Medical Billing and Collections
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Medical Claims Appeals

MACRA: The Medicare Access and CHIP Re-authorization Act of 2015

MACRA: Medicare Access and CHIP Re-authorization Act Understanding The Quality Payment Program & Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) MACRA: The Medicare Access and CHIP Re-authorization Act of 2015 is the new CMS (Centers for Medicare & Medicaid Services) program that consolidates together the Physician Quality Reporting System (PQRS), Value-based Modifier (VBM),[…]

anesthiology two

Solutions for the Ambulatory Anesthesia Value-Based World

Article 2 in a series: Ambulatory anesthesia providers resolve value-based payment issues. The first article in the series, The Ambulatory Anesthesia Value-Based World, addressed the problems associated with achieving effective results in the world of value-based payment models and ambulatory anesthesia.  This report features what practitioners are doing to resolve the issues and achieve desired[…]

AR Management

The Ambulatory Anesthesia Value-Based World

Article 1 in a series to help anesthesia providers survive and thrive using the new value-based payment models. The reality of the ambulatory anesthesia value-based world is that Medicare inadvertently set up the ambulatory anesthesiology practice for failure. Most of the non-hospital based practices were unable to achieve meaningful use which eliminated them from the[…]

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Medical Claims Appeals

Simplifying Medical Provider Credentialing and Enrollment

Simplifying Medical Provider Credentialing and Enrollment Credentialing and enrollment are separate requirements made of all medical practices in order for providers to care for patients and receive payments. Taking note of these critical components of healthcare delivery and revenue cycling, the industry is working towards improving how provider data is being managed.  Independent service providers that[…]