Medical necessity of inpatient care is determined by a combination of factors including the physician’s assessment of the patient’s history and physical, commonly referred to as the H&P, as well as the review of specific risk factors that are characteristic to the patient’s condition at the time of admission. [...]
The Merit-Based Incentive Payment System, MIPS, seems to be the new buzz word in every doctor’s office. Everyone is asking questions about MIPS: What is MIPS? How will it affect my practice? What do I need to do to avoid a potentially negative impact? If any of these [...]
Autism, a neurodevelopmental disorder, is a complex disability affecting 1 in 68 children. It is now common for those diagnosed to follow a treatment plan. Some insurance policies require a treatment plan outlining the frequency and expected outcomes/goals for the services provided. State laws often require certain doctors, such [...]
A capitation payment is a fee or payment of a uniform amount per each person. In regards to nephrology groups, Medicare’s monthly capitation payment is paid to physicians and practitioners for most of the outpatient dialysis-related services they provide to end-stage renal disease patients. The payment amount will vary [...]
Current technology combined with the need to develop greater convenience and a broader spectrum in the healthcare industry has allowed for the incorporation of telemedicine into the medical field. Within the United States, hospital physicians began experimenting with telemedicine over 50 years ago. Currently, due to the transformation of [...]
Outsourcing your medical billing to a company who has the infrastructure to enable your practice to reach its fullest potential is something to be taken seriously. Medical billing errors can cost a practice thousands of dollars each month. Software deficiencies and completing your billing in-house can leave your [...]
