Provider Responsibilities When Treating Medicare Home Health Beneficiaries

Medicare’s Consolidated Billing Rules for Home Health Beneficiaries Apply to Hospital Claims. In reviewing denied claims referred to our office, it is my experience that hospitals must be aware of Medicare’s Consolidated Billing rules when providing services to home...

Timely Billing: To Avoid Lost Payments, Hospitals Need to Bill All Potential Payers From the Start (Part Two)

Most health plans have contracts with hospitals that require billing within 180 days of the date of service. Some self-insured plans allow hospitals to submit their bills for up to a year. There are strict statutes in place to ensure these billing deadlines are...