Effective January 1, 2020, all claims submitted to Medicare must be billed with the new Medicare Beneficiary Identifier (MBI) in place of the Health Insurance Claim number (HICN). Starting in 2018, the federal Centers for Medicare and Medicaid Services started sending...
Healthcare News
Population Health Management – The Case for Value Based Healthcare
For long, the US Healthcare system has been predominantly based on the fee-for-service model wherein the patient receives quality care and the medical bill payment will be done by either the patient...
Rheumatoid Arthritis Diagnosis and Coding – Importance
Rheumatoid arthritis is an auto immune disease primarily affecting the synovial tissues surrounding the joints. According to the Centers for Disease Control and Prevention (CDC), more than 1.5...
Medical Debt – What Physicians Need to Know
Even with the establishment of the Affordable Care Act to help avoid mounting bills, consumers are getting drowned in huge medical debts. For physicians too, medical debt collection is more...
Provisions of the 2015 Medicare Physician Fee Schedule
At the end of October 2014, the Centers for Medicare & Medicaid Services (CMS) released the 2015 Medicare Physician Fee Schedule (PFS), which updates payment policies and payment rates for...
Alarming Rise in Adult Obesity Rates in the U.S
A few months ago, the Centers for Disease Control (CDC) data showed a decline in obesity rates in American children. Now, Gallup-Healthways Well-Being Index survey has found that adult obesity rate...
Impact of Obamacare in the Healthcare Industry
The Patient Protection and Affordable Care Act, more commonly known as Obamacare was enacted with the goals of making healthcare more accessible, affordable, and of higher quality, while reducing...
Ensuring Medicare and Medigap Reimbursement
Medicare does not cover all health-related services and medical supplies and pays 80 percent of allowed expenses. Enrollees must still pay Medicare copayments, deductibles and coinsurance amounts...
HHS Confirms 2015 Premiums and Deductibles for Medicare Part A and B
In a press release published on October 9, the Secretary of Health and Human Services (HHS) Sylvia Burwell announced next year's standard Medicare premium and deductibles with no change for Part B...
Prepare to Meet the Tougher Physician Quality Reporting Requirements
Physician quality reporting system (PQRS) was established in 2007 and is a pay for reporting program that provides a combination of incentive payments and negative payment adjustments to encourage...
How Drug Shortage Affects Anesthesiology Practices
When patients are about to have a surgery, their major concerns include the efficacy of drugs that they are put under. With the acute shortage of anesthesia drugs, anesthesiology practices are...