The Centers for Medicare and Medicaid Services (CMS) have released an update to the prior authorization process for certain durable medical equipment, prosthetic, orthotics, and supplies (DMEPOS) items.

As originally announced in the Federal Register, published on December 21, 2016, CMS is preparing for the nationwide expansion of the prior authorization process for the first two items of durable medical equipment to be subject to required prior authorization beginning on July 17, 2017: (more…)

Are you getting paid for every charge you are entitled to?

Bristol Healthcare Services, a two-decade-old medical billing company, offers you customized medical billing solutions for your specialty. When you partner with us, we start by reviewing your current billing procedures for missing billable charges. We then create a system customized to fit your unique needs. Tailoring our industry-proven solutions to your specific practice requirements sets us apart from our competitors. (more…)

Take a look at the Bristol Healthcare Services features, or request a demo of our Services. There is no one-size-fits-all solution, so Bristol Healthcare Services developed different ways for you to get the insights you need to sustain and expand your practice. Across the years we have been in the industry, we have helped thousands of physicians to thrive with our superior medical billing services. When you grow your practice, we can add resources for you instantly. This enables you to scale up swiftly and smoothly without losing any growth opportunities. We offer flexible pricing models that suit your requirements.

Our revenue cycle management includes several Ancillary healthcare services. They refer to the wide range of services to single / Group physicians, Healthcare Facilities, Diagnostic lab’s and other healthcare entities. Physicians often have to deploy resources such as capital, equipment, software, and administration staff to deal with insurance reimbursement delays and denials. (more…)

A Pioneering Effort Aimed at Helping Healthcare Entities Maximize their Revenues

Bristol Healthcare Services aims to help healthcare entities increase their cash flow by offering robust Medical Coding Services, Eligibility Verification, Data Entries and Accounts Receivables follow up to manage patient claims efficiently. In its continued efforts, Bristol Healthcare Services has opened branch offices in different locations to assist healthcare providers in a more comprehensive manner. (more…)

HCPCS was developed by the Centers for Medicare and Medicaid (CMS) just as the AMA developed CPT for reporting medical procedures and services. Medical coders  use HCPCS codes to report medical procedures to Medicare, Medicaid, and several other third-party payors.

The corrections to this code set released for 2016 are detailed below (more…)

When You Must Issue an ABN (Advance Beneficiary Notice)

You must issue an Advance Beneficiary Notice (ABN) when you expect Medicare may deny payment for an item or service because:

• It is not considered reasonable and necessary under Medicare Program standards;
• The care is considered custodial;
• Outpatient therapy services are in excess of therapy cap amounts and do not qualify for a therapy cap exception;
• A beneficiary is not terminally ill (for hospice providers only); or
• A beneficiary is not homebound or there is no need for intermittent skilled nursing care (for home health services only).

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