Author Archives: diane.desantis@neaccounts.com

Telehealth Payment Revelations

September 17, 2020 By New England Accounts Receivable Management During the start of the initial outbreak of Covid 19,  billers were delighted that the Government, and most other insurers, came up with very specific guidelines about billing Telehealth visits.  As usual, confusing at first but once confirmed by CMS, all others seemed to follow.  However, as is always the... Continue Reading →

Graduation Days/Enrollment Nightmares

July 7, 2020 By New England Accounts Receivable Management ALTHOUGH COVID 19 HAS DIMINISHED MUCH OF THE ORDINARY HOOP-LAH SURROUNDING THESE HAPPY AND MONUMENTAL OCCASIONS, MEDICAL SCHOOLS AND PROGRAMS ARE PRESENTING GRADUATES WORTHY OF MUCH APPLAUSE.  CONGRATULATIONS TO ALL WHO HAVE EARNED THEIR DEGREES. As Fellows and Residents move on to join practices, or start their... Continue Reading →

The Human Touch

February 19, 2018 By New England Accounts Receivable Management Too Good to be True? We are all familiar with the old adage: If something seems too good to be true, it probably is! Over the past few years, many of our clients have discovered this to be especially true when it comes to the bundled... Continue Reading →

NEW YEAR, NEW RULES

January 18, 2018 By New England Accounts Receivable Management It's always crucial to stay on top of the ever-changing regulatory framework and new policies surrounding medical billing. For example, in the year that just ended, ICD-10 medical coding has been implemented across the industry. That fact may not be headline-making in most walks of life,... Continue Reading →

Resolve to Improve in These Key Practice Areas

It’s that time of year again. As 2018 is winding down, many of us are looking back over the preceding 12 months to reflect upon the ups and downs, the wisdom acquired and the lessons learned. If you run your own medical practice, such a review will likely lead you to identity what worked in your current approach and what didn’t, particularly when it comes to billing and claims reimbursements.

Dr. Paul J. Pantano, DPM, Waltham, MA

“New England Accounts Receivable Management, Inc is an excellent, A+ organization whose services I have been gratefully and successfully utilizing for many years. Not only are the staff extremely pleasant, knowledgeable and helpful, but they are successful in extracting nearly every penny owed to me for my professional services. They are always available to promptly… Continue Reading →

You are Losing Money by Undercoding and the Government Thanks You

August 17, 2018 By DIANE DESANTIS By undercoding evaluation and management visits for established patients, $369.3 million in revenue was left on the table in 2017 according to the Annual CMS Comprehensive Error Rate Testing Report. Documentation reviewed revealed that the code billed did not substantiate the record. This means that you are recording accurately… Continue Reading →

Medicare ID Cards: Proactive vs Reactive

June 11, 2018 By DIANE DESANTIS I have given much thought as to how Physician practices can relieve the anticipated stress, work overload and revenue reduction that potentially will be caused by the change in patient Medicare ID numbers. Since I believe that the affected population may have some difficulty in providing the new numbers… Continue Reading →

New Medicare Beneficiary ID Cards

April 25, 2018 By DIANE DESANTIS Centers for Medicare and Medicaid Services (CMS) has begun the process of issuing new beneficiary cards (MBI) and has started mailing April 2, 2018 and will continue to April, 2019. The new cards will be mailed by geographic areas in phases. This change will GREATLY IMPACT YOUR REVENUE if… Continue Reading →

Dr. Gopal, Northshore Medical and Rahab, LLC

“New England Accounts Receivable Management is unique from other billing companies. They provide us with instant, real-time communications regarding patient accounts receivable information, keep us alerted to possible billing issues and changes in billing guidelines, and their well-versed staff quickly respond to any questions or concerns we may have. Information exchange is seamless and our… Continue Reading →

S. Koelbel, M.D., Weymouth, MA

“New England Accounts Receivable Management has been my billing company for the past 15 years because they are approachable, responsive and knowledgeable about billing claims. They are well connected with all insurance payers and pursue each claim until it is properly resolved.”

David Blaustein, M.D., Weymouth, MA

“Diane DeSantis and her associates at New England Accounts Receivable Management made an outstanding effort to acquaint themselves with our practice speciality and tailored their services to maximize our reimbursements. They are extremely responsive to any billing question or problem, have provided invaluable help on the billing processing for EMG services, and educated us on… Continue Reading →

MassHealth Referrals

March 20, 2017 BY LEANNE WRIGHT Starting next week we need to make sure that MassHealth patients enrolled in managed care plans and have referrals are being billed with the PCP as the Referring MD provider. In the past as long as the referral number is attached, they’ve processed. Now we Also need to make… Continue Reading →

Last Day for Informal Review Request

December 7, 2016 BY DIANE DESANTIS The 2015 Annual Quality and Resource Use Reports (PQRS) were released on September 26, 2016. The 2015 Annual PQRS show how physician groups and physician solo practitioners performed in 2015 on the quality and cost measures used to calculate the 2017 Value Modifier as well as their 2017 Value… Continue Reading →

Physician Quality Reporting System

November 15, 2016 BY DIANE DESANTIS 15 Days Remaining to Submit an Informal Review for 2017 Physician Quality Reporting System Results In 2017, CMS will apply a downward payment adjustment to those who did not satisfactorily report PQRS in 2015 including: Individual eligible professionals (EPs) Comprehensive Primary Care (CPC) practice sites PQRS group practices Accountable… Continue Reading →

Insurance Carrier Credentialing – Avoiding Some of the Pitfalls

October 27, 2016 BY LEANNE WRIGHT Insurance Carrier Credentialing – Avoiding Some of the Pitfalls Obtaining Insurance Carrier credentialing is an essential part of any practitioner’s preparation to begin work anyplace in the United States. As foreign as it may seem to some, you must have acknowledgement from carriers that they know who you are,… Continue Reading →

Credentialing Blues

August 20, 2015 By DIANE DESANTIS After 35 years in the business of medical practice administration, I still do not understand why clinicians have so much difficulty understanding insurance carrier credentialing. Everyone in the world knows that the money from a medical service insurance claim comes from an insurance company. How does the insurance company… Continue Reading →

New Client Offer

July 15, 2015 BY LOLLIE WEEKS Get over 30 years expertise in medical coding & billing, staff training and practice management consulting and save. Sign a one-year contract with NEARM, New England’s leading billing agency and get a discounted 6% service fee on our first year service fee. This special offer is good through February… Continue Reading →

Revalidation for Medicare and Medicaid

June 2, 2015 BY DIANE DESANTIS Have you received a letter from Centers for Medicare and Medicaid Services (CMS) requesting immediate response for revalidation? Both Medicare and Medicaid programs are now requiring that physicians be revalidated every 2-3 years. Who in your office has the time and expertise to complete these forms? Who has the… Continue Reading →