Medical Billing Company in Florida, Medical Revenue and Physician Billing Services https://prmbilling.com Florida based Medical billing, coding, medical revenue management company Tue, 07 Jul 2020 18:53:08 +0000 en-US hourly 1 https://wordpress.org/?v=5.4.2 https://prmbilling.com/wp-content/uploads/2020/05/cropped-favicon-PRM-32x32.png Medical Billing Company in Florida, Medical Revenue and Physician Billing Services https://prmbilling.com 32 32 Medicare 2% Sequestration Suspended https://prmbilling.com/2020/07/medicare-2-sequestration-suspended/ https://prmbilling.com/2020/07/medicare-2-sequestration-suspended/#respond Tue, 07 Jul 2020 16:49:01 +0000 https://prmbilling.com/?p=914 Good news for providers from Medicare. The Medicare 2% Sequestration has been suspended through December 31, 2020. According to section 3709 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the 2% payment adjustment currently applied to all Medicare Fee-For-Service (FFS) claims due to sequestration. Please take into consideration, the suspension is […]

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Good news for providers from Medicare. The Medicare 2% Sequestration has been suspended through December 31, 2020.

 2% Payment Adjustment Suspended

According to section 3709 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the 2% payment adjustment currently applied to all Medicare Fee-For-Service (FFS) claims due to sequestration.

Please take into consideration, the suspension is effective for claims with dates of service from May 1st through December 31st, 2020.

More news about Medicare on The Medicare Learning Network – MLN Connects:
https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2020-04-10-mlnc-se

 

Medical billing services that maximize profit and cash flow

We understand that your practice needs a swift, reliable revenue stream in order to thrive. And, we know that it takes more than a slick software package to make it happen.  Definitely, It takes the right people. Therefore, we have created unique medical billing services to make your life easier, It backed by our experience serving physicians since 1995.

We make sure our clients are supported by a billing and collections team carefully chosen for their industry expertise and dedication to customer service. In addition, your PRM team takes full responsibility for the financial health of your practice. If you don’t get paid, we don’t get paid. As a result, this performance-based model keeps our operations lean and focused, and has helped us achieve one of the highest collection rates in the billing industry.

Finally, when you know the right people are handling your revenue cycle, you can relax and focus on what you do best- delivering excellent medical care.

PRM is here to help make life easier for you and your office staff. Join our medical billing company today and enjoy our benefits! Contact Us

Lanny Menendez
Professional Reimbursement Managers
www.prmbilling.com

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In-Person Healthcare Visits https://prmbilling.com/2020/06/in-person-healthcare-visits/ https://prmbilling.com/2020/06/in-person-healthcare-visits/#respond Tue, 30 Jun 2020 14:23:26 +0000 https://prmbilling.com/?p=760 As communities around the country continue to re-open, you may have questions about in-person healthcare visits, and what to expect during a visit. Please always check with your doctor to see what’s best for your healthcare needs. Here are some considerations for in-person visits: Don’t put off necessary care, especially if it’s urgent or may […]

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As communities around the country continue to re-open, you may have questions about in-person healthcare visits, and what to expect during a visit. Please always check with your doctor to see what’s best for your healthcare needs.

Here are some considerations for in-person visits:

  • Don’t put off necessary care, especially if it’s urgent or may lead to complications, such as heart attack or stroke.
  • Continue preventive care such as immunizations and cancer screenings.
  • Providers and facilities will minimize exposure, so you may experience some changes during your visit.

More Info

Visit Medicare.gov to learn more, and reach out to your healthcare provider if you have questions about when and how to seek treatment. Consider telehealth or virtual visits with your doctor if you’re at high risk for complications from COVID-19.
If you must visit in-person, check out this information from the CDC to help you protect yourself and others.

Medical billing services that maximize profit and cash flow

We understand that your practice needs a swift, reliable revenue stream in order to thrive. And, we know that it takes more than a slick software package to make it happen.  Definitely, It takes the right people. Therefore, we have created unique medical billing services to make your life easier, It backed by our experience serving physicians since 1995.

We make sure our clients are supported by a billing and collections team carefully chosen for their industry expertise and dedication to customer service. In addition, your PRM team takes full responsibility for the financial health of your practice. If you don’t get paid, we don’t get paid. As a result, this performance-based model keeps our operations lean and focused, and has helped us achieve one of the highest collection rates in the billing industry.

