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Latest Updates on Medical Billing

 Effective Tactics for Streamlining Healthcare Revenue Cycle Management
Danny Johnsmith November 22, 2023 Revenue Cycle Management

Effective Tactics for Streamlining Healthcare Revenue Cycle Management

Healthcare Revenue Cycle Management (RCM) is the financial process that healthcare providers use to manage the administrative and clinical functions associated with claims processing, payment, and revenue generation. It encompasses everything from patient registration and insurance verification to coding, billing,…
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 Simplifying PBHS SUD Fee Schedule for Better Understanding
Danny Johnsmith November 21, 2023 SUD Billing

Simplifying PBHS SUD Fee Schedule for Better Understanding

The Fee Schedule is a crucial component of the Public Behavioral Health System (PBHS), outlining service codes and corresponding fees for healthcare providers. The Fiscal Year (FY) 2024 PBHS Substance Use Disorder (SUD) Fee Schedule specifically addresses Mental Health, Substance…
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 A Deeper Dive in Medicare Advantage Plans Comply with Medicare Billing Guidelines
Danny Johnsmith November 20, 2023 Medical Billing

A Deeper Dive in Medicare Advantage Plans Comply with Medicare Billing Guidelines

Medicare Advantage (MA) plans represent a pivotal facet of healthcare delivery, seamlessly combining private innovation with Medicare’s comprehensive coverage. These plans, offered by private entities in collaboration with Medicare, serve as a consolidated solution for beneficiaries seeking Medicare Parts A…
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 Inpatient vs. Observation: Decoding the Two-Midnight Rule
Danny Johnsmith November 17, 2023 Medical Billing and Coding

Inpatient vs. Observation: Decoding the Two-Midnight Rule

The Two-Midnight Rule, introduced by the Centers for Medicare and Medicaid Services (CMS) in 2013, is a crucial guideline that governs the classification of patients as inpatients or under observation status in healthcare facilities. This rule plays a pivotal role…
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 Adapting to the 2024 Home Health Payment Rule with DME
Danny Johnsmith November 16, 2023 DME Billing

Adapting to the 2024 Home Health Payment Rule with DME

Understanding the intricacies of the 2024 Home Health Payment Rule with Durable Medical Equipment (DME) is paramount for healthcare providers to navigate the evolving landscape of reimbursement, coverage policies, and regulatory requirements. This knowledge equips providers with the insights necessary…
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