 2021. These include new CMS-created primary care models and a streamlining of evaluation and...
by admin | Jul 10, 2017 | Accronyms, Acronyms, BCBS, Billing Systems, Billing Terms, Insurance Claims, Patient Billing
Blue Cross Blue Shield Enhanced Ambulatory Patient Grouping (EAPG) methodology for calculating reimbursement for outpatient procedures http://www.okoha.com/OHA/Hotline/2015/April15/Taking_charge_of_the_EAPG__Improve_your_negotiations_with_BCBS.aspx Share...
by Ed Slingsby | Sep 24, 2015 | Health Care Finance, Medical Billing, Patient Billing
http://www.hfma.org/Content.aspx?id=32027#.VgNfflVcR_w.mailto Financial assistance programs IRS rules on hospital FAP’s Share...
by admin | Mar 21, 2014 | Medical Billing, Medicare, Patient Billing
With the two midnight rule becoming effective, this website is a good resource for information. Office of Medicare Hearings and Appeals (OMHA) OMHA administers appeal hearings for the Medicare program. There are five levels in the Medicare claims appeal...
by admin | Feb 24, 2014 | Hospital Revenue Cycle, Insurance Claims, Patient Billing
Feb. 14—Healthcare foundations can pay for coverage by insurance plans offered on new government-run marketplaces, according to recent federal guidance. The 2014 launch of health insurance marketplaces, which were created by the Affordable Care Act, has increased the...
by admin | Jan 24, 2014 | Patient Billing
This document is based on the deliberations of the Medical Debt Collection Task Force. It reflects the task force’s consensus on the current state of best practices related to the equitable resolution of the patient portion of medical bills. The appropriate resolution...
