March 27, 2023
The rise of outpatient total joint replacements offers long-term growth for ASCs If you’re looking for ways to take your surgery center’s profits to the next level in 2023, look no further than total joint replacements. While there are currently 580 ASCs in the United States offering these high-acuity procedures, total joints have strong volume […]
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March 21, 2023
Surgical organizations can enhance efficiency, reduce errors, and boost revenue collection by partnering with a full-service revenue cycle management company. According to new research by Bain & Company and KLAS, over 95% of healthcare providers are looking to invest in new revenue cycle processes to boost productivity and automate tasks within the 2023 calendar year […]
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February 21, 2023
2023 Payer Trends: Navigating Advanced Payment Models Scott Allen, Senior Vice President of Managed Care Contracting, National Medical In today’s rapidly evolving healthcare landscape, ambulatory surgical centers (ASCs) are facing new payer trends that are reshaping the way they are reimbursed for their services. One of the most significant is the move towards value-based care […]
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January 23, 2023
Managed Care Contracting Guidelines to Improve Reimbursement During a webinar with Becker’s Healthcare, Scott Allen, National Medical’s Senior Vice President of Managed Care Contracting, discussed how ASCs can navigate implant billing by reviewing managed care contract terms. He explained that when ASCs conduct a case costing analysis, many find that implants can be one of […]
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December 28, 2022
By Kylie Kaczor, MSN-RN, CPCO, CPHRM, CMPE, CASC, CLSSBB, ACHE, Senior Vice President — Clinical and Regulatory Affairs, National Medical Billing Services As the healthcare industry strives to financially recover from the coronavirus pandemic and continues to meet patient needs that have changed as a result of the pandemic, revenue cycle success is at the […]
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December 16, 2022
Top Five Questions to Ask When Establishing Reconciliation Workflow When a patient steps into your surgery center at a scheduled date and time for a surgical procedure, the visit must be documented to reconcile it against the charges the patient eventually receives. This is the basic principle surrounding appointment and charges reconciliation. Establishing a […]
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December 9, 2022
Five Key Coding Updates for 2023 During a Becker’s Webinar, Paul Cadorette, National Medical’s Director of Training and Education for Coding outlined five key coding changes for 2023, including new CPT add-on codes. CPT coding topics included: • Lumbar disc arthroplasty • Minimally invasive SI joint fusions • Repair of nasal vestibular stenosis […]
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November 9, 2022
Published on Beckers ASC Review By Paul Cadorette, CPC, COC, CPC-P, COC, CASCC, Director, Training and Education, Coding, and Alison Kuley, CPC, Senior Spine Coder, National Medical Billing Services. Much like the spine itself, medical coding constitutes the backbone of your revenue cycle. As more spinal procedures are performed on an outpatient basis in ambulatory surgery […]
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November 9, 2022
Review ASC managed care contracts to achieve higher reimbursement rates for orthopedics The ASC Association lists orthopedics as the most common specialty for ambulatory surgery centers (ASCs) nationwide. According to VMG Health’s 2022 “Multi-Specialty ASC Benchmarking Study,” orthopedic surgeries bring in more revenue than any other specialty – up to $4,009 per case. With higher […]
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October 27, 2022
Strategies to Reduce Prior Authorization Errors Do you know what your prior authorization error rate is or the financial impact it has on your overall revenue? During a Becker’s Hospital Review webinar, National Medical’s President Lisa Rock explains why accuracy within front-end operations is critical for the financial success of surgery centers. In one example, […]
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October 25, 2022
ST LOUIS, MO, October 25, 2022 – National Medical Billing Services (“National Medical”), an industry leading healthcare revenue cycle management (“RCM”) company serving the surgical market, has acquired MedTek, LLC (“MedTek” or the “Company”), a leading provider of RCM solutions to ambulatory surgery centers (“ASCs”), hospitals, clinics, and specialty groups nationwide. This partnership will further […]
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September 19, 2022
Stacie Fults, Senior Vice President of Client Services at National Medical Billing Services – Tuesday, September 13th, 2022 on Beckers ASC Review In today’s competitive healthcare environment, building a successful ASC begins with creating a patient experience that differentiates your surgery center from the competition. Establishing a process to address patient expectations and improve patient […]
