You just got the bad news. The mechanic pulls you aside and informs you that your vintage VW Karmann Ghia is going to need a major overhaul—rods, rings, bearings, the works. As a treasured possession and family heirloom, there’s only one thing to do: you bite the bullet and pony up the cash. Sometimes, things […]
On July 10, 2024, the Centers for Medicare and Medicaid Services (CMS) released its 2025 Outpatient Prospective Payment System (OPPS) proposed rule (PR) relative to hospital outpatient services. The following will act to summarize the key elements of the PR. General OPPS Payment The OPPS payment rates for hospitals that meet the applicable quality reporting […]
It’s not an unknown phenomenon. Getting paid for something that was at least partially performed or created by someone else is a well-established practice. Thomas Edison was well known for taking the inventions of others, including his employees, and appropriating them as his own, receiving the acclaim and a hefty pay day (Nikola Tesla was […]
Defining Patient Responsibility Most patients have insurance for their medical expenses. Conventional insurance plans determine the value of services submitted on a claim, which they define as the allowable. Plans that emulate the original Blue Shield policy then pay the provider 80 percent of the allowable, unless there is an applicable unmet deductible. The result […]
Adhering to the medical billing rules and guidelines specific to anesthesia care is required in order to accurately report anesthesia services and get reimbursed in a timely manner. Anesthesia medical billing can be complex and time-consuming, which is why most facilities choose to partner with a medical billing company to achieve a more efficient workflow, […]
Success in ophthalmology medical billing relies on efficient and timely collections. Submitting consistently clean claims and getting paid on time can help keep your ophthalmology practice afloat. The following are medical billing tips that will help your facility maximize your revenue flow: 1. Understand the Ophthalmology Billing Process and What Is Required for Each Claim […]
Now more than ever, it’s important to work with a biller that has the skill, experience, and data to deliver maximum billing and collections. Partners don’t keep secrets. At Coronis Health, we are 100% transparent. Our team offers complete access to our medical billing software. Our clients can view patient statements, reimbursement rates, monthly projections, […]
Traditional third-party billing is dead. It’s the data-driven era. The stakes are high for inpatient and outpatient treatment facilities as the very nature of treatment undergoes some degree of change. As personal and professional lives shift under Covid-19, many facilities are reporting three- and four-fold increases in admissions. Working side-by-side with our clients during this […]
When you decide to outsource your medical billing, you need to do your research to ensure that you connect with the right company for your facility’s needs, such as claim processing, offered services, staff training, AR management, and analytic reports. When you find the right billing company, all of these needs – and more – […]