Finally, when you know the right people are handling your revenue cycle, you can relax and focus on what you do best- delivering excellent medical care.

PRM is here to help make life easier for you and your office staff. Join our medical billing company today and enjoy our benefits! Contact Us

Lanny Menendez
Professional Reimbursement Managers
www.prmbilling.com

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CMS Recommendations Re-opening Facilities https://prmbilling.com/2020/06/cms-recommendations-re-opening-facilities/ https://prmbilling.com/2020/06/cms-recommendations-re-opening-facilities/#respond Fri, 12 Jun 2020 21:46:26 +0000 https://prmbilling.com/?p=739 Centers for Medicare & Medicaid Services (CMS) Recommendations Re-opening Facilities to Provide Non-emergent Non-COVID-19 Healthcare Non-emergent, Non-COVID care (NCC) should be offered to patients, as clinically appropriate, in localities or facilities that have the resources to provide such care, as well as the ability to quickly respond to a surge in COVID-19 cases, if necessary. […]

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Centers for Medicare & Medicaid Services (CMS) Recommendations Re-opening Facilities to Provide Non-emergent Non-COVID-19 Healthcare

Non-emergent, Non-COVID care (NCC) should be offered to patients, as clinically appropriate, in localities or facilities that have the resources to provide such care, as well as the ability to quickly respond to a surge in COVID-19 cases, if necessary. Decisions should be consistent with Federal, State, and local orders, and CDC guidance and made in collaboration with State and local public health authorities. Careful planning is required to safely deliver in-person care to patients requiring NCC, and all aspects of care must be considered — for example:

 

Link to complete article: https://www.cms.gov/files/document/covid-recommendations-reopening-facilities-provide-non-emergent-care.pdf

 

 

 

Professional Reimbursement Managers

You work hard to earn your fees. At Professional Reimbursement Managers (PRM), we work even harder to collect them. Established in 1995, PRM Billing has a proven track record of increasing and accelerating cash flow for hardworking medical professionals.

No other company matches our commitment to customer service, total transparency, and complete accountability.  PRM Billing takes total responsibility for the financial health of your practice.

Lanny Menendez

Professional Reimbursement Managers

www.PRMbilling.com

 

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Enforcement Actions Based on Nursing Home COVID-19 Data https://prmbilling.com/2020/06/enforcement-actions-based-on-nursing-home-covid-19-data/ https://prmbilling.com/2020/06/enforcement-actions-based-on-nursing-home-covid-19-data/#respond Tue, 02 Jun 2020 18:50:19 +0000 https://prmbilling.com/?p=730 The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) provided additional funding to CMS for necessary survey and certification work related to COVID-19, of which $80 million in new resources will be available for states to increase surveys. To ensure effective oversight is achieved, CMS will allocate the CARES Act funding based on performance-based […]

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The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) provided additional funding to CMS for necessary survey and certification work related to COVID-19, of which $80 million in new resources will be available for states to increase surveys.

To ensure effective oversight is achieved, CMS will allocate the CARES Act funding based on performance-based metrics. States that have not completed 100 percent of focused infection control surveys of their nursing home by July 31, 2020 will be required to submit a corrective action plan to their CMS location outlining the strategy for completion of these surveys within 30 days.

If, after the 30-day period, states have still not performed surveys in 100 percent of nursing homes, their CARES Act fiscal year 2021 allocation may be reduced by 10 percent.  Subsequent 30-day extensions could result in an additional 5 percent reduction. These funds would then be redistributed to those states that completed 100 percent of their focused infection control surveys by July 31.

Utilizing the CARES Act funding, states will be required to perform on-site surveys of nursing homes with previous COVID-19 outbreaks and will be required to perform on-site surveys (within three to five days of identification) of any nursing home with new COVID-19 suspected and confirmed cases.

To help nursing homes implement infection control best practices, CMS will provide technical assistance through Quality Improvement Organizations (QIOs). CMS and the Centers for Disease Control and Prevention (CDC) will continue to monitor the data it receives through the new nursing home COVID-19 surveillance system to identify nursing homes with outbreaks and work with Governor’s offices and states to keep nursing home residents safe.