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August 26, 2022
Three Managed Care Contracting Tips for Surgical Organizations Maximizing your surgery center’s revenue requires a comprehensive approach to examine the accuracy of coding, billing, and reimbursement practices, leaving no stone unturned. How do you know if you’re on track to improving your financial health and where do you even start? We talked to Scott Allen, […]
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July 19, 2022
The Centers for Medicare & Medicaid Services (CMS) released both the CY 2023 Physician Fee Schedule Proposed Rule and the Hospital Outpatient Prospective Payment System/Ambulatory Surgical Center Payment System Proposed Rule. The proposed rules solicit public comments on proposed policy changes for Medicare payments and payment policy issues. Key provisions of the proposals include the […]
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July 5, 2022
Consider improving processes in these four areas as your center adds more complex procedures to its list Driven by continuous successful outcomes in the outpatient setting, ASCs have emphasized incorporating more complex procedures into their repertoires as a formative growth strategy. However, adding complex procedures like total joint replacement, cervical disc replacement or implantable cardioverter-defibrillator […]
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June 30, 2022
Maximize the Value of Multi-Specialty, Complex Procedures in Your ASC. Specialized procedures are migrating to the outpatient setting, including complex orthopedic, spinal, and cardiology surgeries, among others. The health care trends driving specialized surgeries to ambulatory surgery centers include cost savings, technological advancements, convenience, safety and outcomes. Patients, providers, and payers are all benefiting from […]
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June 8, 2022
The Business of Powering Profitability: Implementing the Right Metrics to Grow Your Business Our latest podcast episode in partnership with Becker’s Healthcare features Nader Samii, National Medical’s CEO, and Dr. Amit Patel, the CEO of Summit Spine and Joint Centers. They discuss the roles of technology and innovation in Ambulatory Surgery Centers, and the reasons […]
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May 31, 2022
Upcoming Events and Conferences National Medical’s thought leaders will be connecting with participants at the following events to provide expertise regarding revenue cycle efficiency and financial performance best practices. THE 2022 NJAASC ANNUAL CONFERENCE East Brunswick, New Jersey June 7 -8 Visit us at Booth #33 Meet our Senior Vice President of Client Services, Stacie […]
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May 31, 2022
In 2016, National Medical partnered with an Ambulatory Surgery Center (ASC) in South Carolina after a revenue cycle audit confirmed the in-house billing and facility management were delivering financial underperformance and lacking key Revenue Cycle Management (RCM) metrics. The ASC sought out National Medical, an award-winning leader in revenue cycle management and compliance in the […]
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May 17, 2022
CHESTERFIELD, MO, May 17, 2022 – National Medical Billing Services (“National Medical”), an industry leading healthcare revenue cycle management (“RCM”) company serving the surgical market, has acquired Medi-Corp, Inc. (“Medi-Corp” or the “Company”), a nationwide RCM services provider specializing in anesthesia, ASCs, and pain management. This partnership will further broaden National Medical’s surgical expertise by […]
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May 12, 2022
Nursing is one of the fine arts; I had almost said ‘the finest of fine arts.’– Florence Nightingale No matter how you choose to celebrate International Nurses Day, taking time to recognize your nursing staff or co-workers can make a huge difference. At National Medical, we’re proud to honor our healthcare professionals. Meet Marta, […]
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March 3, 2022
The Impact of The 2022 CMS Rule Changes on Your ASC and How to Navigate the Change. In recent years, more and more complex surgical procedures have migrated to the ambulatory surgery center (ASC). Advances in technology and surgical technique, strategic patient selection, and payer policy updates have aided in this migration. The recent reversal […]
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March 2, 2022
Understanding the 2022 outpatient policy changes doesn’t have to be hard. In this episode, renowned orthopedic surgeon Dr. Ron Singer joins National Medical leaders Nader Samii, CEO, Kylie Kaczor MSN-RN, CPCO, CPHRM, CMPE, CLSSBB, ACHE, SVP of Clinical and Regulatory Affair, and Aaron Davis, VP of Client Operations. Tune in to hear about the evolution […]
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February 16, 2022
