Easy But Effective Ways to Enhance Your Specialty Clinic Medical Billing Process
Like any type of business, specialty clinics rely on efficient billing processes to collect the money they need to keep running. This post takes a look at some easy but effective ways to make your specialty clinic medical billing procedures function better than ever....
Medicaid Billing For Schools in 2019
In the state of Massachusetts, the Medicaid program is administered by MassHealth, which works jointly with the School-Based Medicaid Program (SBMP), and is administered by the University of Massachusetts Medical School (UMMS). Program Overview In the state of...
5 Things You Need to Know About the MassHealth School-Based Medicaid Program
The MassHealth School-Based Medicaid program (SBMP) affords an opportunity for local education agencies to be awarded with federal money that will help to offset the costs for schools which have to provide specific Medicaid-covered services to students. MassHealth is...
School-Based Medicaid Program Expansion in Massachusetts – What You Should Know
The School-Based Medicaid Program (SBMP) provides an opportunity for local education agencies (LEA's) to be reimbursed by the federal government for the coverage of costs associated with providing specific services covered by Medicaid in a school environment. Local...
How Will the ET3 Model be Phased Over the Next Several Years, to Make it Easier for Providers to Deliver High-quality Service?
In February of 2019, the U.S. Department of Health and Human Services (HHS) announced a new model to be used for payment of emergency ambulance services. This new model is intended to allow Medicare fee-for-service beneficiaries to get the best level of care at the...
Ambulance Billing Guide for 2019
All cities throughout the New England area are faced with the need to conserve on expenditures and to provide the most value for services which have been budgeted, and ambulance service is no exception. Since ambulance service is so critical to the community and those...
Which School Health Services are Covered by State Medicaid?
Children who are covered by Medicaid receive affordable and comprehensive health care coverage, to allow them to continue academic pursuits and become successful as adults. More than 30 million young people are currently receiving benefits under this program, and...
Top 5 Urgent Care Billing Tips
Because of the number of steps involved in the claims creation process, it's very common for there to be some mishaps in urgent care billing. For that reason, it becomes very easy for clinics and health facilities to be underpaid for urgent care services. To avoid...
Demographic information critical for ambulance billing success
Even in an ideal scenario, it’s difficult to capture complete and accurate demographic information. There are typos and misspellings with which one must contend, and patients don’t always provide correct data. Now consider an emergent situation in which a patient...
CMS rule reversal for Medicaid free care: Will additional reimbursement be on the way for Massachusetts public schools?
Massachusetts public schools participating in school-based Medicaid claiming may soon see a revenue boost thanks to a CMS reversal of its long-standing Medicaid free care rule. This surprising reversal essentially allows schools to bill Medicaid-covered services for...
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