The Inpatient Prospective Payment System (IPPS) Proposed Rule for the 2021 fiscal year was published on May 11 by the Centers for Medicare & Medicaid Services (CMS). Comments are due by July 10 at 5 p.m. Comments can be sent electronically using http://www.regulations.gov.

The end of 2019 saw healthcare jobs become the hottest career around, with over 1.9 million jobs added and eager anticipation about job opportunities to come. However, the healthcare industry is incredibly fluid, with its own workforce now the latest face of new populations dealing with the social determinants of health (SDoH).

As the novel coronavirus continues to take hold throughout the country and healthcare facilities attempt to quickly reconfigure care delivery for patients and consumers who are being advised to stay home and not seek non-emergent care at hospitals and other facilities, appointments are being cancelled...

Hospitals around the country are afraid to send out hundreds of thousands of bills related to COVID-19 testing. That’s because Congress mandated there would be no copays and no out-of-pocket costs for patients. But many employers with self-funded health...

CMS’s 4/30/2020 rule states that practices could bill 99211 for new or established patients during the public health emergency for COVID-19 specimen collection...

Since the first American case of COVID-19 was reported in January, approximately 80,000 people have died, and one-third of those deaths have been patients living in nursing facilities.

Historically, there was a belief in healthcare that revenue cycle management (RCM) was only a job for the back office. But today, medical practices are well-aware all staff members are critical to the revenue cycle. This responsibility extends through every aspect of a practice...

COVID-19 is changing the way we practice medicine. Social distancing measures have led to a surge in demand for telemedicine, while practices around the country are seeing a reduced number of in-office patient visits.

Waivers, modifiers, lab tests, multiple diagnosis codes…the layers and specifics of COVID-19 coding cannot be overlooked when ensuring appropriate reimbursement and safeguarding claims against third-party payer audits.