Home Blog

Complete Medicare Denial Codes List – Updated

0
Complete Medicare Denial Codes List - Updated

 

Medicare denial codes provide or describe the standard information to a patient or provider by an insurances about why a claim was denied. This is the standard format followed by all insurance companies for relieving the burden on the medical providers. MACs (Medicare Administrative Contractors) use appropriate group, claim adjustment reason, or remittance advice remark codes to communicate that why a claim or charges are not covered by Medicare and who is financially responsible for the charges.

A group code is a code identifying the general category of payment adjustment. Valid group codes for use on Medicare remittance advice are:

CO – Contractual Obligations: This group code is used when a contractual agreement between the payer and payee, or a regulatory requirement, resulted in an adjustment. These adjustments are considered a write off for the provider and are not billed to the patient in most of the cases.
OA – Other Adjustments: This group code is used when no other group code applies to the adjustment.
PR – Patient Responsibility: This group code is used when the adjustment represents an amount that may be billed to the patient or insured. This group would typically be used for deductible and co-pay adjustments.

 

Medicare Denial Codes List

 

Code Number

Remark Code

Reason for Denial

1 Deductible amount.
2 Coinsurance amount.
3 Co-payment amount.
4 The procedure code is inconsistent with the modifier used, or a required modifier is missing.
4 M114 N565 HCPCS code is inconsistent with modifier used or a required modifier is missing
Item billed was processed under DMEPOS Competitive Bidding Program and requires an appropriate competitive bid modifier
4 N519 HCPCS code is inconsistent with modifier used or required modifier is missing
5 The procedure code/bill type is inconsistent with the place of service.
6 The procedure/revenue code is inconsistent with the patient’s age.
7 The procedure/revenue code is inconsistent with the patient’s gender.
8 The procedure code is inconsistent with the provider type/specialty (taxonomy).
9 The diagnosis is inconsistent with the patient’s age.
10 The diagnosis is inconsistent with the patient’s gender.
11 The diagnosis is inconsistent with the procedure.
12 The diagnosis is inconsistent with the provider type.
13 The date of death precedes the date of service.
14 The date of birth follows the date of service.
15 Payment adjusted because the submitted authorization number is missing, invalid, or does not apply to the billed services or provider.
16 Claim/service lacks information which is needed for adjudication. Additional information is supplied using remittance advice remarks codes whenever appropriate
16 M124 Item billed does not have base equipment on file. Main equipment is missing therefore Medicare will not pay for supplies
16 MA13 N264 N575 Item(s) billed did not have a valid ordering physician name
16 MA13 N265 N276 Item(s) billed did not have a valid ordering physician National Provider Identifier (NPI) registered in Medicare Provider Enrollment, Chain and Ownership System (PECOS)
16 MA27 N382 Claim/service lacks information or has submission/billing error(s)
Missing/incomplete/invalid Information
16 MA83 Claim/service lacks information or has submission/billing error(s).
Did not indicate whether we are the primary or secondary payer.
17 Payment adjusted because requested information was not provided or was insufficient/incomplete. Additional information is supplied using remittance advice remarks codes whenever appropriate.
18 Duplicate claim/service.
19 Claim denied because this is a work-related injury/illness and thus the liability of the Worker’s Compensation Carrier.
20 Claim denied because this injury/illness is covered by the liability carrier.
21 Claim denied because this injury/illness is the liability of the no-fault carrier.
22 Payment adjusted because this care may be covered by another payer per coordination of benefits.
23 Payment adjusted because charges have been paid by another payer.
24 Payment for charges adjusted. Charges are covered under a capitation agreement/managed care plan.
25 Payment denied. Your stop loss deductible has not been met.
26 Expenses incurred prior to coverage.
27 Expenses incurred after coverage terminated.
28 Coverage not in effect at the time the service was provided.
29 N211 The time limit for filing has expired.
You may not appeal this decision.
30 Payment adjusted because the patient has not met the required eligibility, spend down, waiting, or residency requirements.
31 Claim denied as patient cannot be identified as our insured.
32 Our records indicate that this dependent is not an eligible dependent as defined.
33 Claim denied. Insured has no dependent coverage.
34 Claim denied. Insured has no coverage for newborns.
35 Benefit maximum has been reached.
36 Balance does not exceed co-payment amount.
37 Balance does not exceed deductible.
38 Services not provided or authorized by designated (network) providers.
39 Services denied at the time authorization/pre-certification was requested.
40 Charges do not meet qualifications for emergent/urgent care.
41 Discount agreed to in Preferred Provider contract.
42 Charges exceed our fee schedule or maximum allowable amount.
43 Gramm-Rudman reduction.
44 Prompt-pay discount.
45 Charges exceed your contracted/legislated fee arrangement.
46 This (these) service(s) is (are) not covered.
47 This (these) diagnosis(es) is (are) not covered, missing, or are invalid.
48 This (these) procedure(s) is (are) not covered.
49 These are non-covered services because this is a routine exam or screening procedure done in conjunction with a routine exam.
50 These are non-covered services because this is not deemed a “medical necessity” by the payer.
50 M127 Documentation requested was not received or was not received timely
50 N115 Item billed may require a specific diagnosis or modifier code based on related Local Coverage Determination (LCD)
Development letter requesting additional documentation to support service billed was not received within provided timeline
Item being billed does not meet medical necessity
50 N130 Non covered services
50 N180 These are non-covered services because this is not deemed a ‘medical necessity’ by the payer.
This item or service does not meet the criteria for the category under which it was billed.
51 These are non-covered services because this is a pre-existing condition.
Item being billed does not meet medical necessity
52 The referring/prescribing provider is not eligible to refer/prescribe/order/perform the service billed.
53 Services by an immediate relative or a member of the same household are not covered.
54 Multiple physicians/assistants are not covered in this case.
55 Claim/service denied because procedure/ treatment is deemed experimental/ investigational by the payer.
56 Claim/service denied because procedure/ treatment has been deemed “proven to be effective” by the payer.
57 Payment denied/reduced because the payer deems the information submitted does not support this level of service, this many services, this length of service, this dosage, or this day’s supply.
58 Payment adjusted because treatment was deemed by the payer to have been rendered in an inappropriate or invalid place of service.
59 Charges are reduced based on multiple surgery rules or concurrent anesthesia rules.
60 Charges for outpatient services with this proximity to inpatient services are not covered.
61 Charges adjusted as penalty for failure to obtain second surgical opinion.
62 Payment denied/reduced for absence of, or exceeded, precertification/ authorization.
63 Correction to a prior claim.
64 Denial reversed per Medical Review.
65 Procedure code was incorrect. This payment reflects the correct code.
66 Blood deductible.
67 Lifetime reserve days.
68 DRG weight.
69 Day outlier amount.
70 Cost outlier. Adjustment to compensate for additional costs.
71 Primary payer amount.
72 Coinsurance day.
73 Administrative days.
74 Indirect Medical Education Adjustment.
75 Direct Medical Education Adjustment.
76 Disproportionate Share Adjustment.
77 Covered days.
78 Non-covered days/Room charge adjustment.
79 Cost report days.
80 Outlier days.
81 Discharges.
82 PIP days.
83 Total visits.
84 Capital Adjustment.
85 Interest amount.
86 Statutory Adjustment.
87 Transfer amount.
88 Adjustment amount represents collection against receivable created in prior overpayment.
89 Professional fees removed from charges.
