SRH Business Resource Marketplace’s Post

February 4 is the deadline to file your business claim for your share of the $5.5 Billion Payment Card Interchange Fee class action settlement. We will maximize and file your business claim as a service. Additionally, PCIF isn't the only class action settlement we're working currently. In fact, there are more settlements than usual in the works. A significant settlement was announced for the Blue Cross and Blue Shield Antitrust Provider Class Action (BCBS Provider). This presents a promising opportunity for any healthcare practice, or hospital that accepts Blue Cross Blue Shield plans from patients, potentially leading to a substantial recovery. Quick Summary Total Settlements Reached: $𝟮.𝟴 𝗕𝗶𝗹𝗹𝗶𝗼𝗻 Provider Class Eligibility: Any business that provides healthcare services in the US, including equipment or supplies, to any patient who was insured by, or who was a member of, any plan administered by any Settling Individual Blue Plan (Blue Cross Blue Shield, or The Blues) during the covered period – 𝗝𝘂𝗹𝘆 𝟮𝟰, 𝟮𝟬𝟬𝟴 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 𝗢𝗰𝘁𝗼𝗯𝗲𝗿 𝟰, 𝟮𝟬𝟮𝟰. Expected Filing Period: 𝗡𝗼𝘁 𝗲𝘀𝘁𝗮𝗯𝗹𝗶𝘀𝗵𝗲𝗱 𝘆𝗲𝘁, 𝗯𝘂𝘁 𝗮𝗻𝘁𝗶𝗰𝗶𝗽𝗮𝘁𝗲𝗱 𝘁𝗼 𝗯𝗲 𝗶𝗻 𝗮𝗯𝗼𝘂𝘁 𝟴 𝗺𝗼𝗻𝘁𝗵𝘀. #pcif #classactionclaims #srhmarketplace

#CMS Snatched 7 Months of IRA Implementation Time Away from You If you are like me, you found the Centers for #Medicare & #Medicaid Services “year 2” “fair price” guidance both very clear and very disappointing. The “Transaction Facilitator” for the “negotiated” price is more noteworthy for what it WON’T facilitate, as much as what it WILL facilitate. And the kicker is that CMS just snatched away precious months from an already too short implementation timeline. No Confidence: The MTF is only “voluntary” for #coveredentities and #contractpharmacies, which are not obligated to use a 340B identifier. As a consequence, the MTF will not be a reliable means of identifying 340B duplicates. And, as far as payment goes, CMS makes no commitment that the MTF will facilitate payment with the 50,000 #pharmacies out there or the tens of thousands of other suppliers and providers that will be seeking the MFP. CMS says that it might only give #drug makers those suppliers’ and providers’ banking info and leave it to the manus to figure it out. The overlay of a 14 day prompt pay deadline and the threat of both MFP and 340B civil monetary penalties are just the icing on this awful cake. Thanks for nothing. So, the race is on for manus to find a tech partner and design, implement, and test a system the government won’t itself be able to stand up by January 1, 2026. The Kicker?: You don’t even have to that date. What? Yep, that’s right. The guidance obligates a “Manufacturer [to] submit its plan for making the MFP available, including its process for deduplicating 340B covered units …, in writing to CMS at least seven months before the start of the first initial price …year.” Quite the bombshell. That’s basically 12 months away. You just lost 7 months. CMS, ever empathetic, offers its condolences: it “understands that this deadline is sooner than stated in the [earlier] guidance…, which indicated that plans were due one month prior” to January 1, 2026. But CMS “believes that an earlier deadline will allow for evaluation of a … Manufacturer’s plan prior to the start of 2026”. The agency will do a “risk assessment” of the plan and then demand changes it thinks best. And the plan has to be detailed. It must include, among other things, “description(s) of the types of documentation and data [the drug maker] would collect, maintain, and deliver to CMS”, whenever requested. Further, “[to] promote transparency and preparedness for MFP effectuation among pharmaceutical supply chain entities, CMS intends to publish these plans on the CMS IRA website”, but will redact proprietary information. Better Get It Right: You can’t easily make changes to the plan, either. A manufacturer “must notify CMS in writing of any changes to its plan for making the MFP available at least 90 days before the change goes into effect”. That’s all the sunshine I can offer this morning. #drugpricing #drugdevelopment #managedcare #MedicareAdvantage #PartD

