Key Takeaways Physician billing covers the professional component: the physician’s exam, interpretation, judgment, and written report. Facility billing covers the technical component: the equipment, technicians, supplies, and overhead used to deliver the service. Modifier 26 reports the professional component only. Modifier TC reports the technical component only. No modifier means one entity is billing both […]
What is Revenue Cycle Management?
Key Takeaways Revenue cycle management (RCM) covers every financial step from scheduling a patient visit to fully resolving the account balance. RCM includes eligibility verification, charge capture, coding, claims submission, payment posting, denial management, and reporting. Medical billing is one part of RCM, not the whole of it. Problems that surface as denials often trace […]
May Bulletin – Infectious Disease in the U.S. – Part 1 H5N1 Bird Flu
A person in Colorado has tested positive for the Avian Influenza A virus (H5N1). According to the Centers for Disease Control and Prevention (CDC), the confirmed case does not change the human risk assessment for the general public. The patient contracted the disease directly from an infected bird and is being isolated and treated with […]
PGM Profiled in Becker’s for Revenue Cycle Management Services
PGM Billing, one of the nation’s leading medical billing companies, is profiled in a recent report by Becker’s Hospital Review. The report identifies companies that provide revenue cycle management solutions specific to the healthcare industry. PGM’s profile reads as follows: “Physicians Group Management (Lyndhurst, N.J.). PGM, founded in 1981, offers physician billing services, facility billing […]