Without divulging too many secrets, I am writing this while participating in my children’s Back to School Night; hopefully, out of webcam view. If there has been any saving grace from COVID-19 it is that future generations will have the luxury of sitting through the boredom of Back to School Night from the comfort of their home. The pandemic has made us think of our experiences in the realm of essentialism, or what we ...

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In an unpublished, informal study (conducted by me), being audited by an insurance company ranks # 1 amongst physicians’ biggest fears in revenue cycle management. Having worked with clients going through an insurance audit I can tell you that it is painful, but I believe it would be actually benefit physicians if insurance companies conducted more (meaningful) audits. In the US police turn on their sirens only when responding to an emergency, but in many European ...

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Medical Billing: Choosing the Right Fee Schedule A good friend of mine is an ophthalmologist starting his own practice. He called me this week with questions on a variety of medical billing topics, including payer contracting and fee schedules. He asked me what I thought was the ideal fee schedule: 1x Medicare rates? 2x Medicare? 3x Medicare? This is a question that we get all the time. In truth, it’s a delicate balance. On ...

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Sitting in the Suck My thoughts race a million miles per hour, so this blog is an opportunity for me to sit down, breathe, and get my thoughts on paper. My hope is that it is not only cathartic for me but will hopefully shed some light into both the journey of Nexus and my personal journey as the CEO. I will try to explore the day to day issues that a CEO faces as ...

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As the COVID-19 situation escalates, many of our clients have been asking us about performing virtual visits for patients and whether insurance will reimburse for virtual visits. This post will provide some updates on the current telehealth billing details and requirements. In recent years, many commercial insurances have started covering telehealth services, or virtual patient visits. However, Medicare has restricted coverage for these visits to patients in rural areas with limited access to medical care ...

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