Link to the complete Press Release: https://www.cms.gov/newsroom/press-releases/trump-administration-unveils-enhanced-enforcement-actions-based-nursing-home-covid-19-data-and

 

Professional Reimbursement Managers

You work hard to earn your fees. At Professional Reimbursement Managers (PRM), we work even harder to collect them. Established in 1995, PRM Billing has a proven track record of increasing and accelerating cash flow for hardworking medical professionals.

No other company matches our commitment to customer service, total transparency, and complete accountability.  PRM Billing takes total responsibility for the financial health of your practice.

Lanny Menendez

Professional Reimbursement Managers

www.PRMbilling.com

 

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Cares Act – PPP Loan Forgiveness Application https://prmbilling.com/2020/05/cares-act-ppp-loan-forgiveness-application/ https://prmbilling.com/2020/05/cares-act-ppp-loan-forgiveness-application/#respond Fri, 22 May 2020 20:22:23 +0000 https://prmbilling.com/?p=724 The Department of the Treasury and the SBA released the Paycheck Protection Program Loan Forgiveness Application with detailed instructions for the application. To apply for forgiveness of your Paycheck Protection Program (PPP) loan, you (the Borrower) must complete this application, and submit it to your Lender (or the Lender that is servicing your loan).  Borrowers […]

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The Department of the Treasury and the SBA released the Paycheck Protection Program Loan Forgiveness Application with detailed instructions for the application.

To apply for forgiveness of your Paycheck Protection Program (PPP) loan, you (the Borrower) must complete this application, and submit it to your Lender (or the Lender that is servicing your loan).  Borrowers may also complete this application electronically through their Lender.

The application has the following components:

(1) the PPP Loan Forgiveness Calculation Form,

(2) PPP Schedule A,

(3) the PPP Schedule A Worksheet, and

(4) the (optional) PPP Borrower Demographic Information Form.

All Borrowers must submit (1) and (2) to their Lender.

The Borrower must retain all such documentation in its files for six years after the date the loan is forgiven or repaid in full, and permit authorized representatives of SBA, including representatives of its Office of Inspector General, to access such files upon request.

 

Attached is a link to the application:

https://home.treasury.gov/system/files/136/3245-0407-SBA-Form-3508-PPP-Forgiveness-Application.pdf

 

 

Professional Reimbursement Managers

You work hard to earn your fees. At Professional Reimbursement Managers (PRM), we work even harder to collect them. Established in 1995, PRM Billing has a proven track record of increasing and accelerating cash flow for hardworking medical professionals.

No other company matches our commitment to customer service, total transparency, and complete accountability.  PRM Billing takes total responsibility for the financial health of your practice.

Lanny Menendez

Professional Reimbursement Managers

www.PRMbilling.com

 

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Covid-19 Antibody Testing Reimbursement https://prmbilling.com/2020/05/covid-19-antibody-testing-reimbursement/ https://prmbilling.com/2020/05/covid-19-antibody-testing-reimbursement/#respond Thu, 21 May 2020 21:12:08 +0000 https://prmbilling.com/?p=720 On May 19, 2020 the Centers for Medicare and Medicaid (CMS) published the payment rates for the new Covid-19 testing codes.  Please see below. On March 13, 2020 the American Medical Association (AMA) created CPT code 87635 for infectious agent detection by nucleic acid tests. On April 10, 2020 the AMA created CPT codes 86769 […]

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On May 19, 2020 the Centers for Medicare and Medicaid (CMS) published the payment rates for the new Covid-19 testing codes.  Please see below.

On March 13, 2020 the American Medical Association (AMA) created CPT code 87635 for infectious agent detection by nucleic acid tests.

On April 10, 2020 the AMA created CPT codes 86769 and 86328 for serology tests.  Laboratories and qualified physician practices performing these tests may bill Medicare for services that occurred after their respective effective dates.

Local Medicare Administrative Contractors (MACs) are responsible for developing the payment amount for claims they receive for these newly created HCPCS codes in their respective jurisdictions until Medicare establishes national payment rates. The payment amounts are identified below.  As with other laboratory tests, there is generally no beneficiary cost sharing under Original Medicare.

