Category: Blog

The True Cost of Claim Denials in Healthcare

The True Cost of Claim Denials in Healthcare

According to a survey, claim denials are considered the biggest obstacle in revenue cycle management, with over 20% of providers reporting an annual loss of $500K due to these denials. A recent survey of healthcare leaders conducted by leading medical billing company revealed that claim denials are causing a significant and costly issue for healthcare […]
Learn More
7 ways Coding Automation improves Reimbursement Capture
  • September 22, 2023

7 ways Coding Automation improves Reimbursement Capture

Ensuring accurate reimbursement is essential for every physician’s practice. Regrettably, shortages in coding staff, backlogs in charting, and shifts in guidelines frequently result in denied claims and financial loss. While various remedies have been devised, only coding automation has the potential to genuinely address this issue. Below, we’ll explore seven ways in which this AI […]
Learn More
3.36% Cut Threatens Medicare Physician Care Access in 2024

3.36% Cut in The Proposed 2024 Medicare Physician Pay Schedule

What’s the news: The AMA is emphatically stating that the proposed 3.36% reduction in the 2024 Medicare physician payment schedule is ill-advised, posing a threat to the accessibility of high-quality physician care for the 50 million plus elderly individuals enrolled in Medicare. The AMA President emphasized that with escalating costs associated with medical practice; another […]
Learn More
Billing Codes

Telehealth vs In-Person Visits: How Often Virtual Service Billed at Lower Code

According to research, telehealth visits, both in primary and specialty care, tend to be coded more frequently with lower level-of-service billing codes. Despite the option to receive higher facility rates for telehealth services for another year, providers often bill these virtual visits using lower level-of-service codes. This pattern holds true for both primary and specialty […]
Learn More
Optimizing Revenue Cycle Management Best Practices and AI Potential

Optimizing Revenue Cycle Management: Best Practices and AI Potential

From the inception to the conclusion of the Revenue Cycle Management (RCM) pipeline, it is imperative for practices to implement enhanced analytics and streamlined workflows. Healthcare providers have grappled with the challenge of receiving proper compensation for their services, and the current reimbursement landscape presents even greater obstacles compared to previous years. Payors are persistently […]
Learn More

AMA 2024 CPT Code Set: Addressing Language Barriers and Immunization Codes

The American Medical Association (AMA) has made significant updates to the 2024 Current Procedural Terminology (CPT) code set. These changes aim to address language barriers and streamline coding for COVID-19 immunizations. One notable update is the addition of Spanish descriptors to the CPT code set, allowing for better communication and understanding of medical services. This […]
Learn More
Medical Coding Regulation Guidelines

Compliance Compass: Guiding You Through Medical Coding Regulations

Coding regulations are a complex and ever-changing landscape. It can be difficult to keep up with the latest changes, and even more difficult to ensure that your coding is compliant. That’s where the Compliance Compass comes in. The Compliance Compass is a comprehensive guide to coding regulations. It covers everything from the basics of coding […]
Learn More
x