Locum tenens arrangements have become a routine part of how medical practices keep their doors open when a provider is out. A physician takes a two-week vacation, a nurse practitioner goes on maternity leave, or a specialist is pulled away for continuing medical education. The practice brings in a substitute provider to cover the schedule […]
60-day Rule, CMS Compliance, Medical Billing Compliance, Medicare Billing, OIG Exclusion, Provider Credentialing, Q6 Modifier, Substitute Provider
The moment healthcare providers have been waiting for has arrived. After years of anticipation, CMS has officially launched PECOS 2.0, bringing a completely redesigned approach to Medicare enrollment and revalidation. This isn’t just a minor update to the old system, it’s a ground-up transformation that affects every aspect of how providers join and maintain their […]
Centers for Medicare & Medicaid Services, CMS, Medicare, Medicare Billing, Medicare Credentialing, Medicare Enrollment, Medicare In-Network, Medicare PECOS, Medicare Reimbursement, PECOS, PECOS 2.0
Florida’s healthcare landscape represents one of the most complex and rapidly evolving markets in the United States. With over 22 million residents, including the nation’s largest population of seniors, Florida presents unique challenges and opportunities for healthcare providers. From the bustling metropolitan areas of Miami and Orlando to the state capital in Tallahassee, medical practices […]
Jacksonville Medical Billing, Medicare Billing, Miami Medical Billing, Orlando Medical Billing, Tampa Medical Billing
If you’re a healthcare provider or facility dealing with Medicare, one thing is certain, getting properly reimbursed is a maze filled with complex rules, convoluted paperwork, and often, sheer frustration. Medicare reimbursement is the lifeblood that keeps many healthcare operations afloat, but navigating its serpentine pathways can feel like a daily battle. Buckle up as […]
APC, APCs, CMS, Geographical Practice Cost Index, Healthcare, Healthcare Billing, Inpatient Prospective Payment System, IPPS, Medical, Medical Billing, Medicare, Medicare Billing, Medicare Part A, Medicare Part B, Medicare Part C, Medicare Part D, Medicare Physician Fee Schedule, Medicare Reimbursement, Medicare Severity Diagnosis Related Groups, MIPS, MS-DRG, OPPS, Prospective Payment Systems, Revenue Cycle, Revenue Cycle Management
Home Health Services + Medicare What does Medicare Cover for Home Healthcare? If you’re looking for an answer to the question, “What does Medicare cover for home healthcare?”, you’ve probably typed it into a search engine and immediately closed the tab. The amount of information and the level of detail can quickly become confusing and […]
Healthcare, Healthcare Services, Home Health Care, Home Health Services, Home Healthcare, Medicaid, Medicaid Billing, Medicaid Coverage, Medicare, Medicare Billing, Medicare Coverage
Medicare, Medicaid Fraud Examples and Steps to Ensure You Don’t Commit It *These are examples of fraud as it relates to Medicare and Medicaid. Medical fraud is the intentional deception or misrepresentation of healthcare transactions by the provider for the sake of receiving unauthorized benefits or financial gain. Healthcare fraud is committed when a dishonest […]
Billing Fraud, False Claims Act, Fraud, Medicaid, Medicaid Billing, Medicaid Fraud, Medical Billing Fraud, Medicare, Medicare Billing, Medicare Fraud, Upcoding