The right consultant will work to put knowledge in your hands. As a provider, your partnership should grant you access to diverse resources so you fully understand the reimbursement process. Is your partner providing opportunities foreducationand access to meaningful and industry leading education forums?
Medicare: Reimbursement, How to Bill and Other Current IssuesJulia L. LothropDebra E. Brigham
The following points illustrate how you can get full reimbursement in optometry billing: USE THE CORRECT CODE As a busy optometrist, you need to be thorough with the current procedural terminology (CPT) codes that are used for reimbursement in Medicaid and Medicare. A successful optometrist you wi...
And that could affect patients. "We're talking about what we do for the most severe cases who present to specialists," she says. "These procedures are almost always performed in patients who have no other choice. If we don't do something, they will go blind."...
A Medicare decision may be appealed if it denies coverage of a service. There are five levels of appeal, and supportive documentation is recommended.
tient hospitals, and it becomes clear that orthopedic industry stakeholders must work closely with each other and with CMS to ensure patient access to existing and emerging technologies.CMS will accept comments on the proposed rule until June 30.The final rule will appear in the Aug. 19 Federal...
CMS is looking hard to decrease reimbursements for surgical procedures reviewed by the RUC in 2015, Dr Thompson says, because if it doesn't decrease reimbursement for ophthalmology procedures, it has to decrease them somewhere else. Which specialties got cuts this year mainly results from timing, ...
The HHS blueprint also included a goal of reducing patient out-of-pocket spending. In the current environment, numer- ous studies have shown that when out-of-pocket expenses increase, medication adherence decreases. Under Medicare Part D, there is no cap on annual patient out-of-p...
In late 2014, a Provider Reimbursement Review Board’s (PRRB) decision highlighted numerous issues supporting the need for hospitals to perform retrospective reviews of initial Medicare Disproportionate Share Hospital (DSH) calculations. The case ofBarberton Citizens Hospital v CGS Administrators, LLC/Bl...
Typically,worker’s compensationcovers up to two-thirds of your salary while you are unable to work, but this reimbursement is not usually taxable. The medical expenses you incur directly because of your job are covered through worker’s compensation. ...