Etactics

FEBRUARY 16, 2024

One area that we’re actively seeing advancements in is payments. Mobile payments more specifically. Internationally speaking, more than 2 billion people utilize mobile payment options. It’s predicted that by 2025 mobile payments will make up 79% of all digital transactions. This is happening globally. Not just any banks.

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Regulations Accountability Healthcare Providers Doctors 52

p3care

DECEMBER 17, 2023

We know that every category of MIPS reporting has separate data completeness requirements. Well, that’s what the blog for today is about. So, this blog is a guide for all MIPS reporting participants, old or new. On the basis of the submitted data, CMS makes the payment adjustments.

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Medicare Healthcare 100

p3care

MAY 1, 2023

In this blog, we will get to know the techniques for successfully identifying fraud in medical billing services. However, there are three categories we have for all sorts of medical fraud. False Medical Billing Billing fraud is the submission of fraudulent claims for payment to insurance companies or government programs.

Patient Safety 130

Patient Safety Healthcare Regulations Medicaid 130

p3care

JULY 6, 2023

Every provider has complete awareness of the Quality Payment Program. This blog primarily highlights different tips and strategies. Also, the participants have to get more than 75 points for positive payment adjustments. Therefore, we must have a clear understanding of all four categories of MIPS 2023.

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Performance improvement Medicare Healthcare 130

Healthcare Success

APRIL 8, 2024

Finally, remember “affordability options” like payment plans, 3 rd party financing (e.g., It changes everything in this category. Note: This blog post was updated in 2024 to offer fresh insights and context about the 7 Ps of marketing. Virtual services. Telehealth is a market disruptor that went mainstream in 2020.

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Patient Experience Ambulatory Care Urgent Care Doctors 281

Healthcare Success

JULY 5, 2022

As marketing to doctors is such a vast topic, we’ve developed a 5-part blog series to help people in virtually every industry successfully market to physicians and other health care professionals. This is the first blog in the series. How to Market to Physicians and Doctors in Five Steps .

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Doctors Private Practices Accountability Hospitals 154

Etactics

DECEMBER 1, 2023

If you keep up with our blogs or work in the industry, you know exactly what I’m talking about. This is an easily preventable billing error, which we are going to go over in this blog. C Codes - Temporary outpatient hospital prospective payment system. The categories are as follows: Category 1: The most commonly used CPT codes.

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Medicare Medicaid Medical Services Rehabilitation 52

Etactics

NOVEMBER 30, 2023

If you’re reading this blog, chances are that the company you work for works with HIPAA in some type of way. So on to the question that this blog is all about. There are 3 categories, or what HIPAA calls covered entities, that need to follow HIPAA laws. Do HIPAA laws apply to employers? There isn’t 1 answer to this question.

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Healthcare Healthcare Providers Accountability Doctors 52

Health Populi

JANUARY 2, 2024

So this category of products has been front-of-mind for consumers spending out-of-pocket dollars on the promise of a good night’s sleep for many years and CES has featured many sleep-tech innovators for many years.

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Hospitals Healthcare Medical Technology Patient Experience 81

Etactics

APRIL 19, 2022

That last sentence hinted at the entire reason why you’re reading this blog post in the first place. Outside of keeping PHI secure and training your employees annually , sourcing a HIPAA-compliant payment solution is a must. And one of those tools is HIPAA-compliant payment processing. Mobile payments.

Regulations 52

Regulations Accountability Healthcare Healthcare Providers 52

Briggs Healthcare

AUGUST 1, 2023

The associated CMS Fact Sheet: Fiscal Year (FY) 2024 Skilled Nursing Facility Perspective Payment System Final Rule – CMS-1779-F is also a valuable read to begin your review of the Final Rule. Payment for SNF-Level Swing-Bed Services D. SNF Value-Based Incentive Payments for FY 2024 I. SNF Value-Based Purchasing Program F.

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Regulations Nursing Medicare Healthcare 52

Etactics

FEBRUARY 23, 2024

In order to stay in business, you need to be able to collect payments in a prompt and timely manner. Common Dry Needling CPT Codes The complications associated with this CPT category don't have to do with the amount of codes you need to learn… unlike other CPT categories, which can have hundreds of codes. Carpal tunnel syndrome.

