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The last few months have been tough for the healthcare industry. All stakeholders were trying desperately to assist each other and save resources for COVID-19 response. Of course, meanwhile, CMS also took necessary measures to unburden some of the clinicians' load.

Where physicians have already burned out with COVID -19 cases, the administrative burden of QPP MIPS 2020 was additional pressure. The dynamics have changed. The contact points that were easily accessible before are now operational via online mediums.

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Medical billing and coding is a crucial stage in the healthcare delivery lifecycle. It pays the providers for their hard work and services. What traits in medical billing companies in the US make them outstanding billers.

Revenue cycle management (RCM) is the backbone of the healthcare industry. It manages the finances of the providers and keeps them going on a daily basis. Several organizations involved in the process to make it a success. The role of medical billing services in the US and the front-desk staff is undeniable.

Given below is a brief analysis of some alternative payment programs to FFS (Fee-for-Service), the trends, and the outcomes. Learn more here to succeed in the 2020 revenue battle.

Perhaps the most dramatically impacted area of healthcare as a result of the coronavirus pandemic is telehealth. Previously, the conditions were not in favor of virtual clinics because face-to-face visits were the norm. Now, however, the situation has changed.

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We found that the MIPS 2020 and MIPS 2019 Quality measures are more similar than they are different. Nevertheless, we got into a bit of detail in this article to give you a better idea.

In MIPS 2019 and MIPS 2020, participants get to submit 6 quality measures data for 12 months (from January 1 to December 31, 2019, and January 1 to December 31, 2020, respectively). The amount of data to undergo submission depends on the collection (measure) type.

Recently CMS introduced modifications in the Stark Law to upgrade the referral system in order to promote better coordination and engagement while keeping cost under control.

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Corona has overburdened the healthcare system, and CMS has announced some relaxations for eligible physicians to facilitate them. Read how CMS has eased the MIPS 2020 data submission process.

Services provided that do not meet critical care services or services provided for a patient who is not critically ill.

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MIPS 2020 feedback is available for review by CMS. Clinicians can even ask for a targeted review in case of any error in the points or payment adjustments.

Do you know the cost of reworking on an Ophthalmology Denied/Rejected Claim? According to the Medical Group Management Association (MGMA), the average cost of reworking a rejected or denied claim is $25. If you take the 46 claims, the optometry practice received last month. Then, multiply it by $25 each, and it equals $1150 that the practice spent fixing errors and resubmitting the claims.

What is the No surprise Act 2022? Effective January 1st, 2022, the Federal No Surprises Act introduced new regulations for healthcare facilities, providers, and air ambulance services to safeguard patients against "surprise" medical bills. To learn more, Get in touch with us: info@medmaxtechnologies.com Toll-Free: +1-888-402-2631

CMS extends the deadline for MIPS 2020 targeted review to help eligible clinicians check their data, score, payment adjustments, and apply for reweighting in case of any effect.