90 Ingredient cost adjustment.
91 Dispensing fee adjustment.
92 Claim paid in full.
93 No claim level adjustments.
94 Processed in excess of charges.
95 Benefits adjusted. Plan procedures not followed.
96 Non-covered charges.
97 Payment is included in the allowance for another service/procedure.
97 M2 Beneficiary was inpatient on date of service billed
97 N390 HCPCS code billed is included in the payment/allowance for another service/procedure that has already been adjudicated
98 The hospital must file the Medicare claim for this inpatient non-physician service.
99 Medicare Secondary Payer Adjustment amount.
100 Payment made to patient/insured/responsible party.
101 Predetermination. Anticipated payment upon completion of services or claim adjudication.
102 Major Medical Adjustment.
103 Provider promotional discount (e.g., Senior citizen discount).
104 Managed care withholding.
105 Tax withholding.
106 Patient payment option/election not in effect.
107 Claim/service denied because the related or qualifying claim/service was not paid or identified on the claim.
108 Payment adjusted because rent/purchase guidelines were not met.
108 N130 Rent/purchase guidelines were not met.
Consult plan benefit documents/guidelines for information about restrictions for this service.
109 Claim not covered by this payer/contractor. You must send the claim to the correct payer/contractor.
109 N104 Claim was submitted to incorrect Jurisdiction
109 N130 Claim was submitted to incorrect contractor
109 N418 Claim was billed to the incorrect contractor
Beneficiary was enrolled in a Medicare Health Maintenance Organization (HMO) for date of service submitted
110 Billing date predates service date.
111 Not covered unless the provider accepts assignment.
112 Payment adjusted as not furnished directly to the patient and/or not documented.
113 Payment denied because service/procedure was provided outside the United States or as a result of war.
114 Procedure/product not approved by the Food and Drug Administration.
115 Payment adjusted as procedure postponed or cancelled.
116 Payment denied. The advance indemnification notice signed by the patient did not comply with requirements.
117 Payment adjusted because transportation is only covered to the closest facility that can provide the necessary care.
118 Charges reduced for ESRD network support.
119 Benefit maximum for this time period has been reached.
120 Patient is covered by a managed care plan.
121 Indemnification adjustment.
122 Psychiatric reduction.
123 Payer refund due to overpayment.
124 Payer refund amount – not our patient.
125 Payment adjusted due to a submission/billing error(s). Additional information is supplied using the remittance advice remarks codes whenever appropriate.
126 Deductible – Major Medical.
127 Coinsurance – Major Medical.
128 Newborn’s services are covered in the mother’s allowance.
129 Payment denied. Prior processing information appears incorrect.
130 Claim submission fee.
131 Claim specific negotiated discount.
132 Prearranged demonstration project adjustment.
133 The disposition of this claim/service is pending further review.
134 Technical fees removed from charges.
135 Claim denied. Interim bills cannot be processed.
136 Claim adjusted. Plan procedures of a prior payer were not followed.
137 Payment/Reduction for Regulatory Surcharges, Assessments, Allowances or Health Related Taxes.
138 Claim/Service denied. Appeal procedures not followed or time limits not met.
139 Contracted funding agreement. Subscriber is employed by the provider of the services.
140 Patient/Insured health identification number and name do not match.
141 Claim adjustment because the claim spans eligible and ineligible periods of coverage.
142 Claim adjusted by the monthly Medicaid patient liability amount.
143 Portion of payment deferred.
144 Incentive adjustment, e.g., preferred product/service.
145 Premium payment withholding.
146 Payment denied because the diagnosis was invalid for the date(s) of service reported.
147 Provider contracted/negotiated rate expired or not on file.
148 Claim/service rejected at this time because information from another provider was not provided or was insufficient/incomplete.
A0 Patient refund amount.
A1 Claim denied charges.
A1 N370 Oxygen equipment has exceeded the number of approved paid rentals
A2 Contractual adjustment.
A3 Medicare Secondary Payer liability met.
A4 Medicare Claim PPS Capital Day Outlier Amount.
A5 Medicare Claim PPS Capital Cost Outlier Amount.
A6 Prior hospitalization or 30 day transfer requirement not met.
A7 Presumptive Payment Adjustment.
A8 Claim denied; ungroupable DRG.
B1 Non-covered visits.
B2 Covered visits.
B3 Covered charges.
B4 Late filing penalty.
B5 Payment adjusted because coverage/program guidelines were not met or were exceeded.
B6 This payment is adjusted when performed/billed by this type of provider, by this type of provider in this type of facility, or by a provider of this specialty.
B7 This provider was not certified/eligible to be paid for this procedure/service on this date of service.
B7 N570 This provider was not certified/eligible to be paid for this procedure/service on this date of service.
Missing/incomplete/invalid credentialing data.
B8 Claim/service not covered/reduced because alternative services were available, and should not have been utilized.
B9 Services not covered because the patient is enrolled in a Hospice.
B10 Allowed amount has been reduced because a component of the basic procedure/test was paid. The beneficiary is not liable for more than the charge limit for the basic procedure/test.
B11 The claim/service has been transferred to the proper payer/processor for processing. Claim/service not covered by this payer/processor.
B12 Services not documented in patient’s medical records.
B13 Previously paid. Payment for this claim/service may have been provided in a previous payment.
B14 Payment denied because only one visit or consultation per physician per day is covered.
B15 Payment adjusted because this service/procedure is not paid separately.
B16 Payment adjusted because “new patient” qualifications were not met.
B17 Payment adjusted because this service was not prescribed by a physician, not prescribed prior to delivery, the prescription is incomplete, or the prescription is not current.
B18 Payment denied because this procedure code/modifier was invalid on the date of service or claim submission.
B18 N522 Duplicate claim has already been submitted and processed
B19 Claim/service adjusted because of the finding of a Review Organization.
B20 Payment adjusted because procedure/service was partially or fully furnished by another provider.
B20 M115 N211 Procedure/service was partially or fully furnished by another provider.
This item is denied when provided to this patient by a non-contract or non-demonstration supplier.
B21 The charges were reduced because the service/care was partially furnished by another physician.
B22 This payment is adjusted based on the diagnosis.
B23 Payment denied because this provider has failed an aspect of a proficiency testing program.
D1 Claim/service denied. Level of subluxation is missing or inadequate.
D2 Claim lacks the name, strength, or dosage of the drug furnished.
D3 Claim/service denied because information to indicate if the patient owns the equipment that requires the part or supply was missing.
D4 Claim/service does not indicate the period of time for which this will be needed.
D5 Claim/service denied. Claim lacks individual lab codes included in the test.
D6 Claim/service denied. Claim did not include patient’s medical record for the service.
D7 Claim/service denied. Claim lacks date of patient’s most recent physician visit.
D8 Claim/service denied. Claim lacks indicator that “x-ray is available for review”.
D9 Claim/service denied. Claim lacks invoice or statement certifying the actual cost of the lens, less discounts or the type of intraocular lens used.
D10 Claim/service denied. Completed physician financial relationship form not on file.
D11 Claim lacks completed pacemaker registration form.
D12 Claim/service denied. Claim does not identify who performed the purchased diagnostic test or the amount you were charged for the test.
D13 Claim/service denied. Performed by a facility/supplier in which the ordering/referring physician has a financial interest.
D14 Claim lacks indication that plan of treatment is on file.
D15 Claim lacks indication that service was supervised or evaluated by a physician.
W1 Workers Compensation State Fee Schedule Adjustment.

