|Protecting Patient Billing With the No Surprises Act||Contact Us|
Email our Process Improvement Associate inbox at email@example.com for urgent issues or non-claim-specific questions. Tickets will automatically be created and routed to your Process Improvement Associate.
RCM Team Member
|The No Surprises Act put into effect on January 1, 2022, protects uninsured (self-pay) patients from being caught off guard by being balance-billed for medical services. With this new regulation, healthcare Providers and Facilities must provide a "good faith estimate" to patients prior to rendering services. We recommend reviewing or establishing your Practice's self-pay fee schedule. As part of your OP RCM partnership, we're happy to help with this review and will assist you with making any modifications you see fit. Please contact firstname.lastname@example.org to begin this review process. Here are some helpful links that will provide additional information on the new regulations.|
|New Year, New Insurance? Validation Best Practices|
|The new year often brings new insurance policies for many families. To ensure your Practice is keeping the most up-to-date information on file and to prevent claim denials, here are the top 3 best practices for maintaining accurate patient insurance information:|
Not only will these practices help with timely claim payment, but you'll also be able to accurately project patient responsibility making it easier to collect copays and deductibles at the time of service.
|Demystifying External Cause Codes (V00-Y99)|
|External causes of morbidity codes (category V00-Y99) are undoubtedly the most creative codes in the ICD-10 codeset. However, according to ICD-10 coding guidelines, these codes are not intended to be listed as a primary diagnosis on claims because they do not depict a clear picture of the patient's actual diagnosis. That is why claims that contain these codes as the primary diagnosis will be denied, ultimately delaying claim payment. Click here for more information on policies around inappropriate primary diagnosis coding.|