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The Anti-Kickback Statute (AKS), was first in place in 1972 to curb abuse and Medicare and Medicaid fraud stemming from medical professionals offering services to receive benefits outside regular fees and reimbursement. Learn how to stay compliant.
The urgent care business is booming. What that means for you is more patients—and more claims. Processing an increasing number of claims can be a challenge for clinics, especially regarding compliance. Here's how you can lower your risk.
The CMS Merit-based Incentive Program (MIPS) was designed to tie payments to quality and cost-efficient care, drive improvement and outcomes, increase the use of healthcare information, and reduce the cost of care. Learn the top five things you should know about MIPS.
For urgent care clinics and healthcare providers in general, a backlog in accounts receivable (AR) isn’t unusual. Collecting unpaid debt is a burden that can be lifted by hiring a collection agency. Ask these questions before you make your choice.
Urgent care billing mistakes won’t just cost your center a few cents off the dollar. They can be extremely costly – sometimes even at the expense of the success of...
Let’s face it; no one wants to send patient accounts to collections. It’s embarrassing for patients and a legal minefield for urgent care billing departments. At the end of the...
In this issue, we explore urgent care coding trends over the last five years. We look at ICD-10, CPT®, and E/M codes and share insights into what these trends mean for on-demand healthcare providers.
Research verifies that average reimbursement per visit for new patients is higher than for established patients at every E/M code level. Is your marketing effectively drawing in patients when they need urgent care? Use these tips to help you attract them.
Hundreds of lab codes are expected to see reduced payments under a planned Medicare fee schedule change that will take effect January 1, 2018. The changes are a provision of...
Revenue is the lifeblood of your urgent care business and reimbursement per visit is an important indicator of your clinic’s performance. Simply put, reimbursement per visit is one of the easiest things to watch to predict revenue and potential success. In this issue of the Urgent Care Quarterly, we explore 2013–2016 trends for urgent cares both by region and nationally.
This month the Centers for Medicare and Medicaid Services (CMS) released its 2018 final rule for the Medicare Physician Fee Schedule, which sets the Medicare payment rates each year. Is...
For many urgent care clinics, submitting MIPS documentation isn't at the top of your to-do list. MIPS is not nearly as complex as you think, and chances are good you'll earn an incentive when you participate. Here's why you should.