RMK HOLDINGS INC. specializes in fulfilling the resource gap after the medical claim is billed.
A HIPAA guidance release in January notes that providers can share information with the loved ones of patients even if they are not seen as relatives under current laws. An accompanying FAQ elaborated on the update stating that it is generally permissible to allow disclosures to a loved one not married to the patient or other recognized relatives. In these cases, the same circumstances and conditions apply if the individual was a spouse.
Continuous changes in health insurance reimbursement guidelines result in an often complex medical billing scenario. This is unlikely to change. Evaluate your intake to charge to claim submission workflow and follow the basic best practices to target preventable denials and maximize reimbursement on the first pass.
The flexibility offered during the transition to ICD-10 coding disappeared as of October 1, 2016. Now, all providers need to precisely reflect clinical documentation per the coding guidelines and assign codes to the highest degree of coding specificity. A lack of documentation supporting the code can lead to the dreaded claim denials.
Sometimes clients want to know if they can pursue money on an account after it's been placed with a collection agency. Or, if a client can place an account with more than one agency at a time. While the Fair Debt Collection Practices Act (FDCPA) does not directly address these issues, it does say that if a tactic confuses or misleads the consumer, it may violate a section of the act..