 

Download the complete Medicare denial codes list below.

 

 

Complete Medicare Denial Codes .pdf

Researching and resubmitting denied claims can lead to long, frustrating hours trying to figure out why the claim was denied in the first place. The good news is that on average, 60% of denied claims are recoverable and around 95% are preventable.

 

 

Learn More

Updated List of CPT and HCPCS Modifiers 2021 & 2022

Complete List of Place Of Service Codes (POS) for Professional Claims

CPT Category Codes by Specialty 2021

Top 10 Medical Billing and Coding Companies in Texas

0
Top 10 Medical Billing and Coding Companies in Texas

Medical billing companies work with claims and services offered by a healthcare organizations or providers and send them directly to insurance companies or individuals responsible to pay the bill. If payments are not issued in due time, the billing company shall follow up to secure payment.

Services that a medical billing and coding company can provide include:

  • Claims processing
  • Submitting requests for health benefits
  • Entering demographic and insurance details from the patient into computer systems
  • Verifying the insurance coverage of a patient
  • Reconciling billing and payable accounts
  • Acting as accounts receivable by invoice collection
  • To ensure their accuracy, auditing medical billing charges.

Medical billing companies can provide different services depending on their scope and capability.

Top 10 Medical Billing and Coding Companies in Texas

Here is the list of the top 10 medical billing and coding companies in Texas:

1- 5 Star Billing Services

5 Star Billing Services Provides Professional, expert medical billing, collection and administrative services for medical physicians. They have many years of experience in developing optimum denial management Processes with the right inputs to get all your relevant departments working together, using common data and employing industry standards to create reliable benchmarks and attainable goals.

Location: Houston, Texas

Contact: (480) 821 – 1371

2- Medical Billers and Coders

This company is one of the largest consortium in the US with a purpose to help physicians with appropriate solutions to all their billing-related Problems. Their technology and expertise cater to the exact needs of the physicians’ billing requirements with customized options. As a reputable medical billing company, MBC follows the patient information Privacy and security rules very stringently.

Location: Houston, Texas

Contact: (888) 357 – 3226

3- Right Medical Billing

Right Medical Billing offers tailored & customized medical billing services to meet your exclusive needs. Their dedicated and experienced billing and coding staff will free up your clinical resources while keeping the financial health of your Practice. They will handle all claims submissions for your patient’s Primary, secondary, and tertiary insurances after ensuring scrubbing are done before submissions. They will drop your AR to 50% after 60-90 days of signing up with them. Right Medical Billing’s staff is expert in Hospital and Emergency Room Billing.

Location: Katy, Texas

Contact: (214) 228-4833

Contact: (866) 697 – 2573

10- AIM Billing Solutions

AIM Billing Solutions is a one stop shop for Medical Billing and Revenue Cycle Management services. You can save cost up to 55% by choosing AIM Billing Solutions.

Location: FORT WORTH, Texas

Contact: (214) 228-4833

Contact: (832) 699 – 3777

9- GMA Medical Billing & Bookkeeping Svc

GMA is your complete, one-stop, full-service medical billing center. Their team members are experts in billing and collections, and they Provide all the essentials you need ranging from data entry and insurance claim billing to patient statement billing and regular management reporting. Their mission is to obtain the financial reimbursement their clients are due.

Location: Houston, Texas

Contact: (866) 697 – 2573

10- AIM Billing Solutions

AIM Billing Solutions is a one stop shop for Medical Billing and Revenue Cycle Management services. You can save cost up to 55% by choosing AIM Billing Solutions.

Location: FORT WORTH, Texas

Contact: (214) 228-4833

Contact: (713) 409 – 4090

8- Roundtable Medical Consultants

Round Table Medical Consultants, specializes in full-service Medical Billing, Practice management, credentialing, and HIPAA Compliance. With over 20 years of combined experience in the healthcare industry, their staff Provides the most advanced billing and collections services.

Location: Houston, Texas

Contact: (832) 699 – 3777

9- GMA Medical Billing & Bookkeeping Svc

GMA is your complete, one-stop, full-service medical billing center. Their team members are experts in billing and collections, and they Provide all the essentials you need ranging from data entry and insurance claim billing to patient statement billing and regular management reporting. Their mission is to obtain the financial reimbursement their clients are due.

Location: Houston, Texas

Contact: (866) 697 – 2573

10- AIM Billing Solutions

AIM Billing Solutions is a one stop shop for Medical Billing and Revenue Cycle Management services. You can save cost up to 55% by choosing AIM Billing Solutions.

Location: FORT WORTH, Texas

Contact: (214) 228-4833

Contact: (866) 380 – 1016

7- Omega Medical Billing & Collection Services

Omega Medical Billing Services was established in 2000 in Houston, Texas. The billing department enters the patient’s demographics and charges specified by the physician. Billing ranges from the office, hospital in-patient and out-patient, assisted living facility, nursing facilities, home health, hospice, and sleep study billing.

Location: Houston, Texas

Contact: (713) 409 – 4090

8- Roundtable Medical Consultants

Round Table Medical Consultants, specializes in full-service Medical Billing, Practice management, credentialing, and HIPAA Compliance. With over 20 years of combined experience in the healthcare industry, their staff Provides the most advanced billing and collections services.

Location: Houston, Texas

Contact: (832) 699 – 3777

9- GMA Medical Billing & Bookkeeping Svc

GMA is your complete, one-stop, full-service medical billing center. Their team members are experts in billing and collections, and they Provide all the essentials you need ranging from data entry and insurance claim billing to patient statement billing and regular management reporting. Their mission is to obtain the financial reimbursement their clients are due.

Location: Houston, Texas

Contact: (866) 697 – 2573

10- AIM Billing Solutions

AIM Billing Solutions is a one stop shop for Medical Billing and Revenue Cycle Management services. You can save cost up to 55% by choosing AIM Billing Solutions.

