Hello and welcome to the NatRevMD community! We're thrilled to have you join us as we embark on this 8-week journey to mastering medical billing. Our course is designed to help private practices increase revenue, decrease accounts receivable (AR), and empower front office staff with the knowledge and tools they need to succeed. We'd love to get to know you better! Please take a moment to introduce yourself to the community. Here are a few questions to help you get started: - Name: What’s your name? - Location: Where are you based? - Role: What is your role in your practice? (e.g., Practice Manager, Billing Specialist, Front Office Staff) - Experience: How long have you been working in the medical field? - Goals: What do you hope to achieve by participating in this course? About Our Course: In this 8-week program, you’ll learn: - Effective Billing Strategies: Techniques to optimize your billing process. - Revenue Increase Tips: Proven methods to boost your practice’s income. - AR Management: Strategies to reduce your accounts receivable. - Staff Empowerment: Tools and tips to help your front office staff feel more confident and prepared. Get Involved! - Introduce Yourself: Share your introduction in the comments below or start a new thread. - Engage: Ask questions, share experiences, and support fellow community members. - Stay Updated: Keep an eye on announcements for new modules, tips, and community events. We believe that by connecting and sharing our experiences, we can all grow and succeed together. We're excited to have you on board and look forward to a fantastic journey ahead. Welcome again, and let's make the most of this learning experience! Best regards, The NatRevMD Team www.natrevmd.com

Recent survey showed that folks are struggling with enough patient volume. A few follow-up questions: - How are people marketing today? - What is your number one referral source? - What practices nearby could be referral sources? - Do you have someone dedicated to marketing to get patients in the door?

Medicare’s pandemic-era telehealth flexibilities are rolling back. That means: - If you weren’t eligible for telehealth reimbursement before COVID, chances are you may not be paid now. - Exceptions remain for:✔️ Mental health & substance use treatment✔️ ESRD check-ins✔️ Rural areas 👉 Translation: if you see Medicare patients and rely on telehealth, payment may not be guaranteed moving forward. What you can do right now: 1. Have patients sign an ABN (Advance Beneficiary Notice). 2. Consider collecting a deposit upfront—but have a refund process ready if Medicare does pay. 3. Update your staff with a clear script so patients aren’t surprised by bills. 📄 Here are two resources to help you prepare: - CMS ABN Form (official) - Sample Telehealth Policy This isn’t fun news, but being proactive keeps your revenue safe. 🎙️ We’ll break this down in more detail on our upcoming NatRevMD Podcast—plus catch quick updates on our YouTube Channel @NatRevMD.

Lots of new members recently! Would love for you guys to introduce yourself. Thanks!

1️⃣ Cigna Downcoding Cigna is rolling out a new downcoding policy. Their system may automatically reduce your E/M level (for example, billing a 99215 but being paid for a 99213) if they don’t think your diagnoses support the higher level. While other payers have been doing this, very low volume of these denials seen so far. What do you do? ⚠️ This isn’t about your documentation quality — it’s payer-driven. 👉 Track your Cigna claims closely. 👉 Watch for CARC code C150 (downcoded payment). 👉 Be ready to appeal with documentation. 👉 Consider emailing provider rep saying you want OUT of auto downcoding. 2️⃣ Medicare Telehealth Starting Oct 1, 2025: Non-behavioral telehealth: Geographic + originating site restrictions return. ESRD-related monthly assessments allowed. Behavioral / mental health telehealth: Patients can continue visits from home for: • Mental health disorders • Substance use disorder What do you do? 👉 Collect ABNs when coverage is uncertain. 👉 Commercial payers may not follow Medicare’s lead — stay alert. Bottom line: Don’t let these changes catch you off guard. Protect your revenue by monitoring claims and updating your telehealth workflows. #cigna #Medicare #Telehealth #MedicalBilling #RevenueCycle #PhysicianPractice #NatRevMD