Patients over Paperwork Initiative: Explained You most likely have heard of the Patients over Paperwork Initiative by now and may be wondering what exactly it is. To simplify, the Centers for Medicare and Medicaid Services started the initiative this year to reduce the many administrative requirements that were complicating the process of providers working with [...]
Medical Necessity
Definition of Medical Necessity A physician or clinical provider of care may have a completely different understanding, interpretation, and definition of medical necessity than the patient or a third-party insurance payer. Medical necessity documentation from a physician or provider should include the following: • Severity of the “signs and symptoms” or direct diagnosis exhibited by [...]
Should You Outsource Your Billing?
Besides costs, there are other factors that would spur a provider to consider outsourcing their billing. Your billing process is inefficient. If your collections have decreased and your billing staff insists that they are not changing the process of billing and follow-ups you may want to consider outsourcing RFS Billing and Consulting. We will decrease [...]