CHESTERFIELD, MO, FEBRUARY 16, 2022 – National Medical Billing Services (“National Medical”), an industry leading healthcare revenue cycle management (“RCM”) company serving the ambulatory surgery center (“ASC”) market, has acquired National Billing Partners (“NBP” or the “Company”), a full-service RCM company focused on the surgical market, including ASCs and surgical practices. The combination will further […]
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February 7, 2022
Published on Beckers ASC Review By Kylie Kaczor, MSN-RN, CPCO, CPHRM, CMPE, CASC, CLSSBB, ACHE, Senior Vice President — Clinical and Regulatory Affairs, National Medical Billing Services, and Aaron Davis, PMP, ICGB, CLSSGB, Vice President — Client Operations, National Medical Billing Services As the healthcare industry strives to financially recover from the coronavirus pandemic and […]
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January 7, 2022
CHESTERFIELD, MO, JANUARY 10, 2022 – National Medical Billing Services (“National Medical”), an industry leading healthcare revenue cycle management company serving the ambulatory surgery center (“ASC”) market, has acquired mdStrategies (the “Company”), a full-service medical coding company focused on ASCs. The combination will further bolster the depth and breadth of National Medical’s ASC coding expertise […]
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December 21, 2021
With advancements in medical technology and high-quality outcomes, CMS has steadily allowed more orthopedic procedures to be performed in outpatient settings such as ambulatory surgery centers. However increasing the profitability of orthopedics in ASCs can be a challenge. During a December Becker’s Hospital Review webinar sponsored by National Medical Billing Services, experts discussed strategies for making orthopedics […]
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December 14, 2021
The U.S. Department of Health and Human Services recently announced that the Provider Relief Fund (PRF) Reporting Portal will reopen for the completion or submission of reporting for Reporting Period 1 from Dec. 13, 2021 at 9:00 am ET through Dec. 20, 2021 at 11:59 pm ET. Medical groups that already submitted a Reporting Period […]
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November 9, 2021
On November 2nd, the Centers for Medicare and Medicaid Services released the CY 2022 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Final Rule. Key provisions of the proposal include the following: Changes to the ASC Covered Procedures List For CY 2022, CMS is reinstating the criteria for adding procedures to the ASC […]
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November 9, 2021
On October 15th, the Department of Health and Human Services (HHS) officially extended the National Public Health Emergency (PHE) which was set to expire. The declaration will extend the availability of waivers, including the Hospitals Without Walls initiative, and funding that are available under the Public Health Emergency. By statute, the Public Health Emergency can […]
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October 27, 2021
Published on Beckers ASC Review By Kylie Kaczor, MSN-RN, CPCO, CPHRM, CMPE, CASC, CLSSBB, ACHE, Senior Vice President — Clinical and Regulatory Affairs, National Medical Billing Services, and Aaron Davis, PMP, ICGB, CLSSGB, Vice President — Client Operations, National Medical Billing Services Over the past several years, ambulatory surgery centers have experienced and championed the […]
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October 1, 2021
Originally published in ASC Focus Author: Kylie Kaczor, MSN-RN, CASC, CPCO, CPHRM, CLSSBB, CMPE, ACHE, SVP, Clinical & Regulatory Affairs Kelsey Moore, CPCO, Manager, Ancillary Services, Regulatory Affairs Specialist The growth of consumerism and the need for healthcare cost-containment has resulted in the Department of Health and Human Services hospital price transparency ruling which went […]
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October 1, 2021
Published in Beckers ASC Review Author: Kylie Kaczor MSN-RN, CPCO, CPHRM, CASC, CMPE, CLSSBB, ACHE Senior Vice President, Clinical and Regulatory Affairs. Kelsey Moore, CPCO, Manager, Ancillary Services, Regulatory Affairs Specialist The Covid-19 pandemic has accelerated the adoption of healthcare technologies focused on improving the patient experience while delivering on the expectation of accessible healthcare. […]
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July 20, 2021
July 19, 2021, the Department of Health and Human Services (HHS) officially extended the National Public Health Emergency (PHE) which was set to expire. The declaration will extend the availability of waivers, including the Hospitals Without Walls initiative, and funding that are available under the Public Health Emergency. Under federal law, an HHS-declared PHE and […]
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July 20, 2021
July 20, 2021, the Centers for Medicare and Medicaid Services released the CY 2022 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Proposed Rule. Key provisions of the proposal include the following: Proposal to use CY 2019 claims data to set the CY 2022 OPPS and ASC payment rates due to the CY […]
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June 30, 2021
