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TrustMed Solutions LLC, Renton, WA (2025)

10/20/2025

Medicare Reimbursement Update

The Senate introduced the Medicare Patient Access and Practice Stabilization Act of 2025 (S.1640), which would reverse the 2.83% physician pay cut from January and add a 2% increase through December.

It’s a welcome breather—but remember, Medicare physician payments are down ~33% since 2001 (inflation-adjusted). Long-term reform is still needed to keep practices sustainable.

At TrustMed Solutions, we help providers navigate reimbursement changes so they can focus on patient care.

👉 What do you think—is a 2% bump enough, or does Medicare need a bigger overhaul?

Read more: https://www.healthcarefinancenews.com/news/senate-bill-would-give-physicians-2-medicare-pay-increase

The American Medical Association on Wednesday said it strongly supports the Medicare Patient Access and Practice Stabilization Act of 2025 that would temporarily reverse the 2.83% payment cut to physicians.

10/01/2025

⚖️ Medicare Reimbursement: Striving for Fairness

Did you know hospitals and independent practices often get paid very differently for the same services? A new House bill aims to change that by creating more parity in Medicare payments.

👉 Why this matters:
💵 Independent providers could gain stronger financial stability
🏥 Patients may see better access to local care
⚖️ A more balanced and fair system overall

At TrustMed Solutions, we know reimbursement policy directly impacts practice sustainability — and ultimately, patient care. We’ll be watching this closely.

What do you think: Should independent providers be reimbursed at the same rates as hospitals?

🔗 Read more: https://healthexec.com/topics/healthcare-management/healthcare-policy/house-bill-aims-bring-parity-medicare-reimbursement

The Prompt and Fair Pay Act would require Medicare Advantage insurers to reimburse providers at traditional Medicare rates, effectively closing the payment gap between public and private plans.

09/10/2025

⏳ Prior Authorizations: Slowing Down Care & Adding Stress

If you’re a provider, you already know the struggle… prior authorizations (PAs) mean:

-More paperwork 📑

-Longer wait times for patients ⏱️

-Higher risk of denials if every detail isn’t perfect ❌

While PAs are supposed to ensure “medical necessity,” the reality often creates frustration for both providers and patients.

At TrustMed Solutions, we’ve seen how the right workflows make a huge difference:

✔️ Verify requirements upfront
✔️ Track authorizations closely
✔️ Stay in communication with payers

When managed proactively, prior authorizations don’t have to derail patient care — or your revenue.

👉 Want to learn more? Check out the full article here: https://www.myndshft.com/the-ultimate-guide-to-prior-authorization/ -is-prior-authorization

The Myndshft Ultimate Guide to Prior Authorization helps demystify PA and to quickly answer some of the most frequent questions.

09/03/2025

🚨 Out-of-Network Billing Doesn’t Have to Be Stressful 🚨

Submitting OON claims can feel overwhelming, but with the right steps, you can maximize reimbursement and avoid delays:

✅ Verify benefits early
✅ Use superbills or submit claims directly
✅ Check benchmark reimbursement tools (CMS, FAIR Health, etc.)
✅ Request exceptions when appropriate
✅ Watch for balance billing protections

At TrustMed Solutions, we help providers streamline OON billing so they can focus on patients—not paperwork.

💬 Want support with out-of-network claims? Let’s connect!

🔗 Read the full article: https://www.medisysdata.com/blog/how-to-get-out-of-network-claims-paid/

Learn strategies to ensure out-of-network claims are successfully processed and paid by insurance providers. Maximize reimbursements today.

08/21/2025

💡 Medicare vs. Medicaid — What’s the Difference? 🏥

Healthcare can be confusing, especially when it comes to insurance programs. Two that often get mixed up are Medicare and Medicaid:

👉 Medicare – For people 65+ or with certain disabilities, regardless of income.

👉 Medicaid – For individuals & families with limited income, offering broader coverage in many states.

Knowing the difference helps patients avoid billing surprises — and helps providers make sure claims are filed correctly.

At TrustMed Solutions, we guide healthcare providers through the maze of insurance billing so they can focus on patient care while we handle the paperwork.