Location: FORT WORTH, Texas

Contact: (214) 228-4833

Contact: (888) 783 – 7818

6- Precision Medical Billing

Precision Medical Billing (PMB) is dedicated to helping physicians, home health agencies and hospice groups navigate the complex world of medical billing and claims. In the years since PMB has grown and flourished into a national leader in medical billing. PMB assists the medical industry by Providing successful revenue collections and quality customer care with unwavering integrity.

Location: Houston, Texas

Contact: (866) 380 – 1016

7- Omega Medical Billing & Collection Services

Omega Medical Billing Services was established in 2000 in Houston, Texas. The billing department enters the patient’s demographics and charges specified by the physician. Billing ranges from the office, hospital in-patient and out-patient, assisted living facility, nursing facilities, home health, hospice, and sleep study billing.

Location: Houston, Texas

Contact: (713) 409 – 4090

8- Roundtable Medical Consultants

Round Table Medical Consultants, specializes in full-service Medical Billing, Practice management, credentialing, and HIPAA Compliance. With over 20 years of combined experience in the healthcare industry, their staff Provides the most advanced billing and collections services.

Location: Houston, Texas

Contact: (832) 699 – 3777

9- GMA Medical Billing & Bookkeeping Svc

GMA is your complete, one-stop, full-service medical billing center. Their team members are experts in billing and collections, and they Provide all the essentials you need ranging from data entry and insurance claim billing to patient statement billing and regular management reporting. Their mission is to obtain the financial reimbursement their clients are due.

Location: Houston, Texas

Contact: (866) 697 – 2573

10- AIM Billing Solutions

AIM Billing Solutions is a one stop shop for Medical Billing and Revenue Cycle Management services. You can save cost up to 55% by choosing AIM Billing Solutions.

Location: FORT WORTH, Texas

Contact: (214) 228-4833

Contact: (888) 471 – 9333

5- Quest National Services

Quest National Services serve healthcare Providers nationwide and are here to assist you in getting medical reimbursements faster with fewer rejections. With a service level tailored to your Practice, you only pay for the services that you need. That means higher net revenue and better control over your Practice’s bottom line. Their cost-effective, web-based solution is easy to use and has helped 100’s of Practices.

Location: Houston, Texas

Contact: (888) 783 – 7818

6- Precision Medical Billing

Precision Medical Billing (PMB) is dedicated to helping physicians, home health agencies and hospice groups navigate the complex world of medical billing and claims. In the years since PMB has grown and flourished into a national leader in medical billing. PMB assists the medical industry by Providing successful revenue collections and quality customer care with unwavering integrity.

Location: Houston, Texas

Contact: (866) 380 – 1016

7- Omega Medical Billing & Collection Services

Omega Medical Billing Services was established in 2000 in Houston, Texas. The billing department enters the patient’s demographics and charges specified by the physician. Billing ranges from the office, hospital in-patient and out-patient, assisted living facility, nursing facilities, home health, hospice, and sleep study billing.

Location: Houston, Texas

Contact: (713) 409 – 4090

8- Roundtable Medical Consultants

Round Table Medical Consultants, specializes in full-service Medical Billing, Practice management, credentialing, and HIPAA Compliance. With over 20 years of combined experience in the healthcare industry, their staff Provides the most advanced billing and collections services.

Location: Houston, Texas

Contact: (832) 699 – 3777

9- GMA Medical Billing & Bookkeeping Svc

GMA is your complete, one-stop, full-service medical billing center. Their team members are experts in billing and collections, and they Provide all the essentials you need ranging from data entry and insurance claim billing to patient statement billing and regular management reporting. Their mission is to obtain the financial reimbursement their clients are due.

Location: Houston, Texas

Contact: (866) 697 – 2573

10- AIM Billing Solutions

AIM Billing Solutions is a one stop shop for Medical Billing and Revenue Cycle Management services. You can save cost up to 55% by choosing AIM Billing Solutions.

Location: FORT WORTH, Texas

Contact: (214) 228-4833

Contact: (281) 864 – 0448

4- Dominion Revenue Solutions

Dominion Revenue Solution is a company of Healthcare reimbursement specialists. They Provide Medical Billing & Revenue Cycle Management, Remote QA & Coding services, Credentialing, Contracting, and Financial Management Consulting. Quick and accurate billing will get the payments faster. They ensure that your receivables are in control.

Location: Houston, Texas

Contact: (888) 471 – 9333

5- Quest National Services

Quest National Services serve healthcare Providers nationwide and are here to assist you in getting medical reimbursements faster with fewer rejections. With a service level tailored to your Practice, you only pay for the services that you need. That means higher net revenue and better control over your Practice’s bottom line. Their cost-effective, web-based solution is easy to use and has helped 100’s of Practices.

Location: Houston, Texas

Contact: (888) 783 – 7818

6- Precision Medical Billing

Precision Medical Billing (PMB) is dedicated to helping physicians, home health agencies and hospice groups navigate the complex world of medical billing and claims. In the years since PMB has grown and flourished into a national leader in medical billing. PMB assists the medical industry by Providing successful revenue collections and quality customer care with unwavering integrity.

Location: Houston, Texas

Contact: (866) 380 – 1016

7- Omega Medical Billing & Collection Services

Omega Medical Billing Services was established in 2000 in Houston, Texas. The billing department enters the patient’s demographics and charges specified by the physician. Billing ranges from the office, hospital in-patient and out-patient, assisted living facility, nursing facilities, home health, hospice, and sleep study billing.

Location: Houston, Texas

Contact: (713) 409 – 4090

8- Roundtable Medical Consultants

Round Table Medical Consultants, specializes in full-service Medical Billing, Practice management, credentialing, and HIPAA Compliance. With over 20 years of combined experience in the healthcare industry, their staff Provides the most advanced billing and collections services.

Location: Houston, Texas

Contact: (832) 699 – 3777

9- GMA Medical Billing & Bookkeeping Svc

GMA is your complete, one-stop, full-service medical billing center. Their team members are experts in billing and collections, and they Provide all the essentials you need ranging from data entry and insurance claim billing to patient statement billing and regular management reporting. Their mission is to obtain the financial reimbursement their clients are due.

Location: Houston, Texas

Contact: (866) 697 – 2573

10- AIM Billing Solutions

AIM Billing Solutions is a one stop shop for Medical Billing and Revenue Cycle Management services. You can save cost up to 55% by choosing AIM Billing Solutions.

Location: FORT WORTH, Texas

Contact: (214) 228-4833

Toll Free Phone Numbers and Websites of MVA & Auto Insurance Companies in New York

0
Toll Free Phone Numbers and Websites of MVA & Auto Insurance Companies in New York

Below is the list of toll-free phone numbers and websites at which patients and billing companies may contact MVA & Auto Insurance Companies. Insurance companies denoted with an asterisk (*) do not offer the ability to obtain a quote or purchase a policy directly through their website.

Information on Insurance companies not listed here may be obtained by contacting licensed insurance agents or brokers in New York.

