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Renal

2019 covid has brought new telehealth rules in 2020

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

This article was published in the July  issue of Nephrology Times and written by our own Sarah Tolson, Director of Operations.

Physician offices and dialysis facilities alike have been scrambling to provide their patients with the best possible care, minimize the risk of exposure to COVID-19 for both patients and caregivers, and comply with ever-changing state and federal safety guidelines during this public health emergency. Insurance companies have also made changes to facilitate contact-free access to healthcare for their members. Medicare released a list of 239 Current Procedural Terminology (CPT) codes that are payable under the Medicare Physician Fee Schedule when they are furnished via telehealth. Most insurance companies have followed Medicare’s lead and expanded their list of covered telehealth services to allow patients more flexibility in accessing healthcare. Now, more than any time in our history, people are receiving healthcare via telehealth.

Along with all the changes in covered services, there have been changes in the billing requirements for telehealth services. Now, it is critical to stay up to date on billing regulations and requirements. Not only has the number of patient visits dwindled in many practices, but staff being unfamiliar with current telehealth billing requirements can result in a loss of revenue. There are three steps that can be followed by billing staff to ensure maximum reimbursement is obtained for telehealth services during this time of change.

Continue reading https://www.docwirenews.com/nephtimes/a-year-of-change/

A Year of Change

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Three Tips to Improve Accounts Receivable

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

Three Tips to Improve Accounts Receivable

Published in Nephrology Times, May/June 2019

By Sarah Tolson, Sceptre Management Solutions

In our company, we deal with insurance companies across the nation. Working with a variety of payers gives us a wide range of experience but we also
encounter our fair share of challenges in obtaining reimbursement. Here are three simple tips that make collecting from payers a little easier….Read More

 

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 »