📖 Read the full article here: https://www.investopedia.com/articles/pf/07/medicare-vs-medicaid.asp

Medicare provides health coverage for older adults, while Medicaid covers health costs for people with low incomes. Learn more about Medicare vs. Medicaid.

08/08/2025

Why Revenue Cycle Management Is Struggling—and How We Can Help

Recent insights from Healthcare Finance News reveal a troubling trend in healthcare revenue cycle management: only 55% of patient balances are collected, and claim denial rates remain high, often due to authorization errors and eligibility issues.

These inefficiencies are costing providers time, money, and patient trust.

At TrustMed Solutions, we’re tackling these challenges head-on by offering:

✅ Proactive Eligibility & Benefits Verification
✅ Streamlined Authorization Tracking
✅ Clean Claim Submission with Fast Turnaround
✅ Detailed Denial Management & Appeal Support

When your billing processes are airtight, your practice gets paid faster—and more reliably.

📉 Don’t let claim denials and poor collections eat into your revenue.

📈 Let us help you gain control of your revenue cycle and focus on what matters most: patient care.

🔗 Reach out to learn more or schedule a consultation today.

Read the full article below:
https://www.healthcarefinancenews.com/news/revenue-cycle-challenged-low-collection-rates-high-denials

Hospitals and health systems have been challenged by lower collection rates from insured patients and higher initial denial rates, which created financial headwinds in 2024, according to data from Kodiak Solutions.

07/24/2025

🧾 What is a Superbill in Healthcare—and Why Does It Matter?

If you're a private practice or out-of-network provider, you've likely heard the term “superbill” tossed around. But what exactly is it—and how does it impact your patients and billing workflow?

A superbill is a detailed invoice created by a healthcare provider that lists the services rendered, diagnosis codes, provider info, and fees. It’s typically given to patients so they can submit it to their insurance company for potential reimbursement when the provider is not billing insurance directly.

🔹 Why is it important?

*Ensures patients can get reimbursed for out-of-network care

*Helps maintain accurate documentation for claims

*Empowers providers to remain independent from insurance billing if desired

💡 Quick tip: A well-prepared superbill should include:

-CPT/ICD-10 codes
-Provider NPI and contact info
-Date of service & service description
-Patient details

At TrustMed Solutions, we help providers generate clean, complete superbills and streamline their reimbursement process—whether in-network or out-of-network.

📩 Need help building or submitting superbills for your clients? Let’s chat. We’ve got you covered.

Read full article here:
https://adamosoft.com/blog/healthcare-software-development/what-is-a-superbill-in-healthcare/

This comprehensive guide will provide what is a Superbill in healthcare, how Superbill works in healthcare, its key components, and its benefits.

07/17/2025

📉 Physician pay is up—but satisfaction is down.

According to Medscape’s latest compensation report, doctors are earning slightly more, but fewer feel fairly paid.

🔹 PCPs: +1.4% increase ($281K avg)
🔹 Specialists: +1% increase ($398K avg)
🔻 Some specialties saw decreases (Derm, Neuro, Urology)
⚖️ Gender gap: Men avg. $415K vs. Women $317K
😕 Only 47% feel fairly compensated
💼 40% now have side gigs

At TrustMed Solutions, we know compensation is only part of the picture. Providers need support, clarity, and balance—especially in today’s changing healthcare climate.

📎 Full article: https://www.healthcarefinancenews.com/news/physician-pay-rises-attitudes-about-compensation-are-declining

Average pay for physicians rose in 2024, a new Medscape report has found, but at 3.6% it's one of the lower raises since the company began tracking physician compensation in 2011, and the overall sentiment among physicians regarding fair compensation is declining.

07/09/2025

📣 Big News from CMS for 2026!

CMS has finalized updates to Medicare Advantage and Part D payment policies—here’s what providers need to know:

✅ A 5.06% average increase in Medicare Advantage plan payments
✅ Full implementation of the V28 Risk Adjustment Model
✅ Part D out-of-pocket cap set at $2,100 (plus continued $0 insulin & adult vaccine coverage)
✅ Updates to support medical education reimbursement

📌 What this means:

**Providers can expect increased reimbursement
**Accurate coding and documentation are more important than ever
**MA plans should prepare for enhanced oversight

🔍 We’re helping our clients stay ahead by adjusting billing strategies and keeping compliance top of mind.

https://www.cms.gov/newsroom/press-releases/cms-finalizes-2026-payment-policy-updates-medicare-advantage-and-part-d-programs

Today, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2026 Rate Announcement for the Medicare Advantage (MA) and Medicare Part D Prescription Drug Programs that finalizes the payment policies for these programs. This release — combined with the CY 2026 MA and Pa...

