Author name: Baker Ali

Medical Record Maintenance: The importance of compliance

Uncategorized /

Patient care and the revenue cycle management revolves around medical records.  It is the only documented proof of what took place during the patient’s visit. For accurate reporting on diagnosis codes, the medical record documentation must best describe the patient’s condition. This should include a specific diagnosis, symptoms, problems, or reasons for the visit. The provider is responsible for making sure ICD coding adheres to ethical standards. Member charts are subject to review and are […]

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HEROES Act: Another relief package on its way?

COVID-19 /

Earlier this week, the US House of Representatives passed the Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act) – phase 4 of the COVID-19 stimulus and relief package.  The bill that narrowly passed is set to provide a further $3 trillion relief in tax cuts and spending to address the financial impact of the COVID-19 pandemic. The bill is introduced to provide support to states, local governments, expand unemployment benefits, provide leeway in

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How are medical insurances responding to COVID-19?

1 Comment / COVID-19 /

Insurance of the Day: Blue Cross Blue Shield BCBS announced that all of its 36 networks – both independent and locally operated – will be waiving off prior authorizations for diagnostic tests and services covered for COVID-19 cover tests at no member cost-sharing waive prescription refill limits on maintenance drugs expand telehealth and nurse and provider hotline access waive cost-sharing for telehealth services for a limited time Check website for validity of waiver BCBS Association

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How are medical insurances responding to COVID-19?

COVID-19 /

Insurance of the Day: Aetna Copays related to COVID-19 related diagnostic testing will be waived off – including all member costs linked with the diagnosis for Medicare, Medicaid or Commercial businesses.  Self-insured plan sponsors can opt out of the program if they choose to. $0 co-pay on telemedicine visits for any reason, not just COVID-19 related visits Extending its Aetna Medicare Advantage virtual evaluation and virtual monitoring for all its fully insured members People diagnosed

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What does the Families First Coronavirus Response Act (FFCRA) mean to me and my practice?

COVID-19 /

FAQs Q – What does the Emergency Period mean and what is the duration of this act?A – The emergency period mentioned in section 319 of the Public Health Service Act states this act shall be active during the emergency period for a period of 90 days, unless further extended by the authorities. Q – Does FFCRA change Medicaid Coverage?A – FFCRA adds several new Medicaid eligibility groups for individuals that are uninsured during the

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