We are often asked to be able to "quote" what the benefits will be for a patient's insurance coverage prior to treatment with a provider. That process has changed dramatically over the years and it is now almost impossible to pin down. Insurance cards sometimes list an office copay benefit but that would only apply to a regular physician's office visit and not any type of specialty, like Psych. On-line access to benefits is an option for some insurances and will usually spell out the regular coverage. Some require a username and password to be set up to be able to go on-line and those also expire every 90-days or so and have to be kept in a secure location for HIPAA requirements. We actually have devoted entire shared, secured documents to just the handling of on-line usernames and passwords.
What does your "pie chart" look like in your practice?
I have used the same practice management software for over 15 years now and one reason I have continued with the same product is the amazing analytics that they provide in the reports module. I can send reports to my providers, daily, weekly or monthly or for any time frame they want and show the details of their practice financials. These reports are to help in seeing their medical practice as the business that it is and to be able to continually monitor the statistics.
There are charge breakdown reports to show which CPT codes are used and those can also be further broken down by locations and insurance. Reports to show where the payments are coming from, which adjustments are made and rendering provider reports that are also sent to CPA's for payroll purposes. It could be anything you could think of that can and should be measured.
As a medical billing/management company, we are given the task to follow up with insurance companies to get the claims paid for any charges turned in to us. Some insurances - like Medicare - make that task easy by having strict regulations in place that we follow and, by doing so, they pay easily and on time. Others will loosely follow guidelines and hold or even deny the same claims, and we are forced to contact them to get that claim paid. Find out how we help get those claims paid.
In response to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) made a number of changes that allowed Medicare beneficiaries to access a wider range of telehealth services without having to travel to a health care facility. CMS is proposing to make some of these changes permanent.
This review will be based on Medicare Parts B and C data, and will look at the use of telehealth services in Medicare during the COVID-19 pandemic. It will look at the extent to which telehealth services are being used by Medicare beneficiaries, how the use of these services compares to the use of the same services delivered in-person, and the different types of providers and beneficiaries using telehealth services.