Professional Reimbursement Managers

You work hard to earn your fees. At Professional Reimbursement Managers (PRM), we work even harder to collect them. Established in 1995, PRM Billing has a proven track record of increasing and accelerating cash flow for hardworking medical professionals.

No other company matches our commitment to customer service, total transparency, and complete accountability.  PRM Billing takes total responsibility for the financial health of your practice.

Lanny Menendez

Professional Reimbursement Managers

www.PRMbilling.com

 

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UPDATE: Medicare Telephone Visits payments https://prmbilling.com/2020/05/update-medicare-telephone-visits-payments/ https://prmbilling.com/2020/05/update-medicare-telephone-visits-payments/#respond Fri, 08 May 2020 20:29:23 +0000 https://prmbilling.com/?p=653 As previously announced CMS is increasing payments for telephone visits to match payments for similar office and outpatient visits. Below is the updated list of Telehealth visit codes and the Medicare Allowable amounts.   Professional Reimbursement Managers You work hard to earn your fees. At Professional Reimbursement Managers (PRM), we work even harder to collect […]

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As previously announced CMS is increasing payments for telephone visits to match payments for similar office and outpatient visits.

Below is the updated list of Telehealth visit codes and the Medicare Allowable amounts.

 

Professional Reimbursement Managers

You work hard to earn your fees. At Professional Reimbursement Managers (PRM), we work even harder to collect them. Established in 1995, PRM Billing has a proven track record of increasing and accelerating cash flow for hardworking medical professionals.

No other company matches our commitment to customer service, total transparency, and complete accountability.  PRM Billing takes total responsibility for the financial health of your practice.

Lanny Menendez

Professional Reimbursement Managers

www.PRMbilling.com

 

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COVID-19 Testing – Addition of the QW Modifier to HCPCS Code U0002 and 87635 https://prmbilling.com/2020/05/covid-19-testing-addition-of-the-qw-modifier-to-hcpcs-code-u0002-and-87635/ https://prmbilling.com/2020/05/covid-19-testing-addition-of-the-qw-modifier-to-hcpcs-code-u0002-and-87635/#respond Thu, 07 May 2020 14:30:57 +0000 https://prmbilling.com/?p=651 This article from CMS informs you about the addition of the QW modifier to HCPCS code U0002 and 87635.  Medicare will permit the use of codes U0002-QW and 87635-QW for claims submitted by facilities with a valid, current CLIA certificate of waiver with dates of service on or after March 20, 2020.  Make sure your […]

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This article from CMS informs you about the addition of the QW modifier to HCPCS code U0002 and 87635.  Medicare will permit the use of codes U0002-QW and 87635-QW for claims submitted by facilities with a valid, current CLIA certificate of waiver with dates of service on or after March 20, 2020.  Make sure your billing staffs are aware of these changes.

Currently there is no Food and Drug Administration (FDA)-approved or cleared test to diagnose or detect COVID-19.  The FDA has issued several Emergency Use Authorizations (EUAs) for the use of new diagnostic test to detect the SARS-CoV-2 virus.

Policy for Diagnostic Tests for Coronavirus Disease-2019, and generally refer to settings that are equipped with the instrumentation and appropriately trained personnel necessary to perform the test, and may include settings such as hospitals, physician offices, urgent care, outreach clinics, and temporary patient care settings.

Those tests listed on the FDA’s EUAs for COVID-19 website: https://www.fda.gov/medicaldevices/emergency-situations-medical-devices/emergency-use-authorizations under the Test Kit Manufacturers and Commercial Laboratories Table that include the terms “patient care settings outside of the clinical laboratory environment,” “near patient testing,” or “point of care” in the EUA can be used by facilities having a current CLIA certificate of waiver.

 

Link to the complete article: https://www.cms.gov/files/document/mm11765.pdf

 

Professional Reimbursement Managers

You work hard to earn your fees. At Professional Reimbursement Managers (PRM), we work even harder to collect them. Established in 1995, PRM Billing has a proven track record of increasing and accelerating cash flow for hardworking medical professionals.

No other company matches our commitment to customer service, total transparency, and complete accountability.  PRM Billing takes total responsibility for the financial health of your practice.