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Physical Therapy Medicare Rehabilitation Medicaid 52

Sheppard Health Law

DECEMBER 16, 2022

In a recent blog post , we described general registration and application considerations for employers seeking to enroll in California’s new Hospital and Skilled Nursing Facility COVID-19 Retention Payment Program (the “ WRP ”) on behalf of their employees, including details on eligibility, qualifying periods, and defined legal terms.

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Healthcare Nursing Hospitals Integration 52

NASHP

DECEMBER 19, 2022

Parity in payment for telehealth services and in-person services is also inconsistent across states, though COVID-19 has provided an impetus for states to change this policy. Recently, California expedited legislation that required payment parity for telehealth services within both Medicaid and commercial insurance.

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Medicaid Regulations Prevention Primary Care 52

Briggs Healthcare

MARCH 31, 2022

Penalties … A list of the fines and payment denials received by nursing homes in the last three years. State-Level Health Inspection Cut Points … State-specific ranges for the weighted health inspection score for each health inspection star rating category. Data are presented as one inspection per provider.

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Nursing Measurable Quality Medicare Hospitals 80

Etactics

MAY 11, 2023

So we are here to help you with this blog! These “other” services belong under the specified category but do not have a specific code. There are over a hundred different categories of revenue codes. When it comes to medical coding, one of the most important things to understand is… well, the different codes.

Physical Therapy 52

Physical Therapy Urgent Care Quality Assurance Hospitals 52

Etactics

JANUARY 18, 2023

For the sake of this blog, let’s focus on the CO group code. Payment posting will write-off the $200 and post the payment of $760. While posting this claim, the payment posting team will write-off $40 and post the payment of $140. Denial code CO-45 thankfully falls under that category. Conclusion.

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Healthcare Healthcare Providers 52

Sheppard Health Law

FEBRUARY 28, 2023

Also during the PHE, telephone evaluation and management (E/M) services (CPT codes 99441-99443) are on the List on a temporary basis and Medicare payment is equivalent to the payment for office/outpatient visits with established patients. The CAA extends this flexibility through December 31, 2024.

Medicare 52

Medicare Nursing Medicaid Healthcare 52

Etactics

MAY 10, 2022

Believe it or not, there’s still an easy solution to solving this conundrum…payment plans. 72% of people say that they would prefer paying legal fees on a payment plan. I’ll reiterate that the majority of your clients want to pay their legal fees to you via a payment plan. That stat isn’t even factoring in payment plans.

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Law Firms Accountability Prevention 52

Etactics

MARCH 29, 2022

Second, they would likely want to use Apple Pay as a payment option. From your perspective as a healthcare provider, you want to make your patient payment options as convenient as possible. Patient payment happens to fall under that “operational” category. Is Payment Information PHI? Table of Contents.

Regulations 52

Regulations Healthcare Providers Healthcare Accountability 52

Sheppard Health Law

MARCH 20, 2023

The Kaiser Family Foundation surveyed forty-four state Medicaid officials about strategies to address behavioral health workforce shortages and found the following four categories to be most critical. [6] Please refer to our blog for more information on the proposed rule. 6] Increase provider reimbursement strategies. 12, 2022).

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Medicaid Medicare Healthcare 52

Etactics

APRIL 4, 2022

But even conquering all of those preliminary steps doesn’t guarantee payment. Whatever the reason for not receiving payment, you’re still expecting it and including it within your accounts receivable calculation already. This letter acts as a more formal request for payment and a common effort in collections. Not exactly.

Accountability 52

Accountability Healthcare Integration Hospitals 52

Sheppard Health Law

JANUARY 26, 2024

Merit-based Incentive Payment System (“MIPS”) eligible clinicians, operating under the Promoting Interoperability performance category of MIPS, and eligible hospitals and critical access hospitals (“CAHs”), operating under the Medicare Promoting Interoperability Program, are impacted by the Final Rule, as well.

Medicare 52

Medicare Medicaid Hospitals Health Data 52

Etactics

NOVEMBER 1, 2022

The purpose of this blog is to provide a resource that documents how to tailor the 320 objectives within NIST SP 800-171A to the CMMC scope. The information is not simple transactional information such as necessary to process payments. We wrote two summary blogs detailing these practices for both CMMC Level 1 and Level 2.

Regulations 52

Regulations 52

NASHP

NOVEMBER 15, 2021

NCQA recently updated their Health Plan Accreditation Population Health Management (PHM) standard category to require organizations to assess its segmentation or stratification methodology for racial bias. Thank you to Douglas Jacobs, Eric Musser, Jodi Manz, and Kitty Purington for their input on this blog. Acknowledgements.