Osage Beach, MO June 28, 2021–Chesterfield, Missouri-based National Medical Billing Services is thrilled to announce the grand opening of a new facility in the Lake of the Ozarks region, in Osage Beach, Missouri. The fast-growing company has been named Top Workplace for the 7th year in a row by St. Louis Post Dispatch and the 5th year by the St. Louis Business Journal. The new […]
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June 14, 2021
Originally published on Becker’s ASC Review In 1966, Eric Clapton, Jack Bruce, and Ginger Baker formed the band Cream. Each member was a star in his own right, leading most music historians to crown Cream as the very first “supergroup,” coining the now popular phrase. Today, it’s orthopedic supergroups that are on the rise. Orthopedic […]
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May 17, 2021
Alexandre Rasouli, MD, Cedars Sinai, and Aaron Davis, National Medical Billing Services – Thursday, May 6th, 2021. Originally published on Becker’s ASC Review. CMS Releases Proposed 2021 Medicare Hospital Outpatient and ASC Rule Spine surgeons interested in investing in an ASC have the opportunity to realize significant profit over the next five years. Not only is spine […]
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April 21, 2021
National Medical Billing Services, a national healthcare revenue cycle management company that specializes in servicing ambulatory surgery centers and their affiliated surgeons, was the Corporate Sponsor of the Becker’s Orthopedic, Spine + ASC Virtual Event, held March 18-19th from 10:00 am – 12:00pm CST. All virtual events are available on-demand Due to COVID-19, conferences have […]
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April 21, 2021
National Medical Billing Services, a national healthcare revenue cycle management company that specializes in servicing ambulatory surgery centers and their affiliated surgeons, spoke at 2021 Virtual NCASCA Spring Education Day held March 10th. Due to COVID-19, conferences have been moved to a virtual setting. National Medical CEO, Nader Samii and SVP of Finance, Matt Litzelfelner […]
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April 21, 2021
National Medical Billing Services, a national healthcare revenue cycle management company that specializes in servicing ambulatory surgery centers and their affiliated surgeons, was the Title Sponsor of the Ambulatory Surgery Center Association Virtual Coding and Reimbursement Seminar, held January 11th, 19th, and 25th. Due to COVID-19, the conference was moved to a virtual setting. Attendees […]
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April 1, 2021
By Jessica Edmiston, Senior Vice President of Coding at National Medical Billing Services Surgeons embrace new technology and highly complex or rare cases. While these challenges help surgeons excel in their field, they can also create coding and billing dilemmas. New services or procedures that do not have an accurate, descriptive CPT or HCPCS code […]
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March 16, 2021
By Bill Hazen, CEO, Surgery Center at Pelham and Aaron Davis, Vice President of Operations, National Medical Billing Services Nearly all ASCs suffered a loss when elective surgeries paused in the spring of 2020. ASCs with highly functioning business operations have not only overcome those losses, but will benefit from a rebounding and growing market. […]
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February 5, 2021
January 28, 2021 Nader Samii, CEO at National Medical Billing Services, and Dr. Neil ElAttrache, Sports Medicine and Orthopedics Specialist. This episode features Nader Samii, CEO at National Medical Billing Services, and Dr. Neil ElAttrache, Sports Medicine and Orthopedics Specialist. Here, they discuss their career journeys, reimbursements, high acuity cases, and more. Listen at Blubrry
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February 3, 2021
ST. LOUIS, Feb. 3, 2021 — National Medical Billing Services, an industry leading healthcare revenue cycle management company serving the ambulatory surgery center (“ASC”) market, today announced it has entered into a strategic partnership with Aquiline Capital Partners, a private investment firm based in New York and London with $5.6 billion in assets under management. Aquiline […]
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January 5, 2021
Nader Samii, JD/MBA, Chief Executive Officer, National Medical Billing Services. Originally published at Becker’s ASC Review. Cardiology is one of the fastest-growing ambulatory surgery center specialties as it is following in the footsteps of the hypergrowth specialties of orthopedics and spine. Strong reimbursement rates, an increase in covered procedures, and a high percentage of complex […]
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December 23, 2020
HEALTHCARE NOW Radio and Podcast Network: Nader Samii, CEO & Matt Litzelfelner, VP of Finance at National Medical Billing Services Presented by: Jeff Lin, Nader Samii and Matt Litzelfelner Host Jeff Lin is joined by Nader Samii, CEO and Matt Litzelfelner, SVP of Finance for National Medical Billing Services. They discuss the ever-changing landscape of […]