Company Name Telephone Number Website
A. Central Insurance Co. 800-234-6926 www.nycm.com
Adirondack Insurance Exchange* 877-629-8003 www.aie-ny.com
Allmerica Financial Alliance Insurance Co. 800-922-8427 www.hanover.com
Allstate Fire and Casualty Insurance Co. 800-255-7828 www.allstate.com
Allstate Insurance Co.* 800-255-7828 www.allstate.com
American States Insurance Co. 800-332-3226 www.safeco.com
Amica Mutual Insurance Co. 800-242-6422 www.amica.com
Amica Property and Casualty Co. 800-242-6422 www.amica.com
Chubb National Insurance Co.* 866-324-8222 www.chubb.com/personal/
Citizens Insurance Co. of America 800-922-8427 www.hanover.com
Country-Wide Insurance Co.* 800-796-9288 www.cwico.com
Erie Insurance Co. 814-870-2000 www.erieinsurance.com
Erie Insurance Co. of NY 800-458-0811 www.erieinsurance.com
Esurance Insurance Co. 800-378-7262 www.esurance.com
Esurance Property and Casualty Insurance Co. 800-378-7262 www.esurance.com
Foremost Insurance Co. Grand Rapids Michigan 888-888-0080 www.foremost.com
Foremost Signature Insurance Co. 888-888-0080 www.foremost.com
Garrison Property and Casualty Insurance Co. 800-531-8722 www.usaa.com
GEICO General Insurance Co. 800-841-3000 www.geico.com
GEICO Indemnity Co. 800-841-3000 www.geico.com
Government Employees Insurance Co. 800-841-3000 www.geico.com
Government Indemnity Co. 800-841-3000 www.geico.com
Hartford Casualty Insurance Co. 800-624-5578 www.thehartford.com
Hartford Underwriters Insurance Co. 800-541-3717 www.thehartford.com
Integon National Insurance Co. 800-462-2123 www.nationalgeneral.com
Liberty Mutual Fire Insurance Co. 800-295-2820 www.libertymutual.com
LM General Insurance Co. 800-295-2820 www.libertymutual.com
LM Insurance Corporation 800-295-2820 www.libertymutual.com
Massachusetts Bay Insurance Co. 800-922-8427 www.hanover.com
Metropolitan Casualty 844-569-3607 www.metlife.com
Metropolitan Group Property & Casualty 844-569-3607 www.metlife.com
Metropolitan Property & Casualty 844-569-3607 www.metlife.com
Mid Century Insurance Co. 800-493-4917 www.farmers.com
National General Assurance Co. 800-462-2123 www.nationalgeneral.com
National General Insurance Co. 800-462-2123 www.nationalgeneral.com
National General Insurance Online, Inc. 800-462-2123 www.nationalgeneral.com
Nationwide Affinity Insurance Co. of America* 877-669-6877 www.nationwide.com
Nationwide General Insurance Co. 877-669-6877 www.nationwide.com
Nationwide Mutual Insurance Co.* 877-669-6877 www.nationwide.com
New South Insurance Co. 800-462-2123 www.nationalgeneral.com
New York Central Mutual Fire Insurance Co. 800-234-6926 www.nycm.com
Preferred Mutual Insurance Co.* 800-333-7642 www.preferredmutual.com
Progressive Advanced Insurance Co. 866-302-4010 www.progressive.com
Progressive Casualty Insurance Co.* 800-876-5581 www.progressiveagent.com
Progressive Max Insurance Co. 800-888-7764 www.progressive.com
Progressive Specialty Insurance Co. 800-876-5581 www.progressiveagent.com
Property & Casualty Insurance Co. of Hartford 800-429-4545 www.thehartford.com
Republic Franklin Insurance Co. 800-598-8422 www.uticanational.com
State Farm Fire and Casualty Co. Agents Listed www.statefarm.com
State Farm Mutual Automobile Insurance Co. Agents Listed www.statefarm.com
The Hanover Insurance Co. 800-922-8427 www.hanover.com
The Hanover Insurance Group* 800-992-8427 www.hanover.com
The Standard Fire Insurance Co. 866-522-1338 www.travelers.com
Travelers Personal Insurance Co. 866-522-1338 www.travelers.com
Travelers Personal Security Insurance Co. 866-522-1338 www.travelers.com
United Services Automobile Association 800-531-8222 www.usaa.com
USAA Casualty Insurance Co. 800-531-8222 www.usaa.com
USAA General Indemnity Co. 800-531-8722 www.usaa.com
Utica Mutual Insurance Co. 800-598-8422 www.uticanational.com
Utica National Insurance Co. of Texas* 800-598-8422 www.uticanational.com

 

Why do you need car insurance?

Auto insurance can help protect you from expensive, sometimes devastating surprises. Let’s say you’re in a covered accident. As an insured driver, you can get help paying medical bills, repairs, certain legal defense costs and more.

What coverage should you consider for your car?

Your coverage should be as unique as your ride. Check out your car’s make and model to find discounts, safety ratings and insurance information.

 

 

Learn more about….

No-fault insurance injury/illness Denial CO-21

Future of Medical Coders with Computer Assisted Coding System

0
Future of Medical Coders with Computer Assisted Coding System

Technology has finally arrived that is radically changing the process of medical coding in health information management. Computer assisted coding (CAC) automatically generates medical codes directly from medical records. With CAC technology, healthcare organizations can streamline their revenue cycle process while becoming more compliant with the increasingly complex payer’s guidelines and quality reporting requirements.

Computer assisted coding (CAC) does not eliminate the need for medical coding professionals to be involved in the coding process, but it can make them more productive and accurate.

Similar conceptually to “spell check” the software uses natural language processing to highlight key terms and phrases for ICD-10 CM and the American Medical Association AMA‘s Current Procedural Terminology coding. In addition, CACS analyze the context to determine whether a particular instance requires coding.

For example, the software can determine that the term “cancer” requires coding when it’s a diagnosis, but not when it is referring to a “family history of cancer.”

Traditionally such coding is performed by people called Medical coders, but the shift toward technology-driven healthcare has increased the necessity and demand for medical coding systems — especially with the growth in electronic health record (EHR) implementation and the transition to ICD-10-CM. This has led to a hybrid system, in which CACS performs a majority of the medical coding, especially on routine procedures, and coders address more complex scenarios while auditing the CACS output.

“Computer-Assisted Medical Coding Market” is expected to develop speedily in all development areas over the period between 2021 and 2027.

Resources:

o Healthcare Innovation
o Computer-Assisted Coding Market Research Report 2021
o The Future Of Work Now—Medical Coding With AI
o Will CAC (Computer Assisted Coding) Replace Medical Coders?
o The truth about Computer-Assisted Coding AHIMA

Telehealth and HIPAA Compliance: Post-Pandemic Challenges

0
Telehealth and HIPAA Compliance: Post-Pandemic Challenges

The COVID-19 pandemic has accelerated the adoption of telehealth services, allowing patients to access healthcare remotely and reducing the burden on traditional healthcare systems. However, the widespread use of telehealth also raises concerns about the privacy and security of patient’s health information. The Health Insurance Portability and Accountability Act (HIPAA) plays a crucial role in safeguarding patient data, but its compliance requirements have faced new challenges in the post-pandemic era. In this article, we will explore the intersection of telehealth and HIPAA compliance, focusing on the challenges that have emerged in the wake of the pandemic.

