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Remote Patient Monitoring Reimbursement Requirements

By RMK HOLDINGS INC. | March 20, 2017

The Centers for Medicare & Medicaid Services (CMS) decided to reimburse providers as a monthly fee for remote patient monitoring (RPM) billed under CPT code 99091. The services are defined as “collection and interpretation of physiologic data (e.g., ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician…

Update on Allowable HIPAA Disclosure

By RMK HOLDINGS INC. | February 17, 2017

A HIPAA guidance release in January notes that providers can share information with the loved ones of patients even if they are not seen as relatives under current laws. An accompanying FAQ elaborated on the update stating that it is generally permissible to allow disclosures to a loved one not married to the patient or…

Billing Begins with Following the Basics

By RMK HOLDINGS INC. | January 17, 2017

Continuous changes in health insurance reimbursement guidelines result in an often complex medical billing scenario. This is unlikely to change. Evaluate your intake to charge to claim submission workflow and follow the basic best practices to target preventable denials and maximize reimbursement on the first pass. With insurance company requirements, provider input and government regulations…

Are You Coding to the Highest Degree of ICD-10 Specificity?

By RMK HOLDINGS INC. | December 15, 2016

The flexibility offered during the transition to ICD-10 coding disappeared as of October 1, 2016. Now, all providers need to precisely reflect clinical documentation per the coding guidelines and assign codes to the highest degree of coding specificity. A lack of documentation supporting the code can lead to the dreaded claim denials. The Cancer of…

How to Prevent Debt Collection Confusion

By RMK HOLDINGS INC. | November 14, 2016

Sometimes clients want to know if they can pursue money on an account after it’s been placed with a collection agency. Or, if a client can place an account with more than one agency at a time. While the Fair Debt Collection Practices Act (FDCPA) does not directly address these issues, it does say that…