The Centers for Medicare & Medicaid Services (CMS) have embarked on a decisive move by enforcing a standard for Advancing prior authorization. In a conversation with the Senior Director of Utilization Management, we discussed the potential implementation and impact of this proposed mandate, slated for enactment in January 2026 The Predicament of Prior Authorization The […]
 As the 2024 calendar year’s open enrollment period swiftly approaches, it is imperative for organizations to focus on ensuring compliance with the Affordable Care Act (ACA) in order to guarantee that their procedures for managing health plans are well-executed. Despite nearly a decade of ACA reporting, organizations still tend to make errors in Affordable Care […]
2024 medicare part b premium: The Centers for Medicare and Medicaid Services have unveiled the premium rates, deductibles, and coinsurance figures for Medicare Part A and Part B in 2024, along with the income-based monthly adjustments for Medicare Part D in the same year. What is the Impact of 2024 Part B Premiums and Deductibles […]
The emphasis on preventive care by the payer likely contributed to its high re-enrollment rate. Insurance Company’s employer-sponsored healthcare plan, compliant with the Affordable Care Act, has emerged as the fastest-growing commercial plan for the payer. Data from the payer’s Impact Study suggests that the healthcare plan company’s focus on both price transparency and preventive […]
As we approach the year 2024, it is important for healthcare professionals to stay up-to-date on the latest coding updates for outpatient surgeries using the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10 PCS). These updates are crucial for accurate and efficient billing, reimbursement, and data analysis. The following is a summary of […]
Interoperability standards and AI wield significant influence over the revenue cycle, holding the potential to transform the financial landscape of healthcare establishments. In the constantly evolving realm of healthcare, the infusion of artificial intelligence (AI) has emerged as a game-changing force, promising to revolutionize patient care, diagnoses, and treatments. However, to fully harness the power […]
In the intricate realm of healthcare, where patient well-being is closely entwined with administrative complexities, the cornerstones of success lie in effective revenue management and specialized revenue cycle management services. This pivotal link between clinical operations and financial viability is established through the practice of healthcare revenue cycle management (RCM) and services offered by specialized […]
The adoption of workflow automation in the healthcare sector is on the rise for valid reasons. By alleviating healthcare providers from the burden of documentation and repetitive tasks, it allows them to focus on critical responsibilities that demand expertise and strategic thinking. Recent studies indicate that a significant portion of healthcare professionals spend between 26-41% […]
Medical coding plays a crucial role in managing the administrative aspects of your organization. It’s evident that without precise medical coding, obtaining reimbursement from insurance companies and third-party entities becomes a challenge. Both under coding and over coding can lead to revenue losses for your organization. While there are avenues for appeals in case of […]
In the intricate realm of healthcare, where patient well-being is paramount, the financial dimension often receives less attention. Yet, it’s imperative to recognize that healthcare encompasses not only patient treatment but also ensuring fair compensation for healthcare providers. Precise medical coding is a cornerstone of this endeavor. This piece delves into the profound importance of […]