The Federal No Surprises Act officially went live on 1/1/2022. Last year we did a full review of CMS' final ruling, but now that it's live, it's a good idea to have a refresher since out of network claims will begin processing in the coming weeks.
Read MoreWhen it comes to telehealth, in 2020 so many things changed and we continue to see changes into 2021. While some changes are designated as temporary; others such as the expansion of certain telehealth services may be here to stay. During this presentation, we’ll discuss the changes in telemedicine as a result of COVID-19; what was included in temporary Social Security Act section 1135 waivers and what telemedicine services are expected to remain after the public health emergency is officially over.
We’ll then move on to a more recent challenge with COVID-19 vaccines. We’ll review the vaccines approved for Emergency Use Authorization, and discuss billing guidelines from CMS.
Read MoreIn this ever-changing revenue cycle space, it’s important for organizations to remain agile. That said, it’s time to break the mold when it comes to denial prevention efforts. During this presentation, we will review trends and traditional methods used over the years and talk about what works and what methods tend to fall short of the goal. We’ll then talk about taking denial prevention to a higher level using a three-pronged approach: reporting, accountability and training. For reporting, we’ll review the importance of defining a claim denial versus a delay in payment and how this distinction impacts prevention focus areas. Accountability is reinforced using a robust action plan that accomplishes cross departmental buy-in. We’ll focus on what should be included in your action plan, what are realistic timeframes, who should be involved and how to keep ideas fresh.
Read MoreThis presentation covers the complex and often times overwhelming task of denial prevention. As long as there has been insurance, there have been insurance claim denials. Through ever-changing government regulations and insurers tightening their belts, what once was a much less complex denial process has become a challenge for healthcare providers of all sizes.
Read MoreWith ever-changing billing policies, securing reimbursement for telehealth services can be tricky. When you add in the 2020 expanded services and recent CMS waiver of originating site requirement due to COVID19; billing virtual E&Ms has become more complex. During this webinar, Megan Smith, HRG Executive Director of Training and TQA, will discuss which virtual services can be billed and the CMS requirements for each, examples of when to use Telehealth specific modifiers, and recent billing guidance from CMS, UHC, and BCBS.
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