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The New MPPR for Therapy Providers Explained

Have you noticed additional adjustments on your Medicare remittance advice this year?  I have received many questions from therapy providers this year regarding the new MPPR  (Multiple Procedure Payment Reduction) and what it means for their clinics.   In a nutshell, Medicare is applying a reduction to the practice expense portion of the payment for a […]

Out of Pockets and Deductibles

Please Explain Out of Pockets and Deductibles As in yesterday’s topic, many clinic staff members seem to think that these two terms mean one in the same thing.  The results can be less than desirable if the difference between out of pockets and deductibles is not clearly understood. In a nutshell: Out of Pocket (OOP) […]

Co-pays vs. Co-insurance

Please Explain Co-pays versus Co-insurance I am often asked by providers and their staff to explain what each of these terms actually means.  Some mistakenly believe that the two terms are interchangeable. I discovered that many times when a patient had for example, a 20% coinsurance, the staff would charge the patient $20 a visit […]