Category: Blog

Nearly 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 implementing clinical documentation improvement (CDI) solutions, a recent KLAS survey shows. Revenue improved for about 53 percent of healthcare executives, medical records directors and managers, and […]

Loading 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 System (MIPS) in 2020 by focusing their reporting on one of three performance categories: Quality, Improvement Activities, or Promoting […]

Hurricane 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 “remain focused on the safety of our employees, the coordination of resources across affected healthcare facilities, and most importantly, our commitment […]

Proposed 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 Physicians (ACP). The changes are part of the proposed 2019 Medicare Fee Schedule (MFS) and Quality Payment Program (QPP) […]

From 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 increasing portion of Americans are going without insurance or enrolling in high deductible health plans. Under these circumstances, patients are […]

The 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 hands, why do doctors still rely on paper to reach their patients for medical billing purposes? That […]

Typical 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 Services (CMS), an E/M service provided during the global period of a procedure is unrelated if: The E/M service is for treatment […]

Change to the inpatient admission order considered to be major. The Centers for Medicare & Medicaid Services (CMS) released the Inpatient Prospective Payment System Final Rule, which becomes effective on Oct. 1. It’s 2,593 pages, so get reading. I have to commend the CMS staff for their work on this rule. I know few of […]

The big question for many who are new to running and operating an urgent care clinic is how to continue being profitable during a slow flu season in a very competitive market. There are eight key tips urgent care clinics can follow to optimize revenue and remain profitable. 1. Improve RCM: Effective revenue cycle management […]