CMS Approving Section 1135 Medicaid Waivers for States
During the Centers for Medicare and Medicaid Services press conference in which they announced the approval of blanket waivers, expanding telehealth services to all Medicare beneficiaries, they also called upon private payers to make clear to their beneficiaries what Covid-related services and telehealth options are and are not covered under their plans. Now, many private payers are stepping up to support their beneficiaries amidst the Covid-19 crisis.
Read More: https://abcnews.go.com/US/wireStory/aetna-waives-patient-payments-coronavirus-hospital-stays-69789991
This post was first published April 1, 2020 and was updated July 29, 2020.
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"National Medical’s expertise in the ASC market revealed that our contracts were reimbursing less than Medicare and in some cases only 38% of Medicare. Due to their expertise and experience, they were able to renegotiate better contracts and increase our contract reimbursement by 305%. We’re now able to bring additional cases to our center."
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"Before we hired National Medical, we were handing billing in house and were averaging $811 for each surgery. In our very first year with National Medical, with the same number of cases, we have increased our cash per case to $1,400. That represents an increase of approximately $600 per case, or 73 percent, all of which is pure profit for us. In absolute terms, that means an additional $90,000 per month to us on the same number of cases."
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"National Medical consistently exceeds our expectations by going above and beyond every day. Their team is proactive, highly attentive and smart. To top it off, their detailed analytics team provides us with powerful insights into our business, allowing us to make informed decisions. In short, they are the perfect partner for all of our revenue cycle needs."
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