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December 3, 2020
On December 2, 2020, the Centers for Medicare & Medicaid Services (CMS) released the final rule on policies that seek to empower patients, increase choice of where to have a procedure done, lower out-of-pocket costs, and protect taxpayer dollars. Key updates include the following: Elimination of the Inpatient Only List In this rule, CMS is […]
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December 2, 2020
On December 1, CMS released the annual Physician Fee Schedule (PFS) final rule, prioritizing CMS’ investment in primary care and chronic disease management by increasing payments to physicians and other practitioners for the additional time they spend with patients, especially those with chronic conditions. Key updates include the following: With the budget neutrality adjustment, […]
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November 9, 2020
By Lindsay Gross, Executive Vice President of Operations at National Medical Billing Services While COVID-19 initially caused a shutdown or significant slowdown for surgery centers, ASCs have worked their way back to achieving pre-pandemic volumes. Surgery centers have proven to deliver safe and high quality outcomes, and have become a very attractive destination for patients […]
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November 6, 2020
National Medical Billing Services, a national healthcare revenue cycle management company that specializes in servicing ambulatory surgery centers and their affiliated surgeons, participated in multiple Becker’s Healthcare Virtual Events: Becker’s Healthcare Orthopedics + ASC Virtual Forum on August 26-27th Becker’s Cardiology Virtual Forum on September 14th Becker’s ASC Virtual Events; Part I, Leadership on September […]
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October 12, 2020
Lisa Rock of National Medical Billing Services and Dr. Vijay Swarup of Arizona Heart Rhythm Center discuss the move of cardiology procedures to ASCs, the benefits for surgeons and patients, and best practices for ASCs looking to add cardiovascular into their centers. Listen to the full interview here: Becker’s Healthcare Podcast
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October 6, 2020
HHS Secretary Alex Azar announced today that the Trump Administration will renew the Public Health Emergency declaration effective October 23, 2020. The declaration will extend the availability of waivers and funding that are available under the Public Health Emergency. The new declaration will expire in January 2021. The background: The declaration unlocks critical powers that […]
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October 5, 2020
On Thursday, October 2nd HHS announced that it will accept applications for $20 billion in new provider relief grants for a month beginning Oct. 5, 2020 and ending November 6, 2020. Similar to the most recent round of HHS provider relief grants, healthcare providers will have to apply for these additional funds and supply data […]
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October 1, 2020
Stacie Fults, Vice President of Client Development at National Medical Billing Services Mimi Bender, Senior Manager of Patient Accounts at National Medical Billing Services In today’s competitive environment, creating the ultimate “patient experience” will truly differentiate your surgery center and is paramount to building a successful and growing ASC. To create this experience, a patient […]
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October 1, 2020
The US Senate passed a government funding bill today that will also relax Medicare Accelerated / Advanced Payment terms in addition to keeping the government funded. Early in the public health emergency, CMS expanded its Accelerated / Advanced Payment program to all Medicare Part A and Part B providers, with most expecting recoupment of these […]
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September 23, 2020
Q: For ASCs that perform gastroenterology procedures, what are some essential gastroenterology revenue cycle metrics to track? Nader Samii: Before we dive deep into the revenue cycle, there are several operational metrics that are critical to achieving strong financial performance for gastroenterology ASCs. These include operating room (OR) utilization rates; time per procedure; overhead as […]
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September 3, 2020
According to Modern Healthcare, CMS has not begun garnishing the Medicare Advanced / Accelerated payments that totaled more than $100 billion in relief funding for healthcare providers during the early months of the public health emergency. Those providers who received advanced payments expected recoupment to begin after four months-time based on the 120-day grace period […]
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August 20, 2020
Scott Becker interviews Lisa Rock, President of National Medical Billing Services on the current landscape of Surgery Revenue cycle, how this has changed since COVID-19, as well as her best tips for entrepreneurs in the space. Listen to the interview here.
