Billing/RCM

ACA and Medicare Open Enrollment for Clinics As a health clinic, understanding Medicare and Affordable Care Act (ACA) open enrollment is crucial for helping your patients secure the healthcare coverage they need. By being familiar with key dates, eligibility criteria, and various plan options, your practice can effectively guide patients to the right coverage. Let’s

Navigating the New Frontier of Rural Emergency Hospitals Rural healthcare is undergoing a transformation, thanks to recent changes in guidance from the Centers for Medicare & Medicaid Services (CMS). On September 6th, 2024, CMS released revised guidance designed to assist hospitals that may be considering the Rural Emergency Hospital (REH) enrollment and conversion process. This

Documentation: Revenue Cycle Management’s Achilles Heel In the world of healthcare, documentation is more than just paperwork; it’s the backbone of revenue cycle management (RCM). Without it, a healthcare system is like a car without fuel—unable to move forward. For billers, healthcare administrators, and compliance officers, effective documentation is crucial to maintaining a smooth and