Lanny Menendez

Professional Reimbursement Managers

www.PRMbilling.com

 

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Breaking News: Medicare Increasing Telephone Visits payments https://prmbilling.com/2020/05/breaking-news-medicare-increasing-telephone-visits-payments/ https://prmbilling.com/2020/05/breaking-news-medicare-increasing-telephone-visits-payments/#respond Fri, 01 May 2020 11:40:56 +0000 https://prmbilling.com/?p=648 The following is directly from the Centers for Medicare & Medicaid Services (CMS).   “CMS previously announced that Medicare would pay for certain services conducted by audio-only telephone between beneficiaries and their doctors and other clinicians.  Now, CMS is broadening that list to include many behavioral health and patient education services. CMS is also increasing […]

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The following is directly from the Centers for Medicare & Medicaid Services (CMS).

 

“CMS previously announced that Medicare would pay for certain services conducted by audio-only telephone between beneficiaries and their doctors and other clinicians.  Now, CMS is broadening that list to include many behavioral health and patient education services.

CMS is also increasing payments for these telephone visits to match payments for similar office and outpatient visits.

This would increase payments for these services from a range of about $14-$41 to about $46-$110. The payments are retroactive to March 1, 2020.”

 

As soon as the Florida fee schedule is updated, we will send the new Medicare allowable for codes 99441-99443 based on the practice location.

 

Attached is the link to the complete article from CMS:

https://www.cms.gov/newsroom/press-releases/trump-administration-issues-second-round-sweeping-changes-support-us-healthcare-system-during-covid

 

 

Professional Reimbursement Managers

You work hard to earn your fees. At Professional Reimbursement Managers (PRM), we work even harder to collect them. Established in 1995, PRM Billing has a proven track record of increasing and accelerating cash flow for hardworking medical professionals.

No other company matches our commitment to customer service, total transparency, and complete accountability.  PRM Billing takes total responsibility for the financial health of your practice.

Lanny Menendez

Professional Reimbursement Managers

www.PRMbilling.com

 

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UPDATE: HHS Stimulus Round 2 – $20 Billion General Distribution Fund https://prmbilling.com/2020/04/update-hhs-stimulus-round-2-20-billion-general-distribution-fund/ https://prmbilling.com/2020/04/update-hhs-stimulus-round-2-20-billion-general-distribution-fund/#respond Tue, 28 Apr 2020 13:25:37 +0000 https://prmbilling.com/?p=645 HHS opened the $20 Billion General Distribution Portal to apply for the second round of HHS stimulus payments. Note, you will have to have attested to the first-round stimulus payment before applying for the second. Note: You will need to Re-Attest the original stimulus from HHS to gain access to the link to the Round […]

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HHS opened the $20 Billion General Distribution Portal to apply for the second round of HHS stimulus payments. Note, you will have to have attested to the first-round stimulus payment before applying for the second.

Note: You will need to Re-Attest the original stimulus from HHS to gain access to the link to the Round 2 Stimulus

An officer of your company, or your CPA, must complete the application process.  To complete the application process, you will need to be able to download a copy of your latest filed federal tax return.  We strongly recommend you review the FAQs for a full listing of documentation needed to complete the application process.  You will need the following information to complete the application:

  • HHS stimulus payment amount already received
  • Group NPI
  • Medicare #
  • Projected revenue loss in March and April 2020 (i.e., patient counts, etc.)
  • Rendering site location
  • Payment address

 

Link to the CARES Act Provider Relief Fund Application Guide:

https://chameleoncloud.io/review/2977-5ea0af98f0fd0/prod

 

The website to apply is: 

https://covid19.linkhealth.com/docusign/#/step/1

 

FAQs regarding the program can be found: 

https://www.hhs.gov/sites/default/files/20200425-general-distribution-portal-faqs.pdf

 

Professional Reimbursement Managers

You work hard to earn your fees. At Professional Reimbursement Managers (PRM), we work even harder to collect them. Established in 1995, PRM Billing has a proven track record of increasing and accelerating cash flow for hardworking medical professionals.

No other company matches our commitment to customer service, total transparency, and complete accountability.  PRM Billing takes total responsibility for the financial health of your practice.

Lanny Menendez

Professional Reimbursement Managers

www.PRMbilling.com

 

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