Is the 16-Day RPM Rule No Longer a Revenue Barrier for OBGYNs?

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The 16-day RPM rule is becoming less of a revenue barrier for OBGYNs due to regulatory clarifications, improved device compliance, and better billing workflows. Previously, the requirement that remote patient monitoring (RPM) devices collect data for at least 16 days per 30-day period limited reimbursement opportunities. For OBGYN practices managing pregnancy-related monitoring and chronic maternal conditions, this rule often restricted consistent RPM reimbursement . Recent operational adjustments and clearer CMS guidance are changing how practices approach RPM billing for OBGYNs . What Is the 16-Day RPM Rule? The 16-day RPM rule requires that patient monitoring devices record and transmit data for at least 16 days within 30 days to qualify for monthly RPM reimbursement. This rule was designed to ensure consistent patient engagement, but it created challenges in: Short-term pregnancy monitoring Intermittent blood pressure tracking Gestational diabetes management Post...
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MBC: Best-in-Class Behavioral Health Billing Company

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Behavioral health billing is quite challenging as various factors affect the billing process. The length of the session, the approach to therapy, and the willingness of the patient to partake make it far more difficult to standardize treatment and billing. Moreover, the manner in which insurance carriers look at behavioral health is noticeably unlike the way they look at more traditional medical practices. For example, insurance carriers determine how long treatments are allowed to take and how many sessions can take place each day, making it challenging for behavioral health practitioners to balance effective billing with adequate patient treatment. In such challenging billing conditions, behavioral health practitioners can benefit from assistance from the medical billing company. Medical Billers and Coders (MBC) is a best-in-class behavioral health billing company providing complete behavioral health services. With our help, you can focus only on patient care while we deal with government and private payers along with their constantly changing billing guidelines and reimbursement policies.

What Makes MBC a Best-in-Class Behavioral Health Billing Company?

Verifying Patient Demographics

We cross-check patient demographics and insurance information submitted by behavioral health practices. Our team cross-checks patient demographics like name, date of birth, and address, along with insurance information. Inaccurate patient and insurance information is the prime reason for claim rejections. Rejected claims are claims with inaccuracies that are stuck in billing software and can’t reach to payers’ system unless they are corrected. Verifying patient demographics ensures timely payments and acts as a base for benefits verification & prior authorization activities. Throughout the billing process, our team ensures that data is transferred through secured channels and complies with HIPAA standards.

To know more about the Best-in-Class Behavioral Health Billing Company click here: http://bit.ly/3Sac0P5 Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

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