As a Nurse Practitioner (NP), starting a private practice can be a great opportunity to have greater control over patient care, working independently, and increasing earning potential. However, the requirements for a ...
Continue ReadingAs a Nurse Practitioner (NP), starting a private practice can be a great opportunity to have greater control over patient care, working independently, and increasing earning potential. However, the requirements for a ...
Continue ReadingHealthcare organizations often find it challenging to negotiate contracts with fee-for-service payers, however, a well-crafted plan can lead to successful negotiations....
Continue ReadingMIPS stands for Merit-based Incentive Payment System, a compliance program developed by the Centers for Medicare & Medicaid Services (CMS). The MIPS program incentivizes and rewards eligible clinicians who provide high-quality, cost-effective care to their patients....
Continue ReadingHave you ever wondered if dental credentialing is worth the investment? Sure, it might seem like a hassle to go through the credentialing process and deal with insurance companies, but most say it is worth it. Investing in dental credentialing services can benefit your practice...
Continue ReadingDenied claim appeals refer to the process of challenging a payers decision to deny reimbursement for a healthcare service or treatment. When the insurance denies a claim, an appeal can be filed to challenge that decision and in some cases insurance can be convinced to...
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Revenue Cycle Management (RCM) is an essential component of the medical practice or healthcare organization, and it encompasses the management of financial transactions between patients, providers, and insurance companies. RCM is a complex and time-consuming process that requires expertise and specialized knowledge of the medical...
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Medical credentialing services can be particularly important for healthcare providers who are seeking to join a new healthcare network or insurance plan, as well as for healthcare facilities and organizations that want to ensure that the healthcare providers they work with are properly qualified and...
Continue ReadingCMS has released a notice stating they will be conducting MIPS data validation and audits for the performance years 2019, 2020, and 2021. This process is set to begin in January 2023. Regulations require both individual clinicians and groups to comply with any requests to provide...
Continue ReadingAt the end of July, CMS released its 2023 Proposed Rule for MIPS Reporting. There were some notable changes proposed, including additional MVP options and measure changes for the Promoting Interoperability category. They have not proposed any changes to the scoring or minimum thresholds for...
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