Category: Blog

Blockchain in Healthcare

How Blockchain Can Solve Healthcare’s Data Reconciliation Problem

The U.S. healthcare industry has a $1 trillion opportunity to cut costs and reduce waste, according to a 2015 Harvard Business Review analysis. While there are various areas waste accumulates, costly data reconciliation is a prominent problem for hospitals and health systems. Change Healthcare defines data reconciliation as “the process of compiling information across companies […]
Learn More

Insurers, Providers Spar Over Solution to Surprise Medical Bills

America’s Health Insurance Plans called on Congress to set a fixed reimbursement rate based on what insurers pay in a region. Providers are pushing back against an insurer proposal for legislation to set reimbursement rates to avoid surprise medical bills. In a letter to Senate and House leaders this week, America’s Health Insurance Plans and 16 other […]
Learn More
HCPCS Level II Drug Codes

21 New HCPCS Level II Codes for April

The new codes include drugs for migraines, to initiate blood-clotting in patients on certain coagulants, chronic and hairy cell leukemia, and folic acid for chemotherapy patients. The home health codes help facilitate the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) Pioneer ACO initiative. New HCPCS Level II Codes […]
Learn More
ICD-10 Coding Errors, Diagnostic Errors, Payment Reform. Coding Errors

ICD-10, Diagnostic Errors & Payment Reforms to Improve Diagnostic Accuracy

In October 2015, physicians across the United States transitioned from the International Statistical Classification of Diseases and Related Health Problems, Ninth Revision to the tenth revision (ICD-10-CM, the US version of the World Health Organization [WHO] ICD-10). Although the ICD-10-CM was a new concept for physicians in the United States, the international variant has been available since […]
Learn More

Latest Tips to Secure Your Organization Against Ransomware

Data security is now one of the top aspects of healthcare technology. It can make or break patient satisfaction and institutional reputation. Healthcare providers have a professional obligation not only to care for their patients’ health but also to protect their patients’ data. Cyber crime is on the rise against the sector because healthcare providers […]
Learn More
Medical Coding Services, ICD-10 Coding Services, CPT Coding Services

CPT 2020 and CPT 2021: Catch a Glimpse

A summary of the CPT® Editorial Panel’s actions during its February 2019 meeting offers us a glimpse of changes to come for the CPT 2020 and 2021. Perhaps the biggest news are approved revisions to office and outpatient E/M codes 99201-99215, scheduled for 2021 implementation, covered here. Other Approved Changes For 2021 Include: Significant revision to […]
Learn More
Patient Satisfaction, Medical Billing, Healthcare business model, Healthcare Providers, Patient Payment, Healthcare, Consumerism, Health Plans, Digital Healthcare, Patient Collections, Healthcare Technology, Machine Learning, Healthcare Automation, Medical Practice, Consumer Engagement.

How to Drive Patient Satisfaction and Financial Results with a Modern Medical Billing Process

Most industries embrace the motto “the customer is king.” They are acutely aware their success is driven by it. While the complexity of the healthcare business model has made it challenging for provider organizations to adopt such an ethos, the recent rise of consumerism in the industry necessitates that providers prioritize the patient experience if […]
Learn More
Medical Coding Services, CPT Coding Updates

2019 Codes Subject To Or Excluded From CLIA Edits

The CPT® codes that are considered a laboratory test under the Clinical Laboratory Improvement Amendments (CLIA) change each year, as well as throughout the year, making it difficult for healthcare providers and laboratories to keep up. Here are the CPT codes for 2019 that are subject to or excluded from CLIA edits in easy-to-look up […]
Learn More
x