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Increasing pressure on patients to pay for out-of-pocket costs, Part 2

By | Dialysis Billing, Medical Billing, Nephrology Billing, Nephrology Billing, Renal | No Comments

From the Field: Patient Payments Part 2

Published in Nephrology Times, Jan/Feb 2019

By Rick Collins, Sceptre Management Solutions, Inc.

Last issue I mentioned that a social worker commented to me that she wishes providers would stop trying to collect from patients. She said providers “make enough money” and wondered why they feel the need to collect from patients who cannot afford their large coinsurances and deductibles. She pointed out that increasing pressure on patients to pay for coinsurances and … Read More »

Increasing pressure on patients to pay out of pocket, Part 1

By | Dialysis Billing, Medical Billing, Nephrology Billing, Nephrology Billing, Renal | No Comments

Growing Pressure on Renal Patients to Pay Out-of-Pocket

Pubilshed in Nephrology Times, Nov/Dec 2018

By Rick Collins, Sceptre Management Solutions, Inc.

At a conference I attended recently, a social worker lamented how much grief is placed on dialysis patients due to the large bills they receive from renal providers. She openly wondered why providers feel they need to bill patients since they already are paid “a lot” by Medicare and commercial insurance companies. When I first entered the … Read More »

Cheap Billing Can Be Costly

By | Dialysis Billing, Medical Billing, Nephrology Billing, Nephrology Billing | No Comments

From the Field: Cheap Billing Can Be Costly

Published in the Oct 2017 issue of Nephrology Times

By Rick Collins, Chief Operating Officer, Sceptre Management Solutuions

“We can do your billing for much lower fees than you’re paying now!” While this is a tantalizing phrase for physicians, management, ownership, and accountants, paying for “cheap” billing frequently costs you much more than any savings you realize from the cheaper billing rate. To illustrate this point, following are personal experiences from our company’s 20 years in … Read More »

When Medicare and Medicaid Regulations Clash, You Lose

By | Dialysis Billing, Medical Billing, Nephrology Billing, Nephrology Billing | No Comments

January/February 2017, Published in Nephrology Times, From the Field: Competing Medicare and Medicaid Regs: You Lose

By Sarah Tolson, Director of Training, Sceptre Management Solutions, Inc.

Providers are in a no-win situation when Medicare and Medicaid regulations conflict with one another. A perfect example of this is reflected in the sample question below we received from several billers: Question: Medicaid requires us to report the NDC (National Drug Code) for each vial size we use in dosing a patient. For example, if our physician … Read More »

New Bill Cuts Delays in Survey Certifications and Expands Telehealth Options

By | Dialysis Billing, Nephrology Billing, Nephrology Billing | No Comments

September 2017: Nephrology Times,  From the Field: New Bill Cuts Facility Certification Delays and Expands Telehealth Options

Rick Collins, Chief Operating Officer, Sceptre Management Solutions

Ridiculously lengthy delays in getting new dialysis facilities certified might finally be going away. H.R. 3178, sponsored by ten members of the House of Representatives, would allow new facilities to be certified by government-approved agencies other than Medicare. In this age of few agreements between political parties, this bill appears to have great appeal to both parties as … Read More »

Knocked Sensiparless–high deductibles and co-insurances hitting patients and providers hard

By | Dialysis Billing, Nephrology Billing, Nephrology Billing | No Comments

April 2018, Nephrology Times, by Rick Collins Chief Operating Officer Sceptre Management Solutions, Inc.

Patients and providers using Sensipar® (cinacalcet) and Parsabiv™ (etelcalcetide) are experiencing significantly increased financial liability due to inconsistent coverage of the drugs by payers and the dramatic increase in the coinsurance amount assigned by Medicare Part B. The biggest causes of potential lost reimbursement for providers are Medicare … Read More »

Parsabiv and Sensipar

By | Dialysis Billing, Nephrology Billing, Nephrology Billing | No Comments

April 2018, Nephrology News & Issues: Medicare payment for Parsabiv and Sensipar moves to Part B, by Sarah Tolson and Rick Collins

Editor’s note: In January, both Parsabiv and Sensipar moved from the Medicare Part D reimbursement to Part B for patients with end-stage renal disease. We asked Sarah Tolson and Rick Collins at Sceptre Management Solutions to explain how the change impacts dialysis providers and physicians.

Read the full article at: https://www.healio.com/nephrology/kidney-care-community/news/print/nephrology-news-and-issues/%7bbe4a80cc-e798-4d6b-9504-0a8163d77ae0%7d/medicare-payment-for-parsabiv-and-sensipar-moves-to-part-b

PD billing issues

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November 2018, Nephrology News & Issues: The Unexpected Perils of PD Billing, by Rick Collins

A few missing words and a lack of understanding have combined to make reimbursement for PD services a difficult problem for dialysis providers. While CMS generally has a good understanding of how PD should be appropriately billed and reimbursed, the same cannot be said for commercial and other government payers, including those that provide Medicare Advantage plans. In my experience, there are outpatient dialysis providers that are not being fully reimbursed for their PD services and are not aware this is happening.

Read the full article at: https://www.healio.com/nephrology/kidney-care-community/news/print/nephrology-news-and-issues/%7B8adccc45-924e-473c-a60b-26dee1f41166%7D/the-unexpected-perils-of-billing-for-pd-services

Son of Sceptre employee wins State 6A Backstroke–as a Freshman–and with a broken wrist!

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Freshman Kanyon Page caused quite a splash in the Utah High School 6A Swimming Championships earlier this month by winning the 100 Meter Backstroke and finishing third in the 200 Freestyle. While that in and of itself is an amazing accomplishment for a Freshman, his opponents never knew that Kanyon was swimming with a broken wrist!

Kanyon is the son of Sceptre employee Tammie Page. Kanyon had a skateboard accident one week before State and a doctor confirmed Kanyon’s worst fears–he had broken his wrist. Kanyon pushed ahead as best as he could during the week leading up to State. He originally hoped to be able to wear a brace or support of some sort during the meet, but was told his times would not qualify as official by some of the sport’s governing bodies. Undaunted, Kanyon chose to swim with no support of any kind and still won his favorite event, the Backstroke and finished third in swimming’s premier event, the freestyle.

The meet was on a Saturday and Tammie took her son back to the doctor the following week. Kanyon’s wrist was encased in a cast, which will remain until his fracture is healed.

The local Fox affiliate in Salt Lake City learned of Kanyon’s amazing feat and aired an interview with him during their Friday evening newscast and again during their weekly Sunday night show, Sports Page. Video of Kanyon’s swims taken by Tammie were included in the on air segment.

Sceptre congratulates Tammie and her son on this amazing accomplishment!

Photo: Tam and Kan