Navigate reimbursement and strengthen your practice's financial health.
Access practical resources and expert guidance on billing and coding, payer requirements, prior authorization, quality reporting, compensation, and other revenue-cycle challenges.
Contact PPRC for more information on the following:
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Billing & Coding Center: Streamline claims management and get direct assistance to implement active denial resolution and protect practice revenue.
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Telehealth: Review specialized telehealth billing codes, interstate regulations, and coverage updates. Read the latest in telehealth coverage and virtual care coverage.
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Payer Relations & Administrative Simplification: Access resources to manage prior authorization hurdles, leverage statewide efforts to streamline payer requirements with standardized administrative forms, monitor state provider directory
standards, and stay updated on health plan policies and carrier bulletins.
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Surprise Billing & Patient Notices: Navigate federal and Massachusetts surprise billing requirements, patient notification obligations, and related compliance considerations. Access MMS guidance and resources on the No Surprises Act, surprise billing, and patient notice requirements.
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Quality Reporting & Value-Based Care: Access guidance on Medicare Merit-based Incentive Payment System (CMS QPP) reporting requirements, MassHealth ACO quality benchmarks, and value-based care participation.
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Business, Financial & Compensation Support: Connect with specialized medical CPAs, understand employed compensation models (wRVUs and quality bonuses), benchmark physician productivity, and analyze overhead expenses.
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Financial Corporate Partner Resources: Protect your business and optimize revenue. View vetted partners.
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Need Help? Contact Us: Solve credentialing delays or address commercial payer underpayments. Submit a Billing & Revenue Consult Form or call (800) 322-2303 ext. 7702.
Get more from the MMS
Members have access to resources, expertise, and advocacy that help physicians navigate practice challenges and address the policies creating them.