Telehealth Expansion and HIPAA Compliance:

During the pandemic, telehealth witnessed unprecedented growth, driven by the need for social distancing and remote healthcare access. While this expansion has provided numerous benefits, it has also posed challenges for maintaining HIPAA compliance. One key challenge lies in ensuring the secure transmission of patient data across various communication platforms and devices. Telehealth encounters are often conducted via videoconferencing tools or mobile applications, making it crucial to employ secure and HIPAA-compliant platforms to protect patient privacy.

Third-Party Services and Business Associate Agreements (BAAs):

Telehealth services often rely on third-party vendors and technology providers to facilitate virtual consultations and data storage. These vendors may have access to sensitive patient information, making it vital to establish Business Associate Agreements (BAAs) to ensure HIPAA compliance. BAAs outline the responsibilities and liabilities of these vendors regarding patient data protection and privacy. However, the rapid expansion of telehealth during the pandemic has strained the ability of healthcare organizations to effectively assess the security measures implemented by third-party vendors, potentially leading to compliance gaps.

Security Risks and Data Breaches:

The shift to telehealth has also exposed healthcare organizations to increased security risks and the potential for data breaches. Cybercriminals have targeted telehealth platforms, seeking to exploit vulnerabilities and gain unauthorized access to patient information. Such breaches not only compromise patient privacy but also lead to significant financial and reputational damage for healthcare providers. Compliance with HIPAA’s Security Rule, which requires safeguards against unauthorized access to electronic health information, becomes even more critical in the telehealth context.

Technology Challenges and User Education:

The rapid adoption of telehealth has highlighted the need for user education and awareness regarding secure technology practices. Healthcare professionals and patients alike must understand the potential risks associated with telehealth, such as the importance of using secure networks, protecting personal devices, and maintaining strong passwords. Ensuring compliance with HIPAA’s Privacy Rule, which requires protected health information (PHI) to be securely stored and shared, necessitates proper training and education to mitigate the risks of unintentional data exposure or unauthorized access.

Regulatory Updates and Compliance Adaptation:

The post-pandemic era has seen regulatory updates and flexibilities introduced to accommodate the surge in telehealth usage. For instance, the Department of Health and Human Services (HHS) temporarily relaxed enforcement of certain HIPAA requirements during the public health emergency. However, as the pandemic subsides, healthcare organizations need to reassess their telehealth practices and align them with HIPAA compliance requirements. Adapting to evolving regulations while maintaining the necessary privacy and security measures poses an ongoing challenge for healthcare providers.

Cross-State Telehealth and Licensure:

Another challenge that has emerged with the expansion of telehealth is the issue of cross-state practice and licensure. In response to the pandemic, many states temporarily relaxed licensing requirements, allowing healthcare professionals to provide telehealth services across state lines. However, these waivers are time-limited, and the return to pre-pandemic regulations raises questions about compliance with state-specific licensure and the impact on HIPAA compliance. Healthcare organizations must navigate this complex landscape to ensure that their telehealth practices align with both state regulations and HIPAA requirements.

Conclusion:

Telehealth has emerged as a vital component of healthcare delivery, providing increased access and convenience to patients. However, the expansion of telehealth services brings new challenges for HIPAA compliance. Safeguarding patient data in a remote environment, establishing secure vendor relationships, mitigating security risks, and adapting to evolving regulations are critical tasks that healthcare organizations must address in the post-pandemic era. By prioritizing patient privacy and investing in secure telehealth infrastructure, healthcare providers can effectively navigate these challenges and ensure the long-term success of telehealth while maintaining HIPAA compliance.

Learn More….

Complete Medicare Denial Codes List – Updated

CMS Proposes Medicare Payment Bump for Rehab, Psychiatric Facilities

Pain Management: What Does Medicare Cover?

CMS allowed licensed Independent ER’s to temporarily participate in Medicare and Medicaid

Understanding Medicare and the Top 10 Medicare Plans

0
Top 10 Medicare Plans

Medicare is a federal health insurance program that covers people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (ESRD). There are different Medicare plans that people can choose from to suit their health care needs. In this article, we will discuss the top 10 Medicare plans.

Original Medicare:

Original Medicare is the traditional Medicare plan, which is made up of Part A (hospital insurance) and Part B (medical insurance). It is offered by the federal government and covers hospital stays, doctor visits, preventive care, and medical equipment.

Medicare Advantage:

Medicare Advantage (Part C) plans are offered by private insurance companies that are approved by Medicare. These plans provide all the coverage of Original Medicare, plus additional benefits such as vision, dental, and hearing services. They may also have lower out-of-pocket costs and provide prescription drug coverage.

Medicare Prescription Drug Plans:

Also known as Medicare Part D, these plans provide prescription drug coverage. They are offered by private insurance companies that are approved by Medicare. Prescription drug plans may have different costs and cover different medications, so it’s important to compare plans to find the one that best meets your needs.

Medigap:

Medigap, also known as Medicare Supplement, is a type of private insurance that helps fill the gaps in Original Medicare coverage. Medigap plans cover deductibles, copayments, and coinsurance. There are 10 standardized Medigap plans, each labeled with a different letter (A, B, C, etc.), and each plan offers a different set of benefits.

Special Needs Plans (SNPs):

Special Needs Plans are Medicare Advantage plans that are designed for people with specific health conditions or needs. There are three types of SNPs: Chronic Condition SNPs, Dual Eligible SNPs, and Institutional SNPs. Each type of SNP provides specialized care and services tailored to the needs of the people it serves.

Medicare Medical Savings Account (MSA):

MSAs are a type of Medicare Advantage plan that combines a high-deductible health plan with a medical savings account. The plan deposits money into the account each year, and you can use that money to pay for health care costs before you reach the deductible. After the deductible is met, the plan covers all Medicare-covered services.

Medicare Cost Plans:

Medicare Cost Plans are a type of Medicare Advantage plan that are available in certain areas. These plans allow you to get care from any Medicare-approved provider, but you may pay more for services outside of the plan’s network. Cost Plans are a good option for people who spend a lot of time in different parts of the country and want flexibility in their health care.

Program of All-Inclusive Care for the Elderly (PACE):

PACE is a program that provides comprehensive medical and social services to people who are 55 or older, meet the eligibility requirements for nursing home care, and live in a PACE service area. PACE provides care in the home, in the community, and in PACE centers, and it covers all Medicare-covered services.

Medicare Savings Programs (MSPs):

MSPs are state-run programs that help people with limited incomes pay for their Medicare premiums, deductibles, and coinsurance. There are four types of MSPs, each with different income and asset limits. To qualify for an MSP, you must meet the income and asset requirements for your state.