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August 20, 2020
Nader Samii, JD/MBA, Chief Executive Officer, National Medical Billing Services Lindsay Gross, Executive Vice President, Operations, National Medical Billing Services In mid-March, hospitals across the country halted elective surgeries due to the SARS-CoV-2 pandemic. While many ASCs did experience initial shock—volume across the nation dropped 80% between February and April—most ASCs have now rebounded to […]
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August 11, 2020
Kylie Kaczor, MSN-RN, CPCO, CASC, CPHRM, CMPE, CLSSBB, ACHE; Senior Vice President, Clinical and Regulatory Affairs at National Medical Billing Services Matt Litzelfelner; Senior Vice President, Finance at National Medical Billing Services According to Time magazine, the coronavirus pandemic has created “the world’s largest work-from-home experiment.” Every industry and all employers who may have been slower to […]
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July 29, 2020
HHS has released updated guidance on reporting requirements for recipients of Provider Relief Funds. According to the notice, healthcare organizations that received one or more payments from the Provider Relief Fund exceeding $10,000 will have to submit reports to HHS detailing the use of the funds and compliance with payment terms and conditions. Per the […]
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July 9, 2020
ST. LOUIS, July 9, 2020 – National Medical Billing Services, a national healthcare revenue cycle management company that specializes in servicing ambulatory surgery centers and their affiliated surgeons, is the Platinum Sponsor of the Ambulatory Surgery Center Association Virtual Conference and Expo 2020, which will be held July 9-10, and available on demand through October […]
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June 19, 2020
ST. LOUIS, June 18, 2020 – National Medical Billing Services, a national healthcare revenue cycle management company that specializes in servicing ambulatory surgery centers and their affiliated surgeons, was the sole Corporate Sponsor for the first Becker’s Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Virtual Event on June 17-19. Due to […]
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June 19, 2020
Nader Samii, JD/MBA, CEO, National Medical Billing Services; Alison Kuley CPC, Member NASS Coding Committee 2019-2022 – Senior Spine Coder at National Medical Billing Services How to Effectively and Profitably Move Spine into Your ASC In Part I of this article series, we discussed the trends that are driving numerous spinal procedures to the ambulatory surgery center […]
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June 18, 2020
Nader Samii, JD/MBA – Chief Executive Officer at National Medical Billing Services and Alison Kuley, CPC, Member NASS coding Committee 2019-2022 – Senior Spine Coder at National Medical Billing Services – Tuesday, May 26th, 2020 “Every success story is a tale of constant adaptation, revision and change.” – Richard Branson Never has this Richard Branson quote been more […]
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June 4, 2020
On Wednesday evening, June 3, the U.S. Senate unanimously passed legislation that seeks to fix the Paycheck Protection Program (PPP) for small businesses under the CARES Act. This new bill, known as the Paycheck Protection Flexibility Act, will ease restrictions of the PPP program and is on its way to President Trump’s desk for signing […]
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May 26, 2020
This webinar focused on the following 2 questions: 1. What is working in building a business currently? What is not working? 2. What are your best 2 to 3 pieces of advice for growing business in this era? This webinar has 4 great panelists including: Amber McGraw Walsh, Partner at McGuireWoods Sheila Matuscak, Co-Founder/CEO of […]
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May 26, 2020
This webinar discussed two questions: 1. Your three best thoughts on business survival and leadership right now. 2. What does recovery look like? What should companies do to prepare for it? This webinar has 5 great panelists including: Holly Buckley, Partner Chair of Life Sciences and Healthcare McGuireWoods Tom Gimbel, CEO LaSalle Network Christian Berger, […]
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May 8, 2020
The Department of Health and Human Services has extended the deadline for healthcare providers to attest to receipt of grant payments from the Provider Relief Fund and accept the Terms and Conditions. Providers will now have 45 days, increased from 30 days, from the date they receive a payment to attest and accept the Terms […]
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May 5, 2020
Agreement extends Smith+Nephew’s ‘Positive Connections’ program to offer ASC customers educational, advisory and financial services 5 May 2020 Smith+Nephew (LSE:SN, NYSE:SNN), the global medical technology business, today announces a strategic partnership with St. Louis-based National Medical Billing Services (National Medical) to provide revenue cycle management (RCM) solutions to Ambulatory Surgery Centers (ASCs) across the US. […]
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May 1, 2020
On April 30th, CMS announced round two of sweeping regulatory changes including further expansion of Telehealth services. Key Telehealth expansions include: Expand providers approved to deliver telehealth services In addition to doctors, nurse practitioners, and physician assistants, now other practitioners are able to provide telehealth services, including physical therapists, occupational therapists, and speech language pathologists. […]