Ever heard of the Multiple Procedure Payment Reduction (MPPR) policy? 📉 Here's a quick breakdown: Implemented by Medicare on January 1, 2011, this policy has since been adopted by many other insurance carriers. Here's how it works: 💡 The first unit of a CPT code with the highest practice expense value gets paid at 100%. But if you bill multiple units or other CPT codes on the same day (under the same tax ID), the practice expense value for those additional codes is reduced by 50%, slashing your reimbursement. Unfortunately, there's no way around this reduction. Want to learn more about MPPR? If you're a Gold, Platinum, or Diamond member of my website, check out our MPPR FAQ for all the details here ⬇️ https://loom.ly/lt66jAE

How to File a New SSDI Claim: Key Steps Revealed Discover how to successfully file a new SSDI claim if your condition has worsened or changed. We share essential tips and considerations, including the importance of your date last insured, to help you navigate the process effectively. Watch the full video here: https://lnkd.in/ekcxfax4 #SSDIClaims #SocialSecurity #DisabilityBenefits #NewClaimGuide #LegalAdvice #HealthConditions #InsuranceTips #ClaimYourBenefits #FinancialSupport

🔥🔥 Attention D2C businesses & Healthcare 🔥🔥 DEADLINES for filing are rapidly approaching for the following class action settlements: 1) Visa & MasterCard PCIF (Payment Card Interchange Fee) 2) Discover Card Interchange Fee 3) Blue Cross / Blue Shield providers 4) Opiates Acute Care Hospitals 5) Hill Rom Hospital Beds 📍Contact me as soon as possible to set up a call to learn why FRS is the right choice to administer your claims and ensure your organization receives the maximum settlement recovery 📍 #classactionsettlements #classaction #bluecrossblueshield #PCIF #InterchangeFee

Yesterday, the Consumer Financial Protection Bureau (CFPB) closed the comment period for a proposed rule to remove medical debt from consumer credit reports. As the nation’s premier purchaser of non-performing healthcare accounts, Capio’s mission is to aid individuals burdened by medical debt in achieving financial wellness. That’s why our comment to the CPFB raised concerns about the unintended consequences of the agency’s proposed rule for patients and providers alike. As put by the Bloomberg Editorial Board in a recent article, “If health-care providers can’t count on getting paid for their services — a process already complicated by the US’s tangled insurance industry — they could opt to raise prices or enact more administrative barriers to receiving care. That’s only going to make the accessibility problem worse.” By removing unpaid medical debt from credit reports, healthcare providers could face increased financial strain due to reduced incentive for payment. This is just one glimpse into the underlying complexities of the CFPB’s proposed rule. Let’s focus instead on smart solutions to alleviating the burden of medical debt that balance the needs of patients and providers. #CapioCares #MedicalDebt https://lnkd.in/gz2zTBCN

DMEPOS suppliers, is your surety bond up to date? Even an unintentional lapse could result in the revocation of your Medicare billing privileges and a re-enrollment bar of up to 10 years. Learn more about the risks and how to protect your practice:

DMEPOS suppliers, is your surety bond up to date? Even an unintentional lapse could result in the revocation of your Medicare billing privileges and a re-enrollment bar of up to 10 years. Learn more about the risks and how to protect your practice:

You might be surprised at my answer but I would say incomplete information, which is a systems problem, and not understanding the specific insurance's coding requirements. You need proper systems in place for your practice because the EMR will pull patient information from the patient profile. If your office manager/receptionist is not putting in all of the information correctly such as forgetting to click the gender or not putting the PCP's NPI number, the claim will automatically have errors. Regarding codes, some insurances want modifiers. With OT and SLP codes, some require one modifier while others require two. If you are doing teletherapy, you need to add GT as your modifier. The importance of understanding codes and creating fireproof systems to ensure that claim processing is not delayed will be the key to great financial health for your private practice. Have questions? Meet me in the comments. #slp #slplife #slpentrepreneur #slpprivatepractice #slpsinprivatepractice #privatepractice #privatepracticebasics #slpprivatepracticebeginners #slpprivatepracticebasics #slplikeaboss #slpgrad #slpgradstudent #slptobe #slp2be #speechpath #speechpathology #speechlanguagepathology #blackslp #blackspeechlanguagepathologist

DMEPOS suppliers, is your surety bond up to date? Even an unintentional lapse could result in the revocation of your Medicare billing privileges and a re-enrollment bar of up to 10 years. Learn more about the risks and how to protect your practice: