Every time a health claim is denied, an insurance company makes more money. But it’s no “wonderful life” for healthcare providers and patients when faced with a denied claim. Claim denials create significant challenges for both parties. For providers, claims follow up is a time-consuming, costly and often unsuccessful process. For patients, a denied claim […]
Billing Tip: Ensure Visits Billed as ‘Incident To’ Meet Medicare Criteria
The U.S. Department of Health and Human Services (HHS) is more closely scrutinizing services billed at physician reimbursement levels but performed by nonphysicians, according to a Medical Economics report HHS indicated its intention to take a closer look at these “incident-to” services, which are often performed by nurse practitioners and physician assistants, in its Office […]
Physical Therapy Services Facing Reimbursement Cuts
The passage of the American Taxpayer Relief Act of 2012 includes the addition of a provision that will reduce Medicare reimbursement to physical therapists come April 1, 2013, according to the American Physical Therapy Association. The decline would be slightly offset, but the bottom line is physical therapists will see a reduction in Medicare reimbursement […]