Navigating Telemedicine Reimbursement in the New Normal On September 16, 2020, TriZetto Provider Solutions is hosting an educational webinar with speaker Elizabeth Woodcock. Elizabeth W. Woodcock, MBA, FACMPE, CPC, Principal at Woodcock & Associates is a professional speaker, trainer and author specializing in medical practice management. Elizabeth has focused on medical practice operations and revenue…
As we all start to look at ways to reduce overhead and improve cash flow, understanding the cost of billing is an important measure for how well your practice is performing. Often, leaders accept the high cost of billing without truly understanding if they are receiving a return on their investment. At RCM360, we can…
There are several reasons FQHC’s are not capturing the full PPS rate for given services including credentialling issues, code capture, and classifying revenue codes appropriately. Practices also may not receive a full PPS rate because of Medicare Advantage Plans that are not contracted to reimburse at the PPS rate or incorrect forms submissions. In…
In April 2018, the Centers for Medicare & Medicaid Services (CMS) began mailing new Medicare cards to all active Medicare beneficiaries. All beneficiaries should now be in possession of new cards that reflect their individual Medicare Beneficiary Identifiers (MBIs). This new number takes the place of social security number-based health insurance claim numbers (HICNs) used…
Effective Aug. 1, 2019, Anthem Blue Cross and Blue Shield began submitting their Electronic Remittance Advices (ERAs) directly to Availity. As a result, many practices that use the TriZetto clearinghouse platform are not receiving their Anthem Blue Cross and Blue Shield ERAs. This issue is specific to TriZetto-based practices in the following states: California, Connecticut,…
Recently at RCM360®, we became aware of an issue that was affecting one of our clients and could affect many others as well. The situation goes like this… A patient is seen by a doctor in their office. During the visit, the patient has an x-ray performed with the understanding that the cost would be…
According to the Social Security Administration, a “processing error” that occurred in January of this year means that some Medicare beneficiaries’ requests to pay their premiums through a deduction from their Social Security did not go through. As a result, those premiums have not been paid, which means at least a quarter of a million…
“The most important thing we felt about RCM360 is that they felt a sense of ownership when it comes to their responsibility towards getting our money, and we hadn’t felt like we were that important with billing companies in the past.”
I recently returned from the Mini Takes the States road trip, an event organized by Mini USA in which a set of routes is organized, and a large group of Mini owners get together to have a driving experience across the country. We took the Orlando, Florida to Keystone, Colorado route, which was the east…
Revenue Cycle Management is a complete process, from when the patient is seen all the way to collection and filing the claim. Practices are businesses, and they’re seeing the patient for money, and if they’re not managing their revenue cycle management, they are not verifying they’re collecting all the money they could.