07/02/2025

🚨 Missed a Conference? Here’s What to Watch in the Remainder of 2025 and Plan for 2026

We recently came across Fierce Healthcare’s list of top healthcare conferences for 2025, and even though many dates have passed, it’s a helpful reference for:

✅ Staying on top of industry trends
✅ Planning next year’s travel & education budgets
✅ Knowing which events attract key voices in healthcare, billing, and RCM

🔗 Check out the full list here: https://www.fiercehealthcare.com/special-reports/healthcare-conferences-put-your-calendar-2024-2025

A few standout events (either recently held or still to come) that impact providers, practice managers, and RCM professionals:

📍 HLTH 2025 – Still coming up in October! Focused on digital health, innovation, and future-focused partnerships.

📍 MGMA, HFMA, and AHIP – Even if you missed this year’s conferences, now’s a great time to reflect on what they covered and consider attending in 2026.

💬 We’d love to hear from you:
Are you planning to attend any healthcare conferences this fall or in 2026? Let us know which ones you find most valuable!

Looking for healthcare events in 2025? We rounded up some of the top conferences, both virtual and live, that are on the calendar.This list will continue to be updated. | Here's our roundup of some of the top events in healthcare scheduled in 2025.

06/26/2025

💡 Understanding Out-of-Network Reimbursement: What Every Provider Should Know

Navigating out-of-network (OON) reimbursement can be tricky, but it doesn’t have to be. A recent guide by SuperDial offers a clear breakdown of how it works — and how providers can use it to their advantage.

Here are the key takeaways:

*Out-of-network providers set their own rates, but patients are typically reimbursed a portion (often 50–80%) of the insurer's "allowed amount" once their deductible is met.

*Patients usually pay upfront and submit a superbill for reimbursement. Knowing what insurers will allow in advance can help avoid surprises.

*Deductibles and coinsurance can vary widely — and often differ from in-network plans.

At TrustMed Solutions, we help providers verify OON benefits, track deductible progress, generate superbills, and support claims to ensure patients and providers stay informed and protected.

Want to take the guesswork out of OON billing? Read the full article here:

🔗 https://www.superdial.com/blog/the-complete-guide-to-out-of-network-reimbursement

Everything you need to know about out-of-network reimbursement in under 7 min.

06/19/2025

📊 Negotiating Better Reimbursement Rates: What Every Provider Should Know

Too often, healthcare providers accept insurance reimbursement rates at face value—assuming there’s no room for negotiation. But just like any other business relationship, payer contracts are negotiable, and even modest improvements can significantly boost your bottom line.

🔍 Key Insights for Providers:

✅ Know Your Numbers
Before entering any negotiation, it’s essential to understand your cost of delivering services and compare those to current reimbursement rates. Data is power.

✅ Highlight Your Value
Use metrics like patient satisfaction, low readmission rates, or specialized services to differentiate yourself when negotiating with payers.

✅ Ask at the Right Time
Contract renewal periods, changes in provider demand, or significant growth in your practice are strategic times to reinitiate conversations.

✅ Don’t Go It Alone
Negotiating contracts can be time-consuming and complex. Partnering with experts who understand payer dynamics can help ensure you secure the best possible terms.

At TrustMed Solutions, we’ve helped practices not only manage their billing efficiently but also advocate for better payer relationships and higher reimbursements. If you're not getting paid what you're worth, it's time to take a closer look at your contracts.

📈 Stronger contracts = stronger practice sustainability.

Read the full article here:
https://clinicservice.com/tips-doctors-how-negotiate-reimbursement-rates-health-care-plans/

Tips for Doctors on How to Negotiate Reimbursement Rates with Health Care Plans As practice expenses increase, the best way to stay in business will depend on how successful you are with negotiating contracts with health care plans. The best … Read More

TrustMed Solutions LLC

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Wednesday	8am - 5pm
Thursday	8am - 5pm
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