Bill Talk 61.33

This blog contains important updates, how-tos, and discussion pieces that typically involve bouncing entrepreneurial ideas off our medical director, Tom Wolk, M.D. and his staff. Wolk is a pioneer in patient advocacy-- and before that, built his own pediatric practice and held leadership positions at a hospital and Aetna.  We seek solutions that are aggressive-- and pragmatic. We are happy to share our perspective and hope you find it helpful.

Tele Health Waivers and C-19 Testing
Update
9.16.2020
This update revisits two issues: COVID-19 waivers to telehealth and changes to the COVID-19 testing and diagnosis requirements. Each could have a significant impact on your clients and their employees.
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Restaurant not included!
Discussion
8.19.2020
Variable “Facilities Fees” contribute to the challenge of price transparency... simply completing the paperwork necessary to obtain the itemized bill can take several weeks.
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New State Surprise Medical Bill Legislation
Update
7.29.2020
Many are unaware that 30 states have enacted surprise medical bills laws, but less than half provide comprehensive legislation.
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COVID: Important test-related codes
Update
7.2.2020
This update is intended for individuals that test for COVID-19 and employers that require precautionary employee testing.
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What's Up with the Cook?
Discussion
6.25.2020
Is there any way to align the interests of insurance companies, hospitals, and doctors to reduce these out-of-network bills for the consumer?
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Status of Waivers: Temporary or Permanent
Update
6.9.2020
While the CMS is busy responding to the executive order and performing its review, payers have released termination dates for their COVID 19 telehealth waivers.
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COVID: Recent coding and billing changes
Update
5.12.2020
In the last few weeks the CMS has made significant billing and coding changes to make it even easier to use telemedicine, engage in e-visits, and obtain COVID testing and treatment.
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COVID: Mental Health for employees
Update
4.21.2020
This update includes general guidance, a summary of changes to teletherapy, and resources from insurance companies and other organizations.
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COVID: Telemedicine claims and billing scenarios
Update
4.2.2020
As lockdowns expand and the use of telemedicine surges for both COVID-19 and non-COVID-19 cases, the AMA is creating new codes and processes to address the unique situations. This post describes many scenarios that will affect claims denials and billing issues.
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COVID: Important update for health brokers
Update
3.26.2020
Bill Dog has been preparing to respond to the surge of billing and claims issues that are coming to employees. This blog post explains some of the issues that health brokers should expect as testing ramps, out of network procedures increase, and surprise medical bills begin to affect employees.
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