In an age where healthcare is constantly evolving, it’s crucial to stay updated with the latest trends and practices that can enhance patient care. One of the most significant shifts in recent years has been the recognition of the impact of social determinants of health (SDOH) on patient outcomes. To delve deeper into this vital […]
The Centers for Medicare & Medicaid Services (CMS) has recently released its proposed rule for the 2024 Medicare Physician Fee Schedule (MPFS), and it brings significant implications for radiologists. In this blog post, we will explore how these proposed changes could affect radiology practices. 1. Conversion Factor Reduction: CMS is proposing a Conversion Factor (CF) […]
In a recent development, the FDA has authorized the emergency use of updated Moderna and Pfizer-BioNTech COVID-19 vaccines. These updates have been carefully formulated to better target the currently circulating variants of the virus. The primary goal is to provide increased protection against severe consequences of COVID-19, including hospitalization and mortality. Changes to the vaccine […]
Medicare’s increased focus on wound care audits has revealed numerous errors among providers, leading to financial repercussions as they recover funds. Therefore, understanding the necessary documentation is vital to protecting your practice from costly mistakes. That’s why we’re excited to share an insightful article by expert Caroline Fife, MD. In her post, she sheds light on […]
Effective July 1, 2023, healthcare providers must adhere to the Centers for Medicare and Medicaid Services (CMS) guidelines for the use of the JZ modifier when billing for the injection of drugs from single-use containers where there are no discarded amounts. Understanding these guidelines is crucial to ensure accurate coding, billing, and reimbursement. In this […]
According to a recent survey by Merritt Hawkins, a Dallas medical consulting and recruiting firm, it now takes an average of 29 days to get an appointment with a family care physician. This is a significant jump from 2014, when the average wait time was 19.5 days. This figure is exemplary of the overcrowding and […]
Here is a list for reference of commonly used abbreviations in the Medicare Access and CHIP Reauthorization Act of 2015. ABC – Achievable Benchmark of Care ACA – The Patient Protection and Affordable Care Act ACO – Accountable Care Organization APM – Alternative Payment Model BCPI – Bundled Payments for Care Improvement CAH – Critical […]
Disallowance is an adjustment, which is defined by the RBMA Radiology Business Management Association as: Quotation From the RBMA Receivable Standard Definitions “Amounts which are never expected to be collected, by virtue of laws regulations, contracts or internal policies applicable to the services provided by the entity.”” In most cases your physician has signed a contract with […]