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Does Reference-Based Pricing in Healthcare Sacrifice Quality for Price?
Most network agreements establish discounts and billed charges in an arbitrary manner. There is not much relationship between them and the actual cost of the procedure, and they can vary widely by location, provider, and many other factors. Reference-Based Pricing (RBP) In order to control rapidly rising healthcare costs, self-insured companies use reference-based pricing (RBP).…
The 8 Most Common Medicare Billing Mistakes You Can Avoid By Leveraging CMSPricer – SaaS-based Medicare Repricing Tool!
In treating adults and Medicare-eligible beneficiaries, operating a private practice that provides occupational, physical, and/or speech language therapy has its own unique set of rules. The federal government continuously focuses on these three specialties, so it’s important for your practice to be up-to-date on Medicare policy. You can reduce the chances of Medicare repricing mistakes…
Are You Prepared? Discover the Impact of the New Advanced Beneficiary Notice in Effect for Medicare!
A new Advanced Beneficiary Notice (ABN) is now in effect for Medicare. This ABN will help ensure that Medicare beneficiaries are informed of their rights and responsibilities regarding certain services or items requiring prior authorization. The ABN also outlines the potential financial liability associated with such services or items. It is important to review this…