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Quality Assurance Medicaid Population Health Prevention 52

Healthcare Success

JULY 11, 2022

In this blog post, I share: What is Google Analytics 4 (GA4)? More targeted segments allow businesses to group users based on interactions and time between events rather than device categories or platforms. sign up, log in, add to cart, begin checkout, add payment info, etc.). How to Get Started Dos and Don’ts.

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Healthcare Patient Experience Regulations Accountability 242

Etactics

DECEMBER 21, 2021

Unfortunately, that also means both of those types of codes fall under the category that accounts for a lot of denials for healthcare organizations. For the sake of this blog post, let’s say that you didn’t bother with assigning your front-end revenue cycle team claim scrubbing responsibilities. Side effects include payment delays.

Accountability 52

Accountability Doctors Healthcare Patient Experience 52

NASHP

AUGUST 30, 2023

To learn more about this model act, check out our blog, Rural Emergency Hospitals: Model Legislation and Considerations for States. Title This Act shall be known and may be cited as the Rural Emergency Hospital Act. See 42 U.S.C. section 1395x(kkk)(5).

Hospitals 97

Hospitals Regulations Federal Healthcare Nursing 97

Etactics

APRIL 12, 2022

In this blog post, we'll give you an overview of HIPAA compliance for dental offices. HIPAA compliance for dental offices exists in two main categories: covered entities and business associates. For example, let's say that you want to be a modern practice and accept payments from your patients via Apple Pay. Table of Contents.

Regulations 52

Regulations Accountability Healthcare Prevention 52

Sheppard Health Law

OCTOBER 27, 2021

The Innovation Center, established in 2010 as part of the Affordable Care Act, began as an initiative to transition the health system to value-based care by developing, testing and evaluating new payment and service delivery models in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).

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Medicaid Medicare Accountable Care Accountability 52

Health Populi

JANUARY 31, 2018

Here is Omron’s blog written for #CES2018 on Going for Zero. After mental health and diabetes, heart apps rank as the third largest categories for medical apps on the market in 2017. Cardiac health has a growing evidence base for digital health tech, IQVIA pointed out in their recent study on The Growing Value of Digital Health.

Doctors 81

Doctors Prevention Healthcare Accountability 81

Etactics

APRIL 11, 2023

Provide a service, submit a claim, and receive payment. The American Medical Association’s most recent study found that major payers return to up to 29% of claims with $0 payment. If you receive a denial within this reason category, in most cases the payer will send it back to you with code CO 11.

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Prevention Doctors Medicare Nursing 52

Etactics

JULY 16, 2021

Maybe you just started a blog that provides accurate medical information to common questions as a way to increase your patient volume. Even if you don’t blog, new patients may stumble upon your website when looking to switch their provider. It’s becoming an older concept to write a check and mail payment or call to pay over the phone.

Healthcare 52

Healthcare Hospitals Regulations Accountability 52

NASHP

AUGUST 30, 2023

To learn more about this model act, check out our blog post, Rural Emergency Hospitals: Legislative and Regulatory Considerations for States. Title This Act shall be known and may be cited as the Rural Emergency Hospital Act. See 42 U.S.C. section 1395x(kkk)(5).

Hospitals 52

Hospitals Regulations Federal Healthcare Nursing 52

Etactics

FEBRUARY 8, 2022

If you have a pile of timely filing denials, there’s still hope to receive payment for them…it’s just a matter of knowing what to do and how to execute the steps properly. That’s exactly why I’m writing this blog post, here are 3 effective appeal letter for timely filing samples.

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Medicaid Healthcare Healthcare Providers 52

Etactics

JULY 1, 2021

But I’ll answer that question the long way for the rest of this blog post. But, the new codes work with payment calculations and risk-adjustments for providers. Medical coding isn’t a career that falls under that category, though. Thus, many coders find themselves wondering, “Am I working in a dying career?”

Regulations 52

Regulations Healthcare Accountability Doctors 52

Etactics

SEPTEMBER 7, 2023

That’s just one of the key topics we’re going to cover in this blog. If we take the overall denial rate from 2022 that we discussed in the introduction of this blog, 4 claims per week from the patients you see would get denied. Well from a high level, there are two main categories of denials; soft denials and hard denials.

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Healthcare Doctors Prevention Medical Services 52