Healthcare System Archives

December 13, 2023
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What are the Effects of Upcoding in Medical Billing?

Upcoding in Medical Billing, the act of billing for a higher level of service than was actually provided in medical billing, is unfortunately not uncommon. While it may seem like a harmless way to boost revenue, the consequences are far-reaching and detrimental to both patients and the healthcare system as a whole. Upcoding in Medical […]

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Site-neutral-A-solution-to-lower-healthcare-costs

December 1, 2023
Blog, Healthcare News

How Implementing Site-Neutral Policies Can Help Reduce Healthcare Costs

The United States grapples with a healthcare affordability crisis, anticipating a 6.5 percent surge in costs due to inflation next year. Amidst concerns over escalating medical expenses, the deeper roots of these inflated prices often evade attention. Deficient government policies, notably Medicare reimbursement policies, contribute to consolidating the healthcare sector, ultimately driving up costs that […]

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AI is set to revolutionize healthcare in 2024!

November 30, 2023
Blog, Healthcare IT News, Healthcare News

How AI is Revolutionizing Healthcare in 2024

Anticipate further transformations ahead, with 2024 poised to introduce substantial shifts within the healthcare sector. This period of change will be marked by the rapid proliferation of artificial intelligence, intricately woven into the entirety of the healthcare framework, presenting opportunities to enhance healthcare delivery and elevate patient outcomes. Consider this scenario: Picture yourself as a […]

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August 11, 2023
Blog, Medical Billing

Healthcare Legislation Must Enforce Hospital Price Transparency Rule

Last week, during the onset of the summer recess, the House Ways and Means Committee introduced a healthcare reform bill. Regrettably, this legislation lacks the same potential impact as the competing bill presented by the House Energy and Commerce Committee, known as the Patient Act. What are the shortcomings of this new bill? It falls […]

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April 28, 2023
Blog, Medical Coding

The Rise of Payer Clinical and Coding Denials: Impact on Providers

Having been on the receiving end of audits, and also having been an individual who has conducted them, I know the mindset from both sides of this equation. The one element to this equation that has changed over time is the increase in payer denials: those that are now clinical- and coding-focused, often resulting in […]

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January 22, 2022
Blog, Revenue Cycle Management

Revenue cycle management 2.0: The key to successful healthcare finance

This has, in turn, put greater emphasis on the need for Revenue Cycle Management (RCM) systems to enable a healthcare provider to better manage transactions between payer, provider and patients. It can, through the use of various software platforms, boost revenues, reduce denials and enhance the patient experience. According to a survey published by […]

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December 1, 2021
Blog, Revenue Cycle Management

Medicare Patients in Metro Areas More Likely to Report Telehealth Use

Additionally, those who were younger than 75, lived in the west and had internet connectivity were more likely to use video or voice calls to interact with their physicians. Medicare beneficiaries living in metropolitan areas were more likely to report that they used telehealth services, a new study revealed. Published in the Journal of Evaluation […]

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November 18, 2021
Blog, Revenue Cycle Management

Medicare Part B premiums are increasing by 14.5%

CMS attributes the increases in part to rising prices and utilization across the healthcare system, as well as Aduhelm. The standard monthly premium for Medicare Part B enrollees will be $170.10 for 2022, an increase of $21.60 from $148.50 in 2021. This represents a 14.5% increase. The annual deductible for all Medicare Part B beneficiaries […]

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November 17, 2021
Blog, Revenue Cycle Management

Medical Group Revenue Declines Underscore Need for Efficiency

The survey found that median provider salary and benefits expense as a percent of net revenue increased from 72.1 percent to 84.9 percent, which is the outcome of provider compensation being protected during the COVID-19 pandemic combined with decreased productivity. In addition, the survey showed a net revenue decrease from 24.2 percent to 22.8 percent […]

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October 23, 2021
Blog, Revenue Cycle Management

CMS Lays Out New Strategy for Advancing Value-Based Care, APMs

The delivery and payment of care will look a lot different by 2030, according to CMS. The federal agency has announced that it expects all Medicare beneficiaries with Parts A and B to be in a care relationship with accountability for quality and total cost of care by the end of the decade. At the […]

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Tag: Healthcare System

What are the Effects of Upcoding in Medical Billing?

How Implementing Site-Neutral Policies Can Help Reduce Healthcare Costs

How AI is Revolutionizing Healthcare in 2024

Healthcare Legislation Must Enforce Hospital Price Transparency Rule

The Rise of Payer Clinical and Coding Denials: Impact on Providers

Revenue cycle management 2.0: The key to successful healthcare finance

Medicare Patients in Metro Areas More Likely to Report Telehealth Use

Medicare Part B premiums are increasing by 14.5%

Medical Group Revenue Declines Underscore Need for Efficiency

CMS Lays Out New Strategy for Advancing Value-Based Care, APMs

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