Discover how outsourced medical billing helps medical practices cut costs, reduce errors, ensure compliance, and boost revenue—while freeing staff to focus on patient care. Running a small medical practice comes with unique challenges—balancing patient care while drowning in paperwork, insurance claims, and ever-changing billing regulations. Outsourced medical billing has become a strategic solution for physicians […]
CMS has begun paying most Medicare claims with dates of service (DOS) in October 2025, but there are exceptions. On October 21, 2025, CMS instructed Medicare Administrative Contractors (MACs) to lift the claims hold and process claims with DOS of October 1, 2025 and later for services under the Medicare Physician Fee Schedule, ground ambulance
The Opening Gift: How the Fee Schedule Works (and Why It Feels Like Secret Santa) Imagine the anticipation every fall: CMS, Congress, medical specialty societies, and every practice across the country are prepping for the big reveal—the Medicare Physician Fee Schedule (MPFS) for the next year. But this isn’t just opening presents. It’s a carefully
Not long ago, the idea of checking a patient’s vitals from miles away seemed futuristic. But as healthcare faced the dual pressures of rising chronic disease and aging populations, Remote Patient Monitoring (RPM) emerged as a powerful solution—turning home devices into daily health checkpoints and transforming how we think about outpatient care. Today, RPM is
CMS Proposed rule and what it means for RPM.
During the past two years there has been a lot of conversation about remote patient monitoring. Implementing remote patient monitoring (RPM) in a medical practice can bring many benefits, such as improved patient outcomes and cost savings. However, it’s important to approach the implementation process thoughtfully and with a plan in place. Here are some
We’ve heard a lot about RPM and the ability to gain significant revenue just by implementing the program in your healthcare organization. In this two-part series we’ll talk about the financial benefits, as well as things to keep in mind in order to effectively implement an RPM program. The financial benefits of implementing remote patient
We get this question many times. What is HCC coding and why is it important? I wanted to take some time to give some background to this question. Hierarchical Condition Categories (HCC) coding is a system used by Medicare Advantage plans to classify and reimburse healthcare providers for the care of patients with chronic conditions.
Biden administration announces end to Covid-19 Public Health Emergency (PHE) The emergency declarations related to the Covid -19 pandemic will expire on May 11th, according to the Biden administration. “The COVID-19 national emergency and public health emergency (PHE) were declared by the Trump Administration in 2020,” the Office of Management and Budget said in a statement.
As a reminder, Covid-19 Accelerated and Advanced Payments repayment will begin this year. The Continuing Appropriations Act established that repayment will begin “one year from the issuance date of each provider or supplier’s accelerated or advanced payment” Medicare will automatically recoup 25 percent of the Medicare payments owed for eleven months, If full recoupment is
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