decisionhealth Newsletters, Part B News - 2012 Issue 6 (June)
Court your hospital to soften revenue cuts, billing hassles with 3-day payment window
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Article Overview
This article covers a hospital-affiliated practice billing issue involving a short payment window rule and its impact on physician reimbursement. It explains why the topic matters for practices working with hospitals, what kinds of ownership and enrollment information may need review, and the general compliance and claims-processing coordination involved. The piece is aimed at coders, billers, compliance staff, practice managers, and hospital-affiliated physician groups.
Why This Topic Matters
Practices tied to hospitals need to understand whether the rule applies and how billing workflows may be affected so claims are processed correctly and reimbursement disruptions are minimized.
Article Sections
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Billing
Overview of the hospital-affiliated billing issue and the timing pressure surrounding implementation. Introduces the general reimbursement impact and the need for practice-hospital coordination.
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4 tips to prepare for the 3-day rule
Practical preparation topics for practices and hospitals, including ownership review, claim handling, modifier-related processing, and coordination with compliance staff.
What You Will Learn
- How the article frames the hospital-affiliated practice billing issue
- Which broad practice and enrollment materials may be reviewed for applicability
- How claims processing coordination between practices and hospitals is discussed
- What types of reimbursement and compliance concerns are highlighted
Who Should Read This
- Medical coders
- Billers
- Compliance staff
- Practice managers
- Hospital-affiliated physician practices
Codes Discussed
Modifiers Discussed
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