Lack of compliance and central repository creating laborious manual processes
Struggling with Price Transparency? You’re Not Alone.
Category: Quadax Blog
Examine COVID Claims to Find RCM Weaknesses in Your Lab
As the virus continues to spread and testing volumes increase, high claim volumes can exacerbate existing billing issues. Studying COVID denials and payments can help you recognize operational inefficiencies that are hurting revenue.
Hospital Revenues Bleak Entering 2021: How Technology is the Answer
Providers eager to embrace technology, freeing them from billing and payment burdens
AHA Loses Latest Legal Battle Challenging Price Transparency
AHA claimed requirement too burdensome; judges skeptical, rule in favor of HHS
The American Hospital Association (AHA) was hoping for intervention from the D.C. Circuit Court of Appeals as the Price Transparency rule requiring hospitals to publicize rates goes into effect Friday, January 1, 2021. The AHA filed for an emergency notion to block the rule from going into effect, citing hospitals are overwhelmed with COVID-19 vaccine distribution and record-high caseloads of COVID-19.
Key Healthcare Provisions in New Relief Law – Need to Know
President Trump signs massive $2.3 trillion coronavirus relief and government funding bill into law
Below are some of the key healthcare-related provisions in the legislation, including a detailed breakdown of the provisions related to funding for healthcare providers under the COVID-19 Provider Relief Fund (PRF).
CMS Provides Billing Codes for Regeneron’s COVID-19 Antibody Drug
The agency also released payment allowances for the two billing codes, which account for the injection, infusion, and post-administration monitoring of the recently approved COVID-19 antibody drug.
COVID-19 Vaccine Creating Another Hurdle for Hospitals
Receiving, storage and distribution pose additional challenges
New CMS Rule Attempts to Alleviate the Prior Authorization Burden
Proposed rule aims to improve data sharing and interoperability by streamlining prior authorization
The 2021 Physician Fee Schedule is Finalized – Here are the Highlights
New rule decreases payment conversion factor; increases telehealth expansion, E/M services
UnitedHealth Ordered to Reprocess 67,000 Behavior Health Claims
Federal judge orders nation’s largest insurer to use independent rules, pay for more treatment