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April 30, 2020
Today, the Centers for Medicare & Medicaid Services issued another round of sweeping regulatory waivers and rule changes to deliver expanded care to the nation’s seniors and provide flexibility to the healthcare system as America reopens. These changes include making it easier for Medicare and Medicaid beneficiaries to get tested for COVID-19 and continuing CMS’s […]
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April 27, 2020
A total of $50 billion of the Provider Relief Fund is allocated for general distribution to Medicare facilities and providers impacted by COVID-19. The initial $30 billion was distributed between April 10 and April 17, and the distribution of the remaining $20 billion began Friday, April 24, 2020. Last week, HHS announced the release […]
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April 27, 2020
On April 26th, CMS announced that it is suspending its Advance Payment Program for Part B providers effective immediately and will re-evaluate any pending applications. This change comes as a result of the recently passed Paycheck Protection Program and Health Care Enhancement Act which allocated an additional $75 billion in funds for providers. This replenishment […]
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April 24, 2020
Today, President Trump signed into law a $484 billion stimulus package that that will replenish the Paycheck Protection Program under the CARES Act along with additional provisions for healthcare funding and Covid testing. This stimulus has allocated an additional $310 billion for the Paycheck Protection Program (PPP) under the Small Business Administration which ran […]
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April 24, 2020
A total of $50 billion of the Provider Relief Fund is allocated for general distribution to Medicare facilities and providers impacted by COVID-19. The initial $30 billion was distributed between April 10 and April 17, and the remaining $20 billion is being distributed beginning Friday, April 24. On April 24, a portion of providers will […]
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April 21, 2020
The US Senate passed a $480 billion economic relief package that will replenish the Paycheck Protection Program under the CARES Act along with additional provisions for healthcare funding and Covid testing. In the unanimous voice vote, the Senate has allocated an additional $310 billion for the Paycheck Protection Program (PPP) under the Small Business Administration […]
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April 20, 2020
On April 19, the Centers for Medicare and Medicaid Services (CMS) released guidance to the healthcare industry on the re-opening of facilities to provide non-emergent healthcare. After the White House announced a three-phased approach to re-opening the country, and with many state Governors beginning to release their individual approach to this, CMS also recognizes that […]
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April 17, 2020
In the April 16th Covid-19 Task Force press briefing, President Trump along with White House medical advisors announced a phased approach to re-opening the American economy. These guidelines will allow Governors to begin re-opening their individual states after meeting important gate criteria; most significantly a 14 day decline in Covid-19 cases. Phase one of the […]
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April 16, 2020
As all Americans and, in particular, small business owners continue to understand the evolving CARES Act, the IRS released clarifications regarding the terms of payroll tax deferrals within the Paycheck Protection Program (PPP). It was previously believed that taxpayers who were taking a covered loan under the PPP/CARES Act were not eligible for deferral of […]
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April 15, 2020
President Trump announced that his administration is suspending funding the World Health Organization (WHO) due to concerns related to their handling of the Corona virus Pandemic and perceived favoritism to China, citing lack of proper notice in December of 2019 about the transmission of the Corona virus. The United States produces the most funding for […]
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April 15, 2020
The White House has announced there are over 20 states that are currently trending appropriately to re-open their economies prior to the May 1st deadline but note that the Federal government will continue to monitor these states. Read More: https://abcnews.go.com/Politics/coronavirus-government-response-updates-trump-council-reopening-country/story?id=70139021
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April 10, 2020
HHS has released additional detail on how the $30 billion in grant payments under the CARES Act will be determined and issued to Medicare Fee-For Service providers. Beginning April 10, 2020, participating providers will see this direct deposit remittance issued to provide relief to both providers in areas heavily impacted by the COVID-19 pandemic and […]
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April 8, 2020
CMS Administrator Seema Verma announced an additional $30 billion dollars in grant funding for healthcare providers under the CARES Act in the Covid-19 Task Force press briefing on April 7, 2020. According to Administrator Verma, President Trump has asked CMS to do more to support healthcare providers under the CARES Act $100 billion dollar […]
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April 6, 2020
