MAs are taking advantage of excessive denials to reduce payments to providers. The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently found that between 2014 and 2016, a total of 75 percent of all...
More InfoThere are numerous patient engagement strategies aimed at improving care. What are the outcomes that show these solutions are working? Patient engagement affects every patient interaction across the care continuum. Accordingly, the outcomes that...
More InfoClaim denial prevention and management is crucial for a hospital’s financial health. Without an effective approach, organizations may lose or experience delays with reimbursement. A Change Healthcare study found a typical health system...
More InfoCMS proposes to ease burdens on providers. When it comes to the ever-changing Centers for Medicare & Medicaid Services (CMS) agency rules and regulations, one can’t help but be reminded of the classic tune by The Byrds: “to everything (turn...
More InfoNearly all healthcare decision makers recently surveyed by KLAS said their organization saw financial gains after implementing a clinical documentation improvement solution. Provider organizations are seeing financial improvements after...
More InfoLoading up MIPS reporting on one of three performance categories can help eligible clinicians prevent a negative payment adjustment in 2020, the AMA found. Eligible clinicians can avoid a financial penalty under the Merit-Based Incentive Payment...
More InfoHurricane Florence, described as an “extremely dangerous” Category 4 hurricane, was headed for the southern North Carolina coast. In a written statement to RACmonitor, Atrium Health, formerly Carolinas Healthcare System, said that its teams...
More InfoProposed changes to payments for evaluation and management (E/M) codes do not appropriately recognize the value of cognitive care required to treat complex patients, and the proposal should not be implemented, says the American College of...
More InfoNew code changes number 335. The new current procedural terminology (CPT®) codes have been released with 335 code changes in 2019. There were many code revisions with guideline, description and instructional note changes. Let’s look at the...
More InfoFrom reducing time in the operating room to eliminating hours physicians spend on paperwork, artificial intelligence innovations have allowed hospitals to boost productivity. Modern hospital executives face a number of financial challenges, as an...
More InfoThe Doctor in California collected nearly 40 percent of sitting A/R a month after digitizing medical billing and patient collections. In the age of smartphones, tablets, and other technologies that put information literally in the palm of our...
More InfoTypical post-operative care, including related evaluation and management is not separately reportable; but, an unrelated evaluation and management service during a postoperative period may be. According to the Centers for Medicare and Medicaid...
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