Medicare Advantage Value-Based Insurance Design (VBID) Model:

VBID is a model that allows Medicare Advantage plans to offer more benefits and lower cost-sharing for people with certain chronic conditions. The VBID model is designed to encourage people with chronic conditions to get the care they need to manage their health.

Learn More….

Complete Medicare Denial Codes List – Updated

CMS Proposes Medicare Payment Bump for Rehab, Psychiatric Facilities

Pain Management: What Does Medicare Cover?

CMS allowed licensed Independent ER’s to temporarily participate in Medicare and Medicaid

How the Internet and AI are Reshaping Medical Billing and Coding in 2023

0

The Internet and AI have revolutionized many aspects of our lives, including the healthcare industry. One area that has been significantly impacted by these technological advancements is medical billing and coding. In this article, we will explore how the Internet and AI are reshaping medical billing and coding.

Firstly, let’s start with some basics. Medical billing and coding is the process of translating medical procedures, diagnoses, and treatments into a universally recognized code format. These codes are used by healthcare providers to bill insurance companies and other payers for services rendered. The process is critical in ensuring that healthcare providers are reimbursed for their services accurately.

Traditionally, medical billing and coding has been a tedious and time-consuming process, involving significant manual labor. The process involved numerous steps, including the identification of the appropriate codes, entry into a billing system, and submission to insurance companies for reimbursement. However, the advent of the Internet and AI has changed this process drastically.

One way the Internet has impacted medical billing and coding is by providing access to a vast amount of medical information online. Healthcare providers can now access medical coding databases, coding manuals, and coding software programs online. This has made the process of finding the correct codes faster and more efficient.

In addition, the Internet has made it easier for healthcare providers to submit claims electronically. Electronic billing has reduced the amount of time it takes to submit a claim and receive payment. With the use of online portals, healthcare providers can submit claims directly to insurance companies and track their progress in real-time.

AI has also played a significant role in reshaping medical billing and coding. Machine learning algorithms can now analyze patient data, including diagnoses, procedures, and treatments, and automatically generate accurate medical codes. This has significantly reduced the amount of time it takes to complete the billing and coding process, and also reduced the likelihood of errors.

AI-powered medical billing and coding software can also help identify potential coding errors, such as incorrect or incomplete codes, and suggest corrections. This helps healthcare providers avoid costly mistakes and ensure that they receive proper reimbursement for their services.

Another way AI has impacted medical billing and coding is through the use of predictive analytics. Machine learning algorithms can analyze large datasets to identify patterns and trends in medical billing and coding. This information can be used to predict future billing and coding trends, which can help healthcare providers make informed decisions about how to allocate resources.

Overall, the Internet and AI have had a significant impact on the medical billing and coding process. These technological advancements have made the process faster, more efficient, and more accurate. Healthcare providers can now spend less time on administrative tasks and more time providing quality care to their patients. As technology continues to evolve, we can expect further advancements in medical billing and coding that will continue to benefit healthcare providers and patients alike.

Learn More….

Top 20 Critical Access Hospitals in the U.S

Home Discharge Program Prevents Hospital Readmission For ED Patients

Major Hospitals Still Not Complying with Price Transparency Rule

NSA and Balance Billing Laws by State

Top Children’s Hospital Emergency Rooms in Texas

0
Top Children's Hospital Emergency Rooms in Texas

Children’s hospital emergency rooms in Texas provide specialized medical care for children who require urgent medical attention. These emergency rooms have pediatric specialists and equipment that are tailored to meet the unique needs of children. Here are some of the top children’s hospital emergency rooms in Texas:

1- Texas Children’s Hospital Emergency Center: Texas Children’s Hospital is one of the largest pediatric hospitals in the United States and has a dedicated emergency center for children. The emergency center is staffed by pediatric emergency medicine physicians and nurses who have specialized training in treating children. The facility has state-of-the-art equipment and is designed to provide a child-friendly environment to help reduce anxiety.

2- Dell Children’s Medical Center Emergency Department: Dell Children’s Medical Center is located in Austin and is the only pediatric Level I trauma center in Central Texas. The emergency department is staffed by board-certified pediatric emergency medicine physicians and has specialized equipment to diagnose and treat a wide range of pediatric medical conditions.

3- Children’s Health Emergency Department – Dallas: Children’s Health is a pediatric health system that has an emergency department in Dallas. The emergency department is staffed by board-certified pediatric emergency medicine physicians and has specialized equipment to diagnose and treat a wide range of pediatric medical conditions.

4- Children’s Memorial Hermann Hospital Emergency Center: Children’s Memorial Hermann Hospital is located in Houston and has a dedicated emergency center for children. The emergency center is staffed by pediatric emergency medicine physicians and nurses who have specialized training in treating children. The facility has state-of-the-art equipment and is designed to provide a child-friendly environment to help reduce anxiety.

5- Cook Children’s Medical Center Emergency Department: Cook Children’s Medical Center is located in Fort Worth and has a dedicated emergency department for children. The emergency department is staffed by board-certified pediatric emergency medicine physicians and has specialized equipment to diagnose and treat a wide range of pediatric medical conditions.

6- Driscoll Children’s Hospital Emergency Department: Driscoll Children’s Hospital is located in Corpus Christi and has a dedicated emergency department for children. The emergency department is staffed by board-certified pediatric emergency medicine physicians and has specialized equipment to diagnose and treat a wide range of pediatric medical conditions.

7- University Health System Children’s Emergency Department: University Health System is located in San Antonio and has a dedicated children’s emergency department. The emergency department is staffed by board-certified pediatric emergency medicine physicians and has specialized equipment to diagnose and treat a wide range of pediatric medical conditions.

8- Texas Health Presbyterian Hospital Dallas Emergency Department: Texas Health Presbyterian Hospital Dallas has a dedicated emergency department for children. The emergency department is staffed by board-certified pediatric emergency medicine physicians and has specialized equipment to diagnose and treat a wide range of pediatric medical conditions.

9- Children’s Hospital of San Antonio Emergency Department: Children’s Hospital of San Antonio has a dedicated emergency department for children. The emergency department is staffed by board-certified pediatric emergency medicine physicians and has specialized equipment to diagnose and treat a wide range of pediatric medical conditions.

10- Driscoll Children’s Hospital Emergency Department – Valley: Driscoll Children’s Hospital – Valley is located in McAllen and has a dedicated emergency department for children. The emergency department is staffed by board-certified pediatric emergency medicine physicians and has specialized equipment to diagnose and treat a wide range of pediatric medical conditions.

Overall, children’s hospital emergency rooms in Texas provide specialized care for children who require urgent medical attention. These emergency rooms have pediatric specialists and equipment that are tailored to meet the unique needs of children. When selecting a children’s hospital emergency room, it’s important to consider the hospital’s reputation, the experience of the staff, and the quality of care provided.

 

Learn More….

