Tag: Billing

CHARLOTTE – The No. 1 billing and revenue cycle management challenge for HME providers is preventing or reducing denials and appeals, according to the results of a new survey sponsored by Prochant and conducted by in90.  The No. 2 challenge: Hiring, training and retaining qualified intake, billing and collections staff.  “In response to these challenges, 60% of respondents have outsourced at least one RCM function in the past year, with over 70% attributing this decision...

WASHINGTON – Saleem Shah officially debuted Collaborative Patient Care Group (CPCG) at Medtrade in March after developing business-to-business offshoring and custom technology development solutions for his own company, New Hampshire Medical Supply, in 2019 and offering them to other companies starting in 2023.  CPCG’s “belief system”: To take over certain tasks so HME providers can eliminate the “switching heads” syndrome that holds them back from peak...

MIDDLETOWN TOWNSHIP, N.J. - NikoHealth has named Dana Cline, CDME, a seasoned professional with more than 20 years of experience in the HME industry, as an account success manager. Cline’s career spans a broad range of roles, including 12 years in operations and eight years in health plans, as well as significant contributions to large corporations, local companies and hospital-owned DME providers. Her expertise spans intake, resupply, sales, accreditation, inventory and operations, complemented...

YARMOUTH, Maine – The cyberattack that hit Change Healthcare in late February is making it difficult for HME software companies and their provider customers to process and bill claims, creating a dent in cash flows.  Change Healthcare, which processes 15 billion transactions annually, detected the cyberattack on Feb. 21 by a threat actor named “ALPHV/Blackcat,” forcing it to disconnect its systems.  “I’ve been in this industry for 25 years and I’ve...

WASHINGTON – The U.S. Department of Health and Human Services has outlined steps that CMS has taken to assist providers to continue serving patients in the wake of the Change Healthcare cyberattack.  Affected parties should be aware of the following flexibilities, the agencies say:  Medicare providers needing to change clearinghouses that they use for claims processing during these outages should contact their Medicare Administrative Contractor (MAC) to request a new electronic...

NEW YORK – Sunknowledge, a provider of outsourced billing and revenue cycle management services, has a partnership with an Illinois cardiovascular practice that has more than 34 specialties, 207 medical providers and 24 locations. “In today's challenging health care landscape, outsourcing has emerged as the solution to the labor shortage crisis in medical billing,” said Ronnie Hastings, a senior director at Sunknowledge. “Outsourcing offers a lifeline by providing...

EDINA, Minn. – UnitedHealthcare says it will begin a two-phased approach to eliminating the prior authorization requirement for many procedure codes starting Sept. 1, 2023, to help reduce the administrative burden on health care professionals and their staff.  This move will reduce the payer’s overall prior authorization volume by nearly 20%.  “This is part of our comprehensive effort to simplify the health care experience for our members and network health care...

CLEVELAND – HW&Co., a regional CPA and advisory firm with offices in Cleveland, Columbus and Mansfield, Ohio, has announced it has successfully merged with ECS Billing & Consulting South. ECS’s 30-plus employees will join the more than 110 HW&Co. employees serving clients across Ohio and the United States, and its office in Dublin will become the company's sixth office. “When thinking about what was next for ECS, we wanted to partner with a firm with similar values in how it...

Automation technology has made great strides within the HME industry, organizing and streamlining operational office functions that go beyond billing. That progress has changed the dynamic of a provider’s financial processes and business workflow.  “Basically, there are many areas in the HME provider’s business, including revenue cycle management, where advanced technology and automation – including artificial intelligence – can be used to improve process throughput,...

NASHVILLE, Tenn. – National Seating & Mobility has chosen AGS Health, a revenue cycle management solutions provider, as a strategic partner to perform administrative functions related to funding, billing and collections.  NSM expects the partnership to maximize its revenue cycle performance through continuous process- and tech-enabled productivity improvements, while improving quality and cycle times for clients.  “While this is clearly the right decision to further strengthen...