Since the webinar delivered by National Medical on Monday, March 30, 2020, a few changes were made by the SBA as it relates to the initial publication of The CARES Act. The major changes include: It initially appeared that the SBA was going to allow all borrowers to include wages for independent contractors (up to […]
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April 1, 2020
The CARES Act attempts to alleviate some of the financial strain on hospitals, physicians, and other health care providers through a series of new Medicare policies that temporarily boost Medicare and Medicaid reimbursement and allow for added flexibility. Policy updates include: During the period beginning on May 1, 2020 and ending on December 31, 2020, […]
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April 1, 2020
President Trump signed into law a historic $2 trillion coronavirus relief package, the Coronavirus Aid, Relief and Economic Security Act (CARES Act); the biggest fiscal stimulus in US history. Of the many key provisions, this legislation allows for $349 billion in small business relief and additional healthcare provisions for hospitals and providers directly impacted by […]
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April 1, 2020
After CMS issued guidance on elective procedures during the Covid-19 crisis, many state Governors began to issue executive orders. These mandates vary by state, but for those addressing elective surgeries, there may be exceptions to postponement. Ambulatory Surgery Centers should monitor their states specific orders and evaluate their planned surgical cases for applicability. Each states […]
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April 1, 2020
As of March 25th, CMS has approved 23 states 1135 Medicaid waivers, giving the state more flexibility with its Medicaid program suspending pre-authorizations and allowing Medicaid beneficiaries to seek care in alternative settings, including settings that are not licensed via Medicaid. These waivers are effective until the official withdrawal of the public emergency. States can […]
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April 1, 2020
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 […]
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March 30, 2020
In the Covid-19 Task Force press briefing today, CMS Administrator, Seema Verma, provided the following update calling for Hospitals to engage with their local ASCs to utilize the excess capacity that exists in their surgical centers. CMS is waiving a wide and unprecedented range of regulatory requirements by way of waivers and National Medical is […]
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March 29, 2020
On Saturday, March 28th, through the expansion of its accelerated and advanced payment program, CMS announced that providers can now apply for a three month advance on Medicare payments in an effort to ensure all Medicare providers are supported during the COVID-19 emergency. CMS is accepting Payment Requests immediately and anticipates making payment within 7 […]
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March 25, 2020
Last week, the Centers for Medicare and Medicaid Services (CMS) announced the expansion of telehealth benefits to all Medicare beneficiaries in response to the COVID-19 pandemic. Through their 1135-Waiver authority, more patients will be able to receive a wider range of services without the potential of exposure to the virus. CMS subsequently released this Telemedicine […]
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March 24, 2020
The national emergency declaration as a result of the spread of COVID-19 expands the Administration’s ability to implement regulatory flexibilities through “blanket waivers” of generally applicable Medicare, Medicaid, and CHIP program requirements. When a blanket waiver is issued, it applies broadly and clinicians do not need to apply for individual waiver protection. The Department of […]
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March 24, 2020
The Senate approved a multibillion-dollar emergency aid package on Wednesday, March 18th that will provide paid sick and family leave for many Americans while also offering free testing for the coronavirus and bolstering unemployment insurance. The Families First Coronavirus Response Act, which was endorsed by President Trump, passed the Senate with a bipartisan vote of […]
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March 24, 2020
Throughout this pandemic, the Centers for Medicare and Medicaid Services (CMS) has issued guidance surrounding elective/non-essential procedures and the COVID-19 response. In addition, many states have issued executive orders requiring the postponement of elective surgeries in ambulatory surgery centers (ASCs). Similar to the CMS guidance on adult elective surgeries, many of these states have included […]
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March 17, 2020
Aligned with the almost daily changes to the federal government’s response to the COVID-19 pandemic, CMS announced an expansive lifting of telehealth restrictions on March 17, 2020. These sweeping actions are being taken to limit exposure of our vulnerable Medicare population while allowing them to continue to seek care. CMS Administrator, Seema Verma, announced these […]
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March 2, 2020
By Scott Allen, Vice President, Managed Care Contracting, National Medical Billing Services With the shift to value-based healthcare, more procedures are being performed in ambulatory surgery centers (ASCs). In fact, according to the United States Ambulatory Surgery Center Market Report 2019, from 2015-2022, the proportion of outpatient cases performed in ASCs is expected to increase […]
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