Medical Claims

CMS Fee Schedule for the physicians was issued on 1st November 2019 to be used for availing health services from 1st January 2020 onwards. This schedule served as an incentive for primary care physicians who used to avoid providing primary level services due to excess burnout and heavy paperwork. This schedule curtailed the need for …

Read moreDoctor to see higher payments reduced paperwork under 2020 Physicians fee schedule

The Podiatric offices of specialist Bobby Yee were hit by a ransomware attack that potentially tampered the medical records of roughly 24,000 patients. Ransomware is a specific type of malware that can encrypt files and “hold them hostage”, where the victim has to pay a fee in order to regain access to their files. Choosing …

Read moreRansomware Corrupts 24,000 Patient Records of California Specialist

The payer contract is not just a fee schedule and as such there are many factors which have to be kept in mind when deciding whether to keep or terminate the contract. In fact, the fee schedule is usually a secondary consideration when you do decide to terminate a payer agreement. The top five reasons …

Read moreTop Five Reasons Why Say No to Payer Contracts

Most medical practices analyze their financial health with a simple analysis of cash flow when it represents only the one aspect of the revenue cycle. Revenue cycle management for practices is a complete process that starts from charge capture, claims submission, accounts receivables, collections and ends up on the analysis of the financial data. It …

Read more6 Key Revenue Cycle Metrics That Your Practice Must Track

If you are dealing with an increased number of rejected claims every month then you really need to delve deep into the reasons that are causing this havoc, because rejected claims and denied payments not only negatively impact your revenue cycle but in a longer course of time can hamper your business operations. However, you …

Read more7 Top Reasons Why Your Medical Claims are Rejected or Denied