Top 20 Critical Access Hospitals in the U.S

Home Discharge Program Prevents Hospital Readmission For ED Patients

Major Hospitals Still Not Complying with Price Transparency Rule

NSA and Balance Billing Laws by State

 

Top 10 Offshore Accident Lawyers in United States

0
Top 10 Offshore Accident Lawyers in United States

Offshore accidents can be catastrophic, resulting in serious injuries or even death. If you or a loved one has been injured in an offshore accident, you need an experienced lawyer to help you navigate the legal process and seek the compensation you deserve.

Here are the top 10 offshore accident lawyers in the United States:

Brent Coon & Associates: Brent Coon & Associates is a top law firm that specializes in offshore accident cases. Their team of experienced lawyers has represented clients in some of the most high-profile offshore accident cases in recent years.

Arnold & Itkin LLP: Arnold & Itkin LLP is a well-respected law firm that has won billions of dollars in settlements and verdicts for their clients. Their offshore accident lawyers have extensive experience handling cases involving oil rigs, drilling platforms, and other offshore facilities.

Gordon, Elias & Seely, LLP: Gordon, Elias & Seely, LLP is a law firm that specializes in maritime law and offshore accident cases. Their lawyers have helped clients recover millions of dollars in damages for injuries sustained in offshore accidents.

The Carlson Law Firm: The Carlson Law Firm has a team of experienced offshore accident lawyers who have helped clients recover millions of dollars in damages. They have a proven track record of success in offshore accident cases.

Lipcon, Margulies, Alsina & Winkleman, P.A.: Lipcon, Margulies, Alsina & Winkleman, P.A. is a law firm that specializes in maritime law and offshore accident cases. Their lawyers have extensive experience representing clients in cases involving oil rigs, drilling platforms, and other offshore facilities.

Zehl & Associates: Zehl & Associates is a law firm that has won billions of dollars in settlements and verdicts for their clients. Their offshore accident lawyers have extensive experience handling cases involving oil rigs, drilling platforms, and other offshore facilities.

The Krist Law Firm, P.C.: The Krist Law Firm, P.C. has a team of experienced offshore accident lawyers who have helped clients recover millions of dollars in damages. They have a proven track record of success in offshore accident cases.

Mithoff Law: Mithoff Law is a law firm that specializes in personal injury cases, including offshore accident cases. Their lawyers have helped clients recover millions of dollars in damages for injuries sustained in offshore accidents.

The Lanier Law Firm: The Lanier Law Firm has a team of experienced offshore accident lawyers who have helped clients recover millions of dollars in damages. They have a proven track record of success in offshore accident cases.

Williams Kherkher: Williams Kherkher is a law firm that specializes in personal injury cases, including offshore accident cases. Their lawyers have helped clients recover millions of dollars in damages for injuries sustained in offshore accidents.

Overall, if you or a loved one has been injured in an offshore accident, it’s important to work with an experienced lawyer who can help you navigate the legal process and seek the compensation you deserve. The lawyers on this list are among the best in the United States and have a proven track record of success in offshore accident cases. When selecting a lawyer, it’s important to consider their experience, track record, and reputation in the legal community.

Learn More..

Cheapest Health Insurance Plans in Texas

Work Injury Claim Denied CO 19: Work Related injury/illness

No-fault insurance injury/illness Denial CO-21

Who Has The Cheapest Renters Insurance Quotes in Wisconsin?

COVID-19 PHE Waivers Expected to End on May 11, 2023

0
COVID-19 PHE Waivers Expected to End on May 11, 2023

The COVID-19 pandemic has had a profound impact on the world, leading to widespread illness and death, as well as economic disruption. In response to the crisis, the U.S. government declared a public health emergency (PHE), which has allowed for the implementation of a number of blanket waivers aimed at addressing the crisis. One such blanket waiver is the Section 1135 blanket waiver under the Social Security Act.

The Section 1135 blanket waiver was created to allow for the temporary suspension of certain Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) requirements during times of emergency. The purpose of this waiver is to provide greater flexibility to healthcare providers and ensure that they have the resources they need to respond to the crisis. The waiver has been critical in helping to ensure that healthcare providers have the necessary resources to respond to the COVID-19 crisis, including the provision of telehealth services, the use of alternative equipment, and the ability to use alternative treatments.

One of the key benefits of the Section 1135 blanket waiver is that it allows for the use of telehealth services. The Centers for Medicare and Medicaid Services (CMS) has relaxed restrictions on telehealth, allowing patients to receive medical care from the comfort of their own homes. This has been particularly important for elderly and immunocompromised patients who are at a higher risk for complications from COVID-19. In addition, telehealth has allowed for increased access to medical care for patients in rural and underserved areas who may not have been able to access medical care otherwise.

The Section 1135 blanket waiver has also allowed for the certification and inspection requirements for hospitals and other healthcare facilities to be temporarily suspended. The U.S. Department of Health and Human Services (HHS) has relaxed these requirements, allowing hospitals and other healthcare facilities to respond to the crisis more quickly and efficiently. This has been critical in helping healthcare facilities to expand their capacity and provide the necessary care for COVID-19 patients.

In addition to these benefits, the Section 1135 blanket waiver has also allowed for the temporary suspension of certain PPE regulations. The HHS has relaxed restrictions on the use of PPE, allowing healthcare workers to use alternative equipment that is more readily available. This has helped to ensure that healthcare workers have the necessary equipment to protect themselves while caring for COVID-19 patients.

The Section 1135 blanket waiver has also provided greater flexibility in the treatment of patients with COVID-19. The HHS has relaxed some of its restrictions on the use of treatments, allowing healthcare providers to use alternative treatments that may be more effective. This has been critical in helping to save the lives of COVID-19 patients and reduce the spread of the virus.

On Thursday, December 29, 2022, President Biden signed into law H.R. 2716, the Consolidated Appropriations Act (CAA) for Fiscal Year 2023. This legislation provides more than $1.7 trillion to fund various aspects of the federal government, including an extension of the major telehealth waivers and the Acute Hospital Care at Home (AHCaH) individual waiver that were initiated during the federal public health emergency (PHE).

Additionally, on January 30, 2023, the Biden Administration announced its intent to end the national emergency and public health emergency declarations on May 11, 2023, related to the COVID-19 pandemic.

In conclusion, the Section 1135 blanket waiver has been critical in helping the U.S. government respond to the COVID-19 crisis. By providing greater flexibility to healthcare providers, this waiver has allowed for the rapid expansion of telehealth services, the increased use of alternative equipment and treatments, and the suspension of certain regulations that may have hindered the response to the crisis. As the world continues to grapple with the impacts of the pandemic, it is important that this waiver remains in place to ensure that healthcare providers have the resources they need to respond effectively.

 

Read More….

CMS Resumes All Hospital Surveys As COVID-19 Cases Lessen

CPT Codes for Novavax COVID-19 Vaccine & Administration

Monoclonal Antibodies – New Codes and Rates for COVID-19 Therapeutics

Monoclonal Antibody Infusion Therapy Treatment for COVID-19

The Impacts of COVID-19 on Access and Disclosure of Health Information