Every year, the Office of the Inspector General for the Department of Health and Human Services releases a Work Plan that covers the office's plan to oversee, audit, and ensure compliance with all programs and guidelines under the DHS aegis. The Work Plan is a starting point for any provider that is paid under the […]
The Physician Quality Reporting System (PQRS) is a quality reporting system created by the Centers for Medicare & Medicaid Services designed to properly assess the quality of care that is provided to patients. Providers can use PQRS to quantify how often they are meeting a certain quality metric, and can modify their care based on […]
The Centers for Medicare & Medicaid Services (CMS) enacted the Patient Access and Medicare Protection Act on December 28, 2015, which considered hardship exceptions for certain eligible healthcare professionals when it comes to the EHR incentive program. As a result, certain eligible professionals (EP) are exempt from filling out a hardship form to exempt themselves […]
The fee-for-service payment model has dominated medical practices for as long as anyone can remember. But a relatively new trend – value-based payment – may be on the verge of replacing fee-for-service across the nation. The fee-for-service model emphasizes payment based on the volume of services provided to the patient, regardless of outcomes and patient […]
If you are an anesthesia provider in the state of Alabama, there are certain guidelines you need to be aware of in order to abide by all policies and regulations and ensure you are properly billing and collecting your claims. Here are a few anesthesia billing guidelines your practice should follow. Claim Filing Effective for […]
If there is one thing every anesthesia billing program needs, it’s a reconciliation process. A reconciliation process for billing ensures that two different sets of records match up, or are in agreement. In other words, it matches billings to revenue – making sure you are getting paid for what you have charged. Without a reconciliation […]
“Surprise billing” is a phenomenon in which patients receive bills that are either higher than anticipated, or contain charges that they did not expect and were not informed of prior to treatment. Typically, this happens because a patient receives treatment, then finds out that one or more providers involved in treatment fell outside of the […]
Anesthesia medical billing can be complex – even daunting – at times. Practitioners are frequently faced with the challenge of not only billing and coding effectively, but also ensuring they comply with all relevant regulations and standards from several different payors. To get the most from your billing system, here are five tips you can […]
Every anesthesia practice depends on a team effort to serve its patients. One key part of this team effort is a practice’s Certified Registered Nurse Anesthetists (CRNAs), who perform essential (and often thankless) tasks to help patients with their healthcare needs. This week, it’s National CRNA Week – a time to commemorate the hard work […]
Revenue cycle management has always been important for hospitals, but the importance of RCM is even more apparent in today’s competitive – and growing – healthcare environment, especially as consumers start to take on more of the burden of paying for care. There are growing financial pressures on providers that require a shift in provider […]
