Practical knowledge from people who do the work.
Medical billing, coding, denials, credentialing, PCMH and practice operations, written to be useful on Monday morning.
Enrolling a Provider Who Starts July 1: Working Backward From the Start Date
Residency ends June 30 and new physicians start July 1, which leaves about ten weeks from now to get them enrolled. Here is the dependency chain from license to payer effective date, what each payer does about retroactive billing, and how to schedule the first weeks so the gap costs as little as possible.
Medicaid Continuous Enrollment Ends March 31: What Practices Should Do in April
Three years of guaranteed Medicaid coverage end on March 31, 2023, and states can begin disenrolling people on April 1. Millions will lose coverage, many for paperwork reasons. Here is the timeline, the denials to expect, and the front-desk and billing changes to make before the first terminations land.
No Surprises Act IDR on Hold: What the February 6, 2023 Texas Ruling Changes
A federal court vacated parts of the No Surprises Act arbitration rule on February 6, 2023, and CMS told arbitrators to stop issuing payment determinations. Here is what the ruling changed, which deadlines still run, and how practices should handle disputes while the process is paused.
Page 18 of 18 · 156 articles
Want this level of attention on your own revenue cycle?
The same people who write these articles run billing, coding, denial management and credentialing for practices nationwide.