Category: Blog

Do more with less –– How AI revenue cycle workflows can generate big savings

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 […]
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Paperless Medical Billing Key to Boosting Patient Collections

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 […]
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EM-Codes

Unrelated Evaluation and Management during a Postoperative Period

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 […]
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CMS Finalizes Proposal For Inpatient Admission Order

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 […]
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hcfa

Unprocessed CMS-1500 Claims? Check the Date

Medicare claims that do not meet date format requirements will be rejected. The Centers for Medicare & Medicaid Services (CMS) has released date formatting guidelines for the CMS-1500 claim form, which are effective for claims received on or after July 30. When date formatting requirements are not met, Medicare Administrative Contractors will return claims as […]
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HIPAA Compliance Tips For Small Medical Practices

You’ve seen the headlines splashed on TV and across the internet: data breaches hit national businesses such as Target, Chipotle, and many large healthcare systems. But data breaches don’t just affect large corporate entities, they affect small healthcare organizations as well. Take the case of Holland Eye Laser Surgery in March 2018. Their five-provider group […]
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Artificial Intelligence Can Alleviate Revenue Cycle Management Challenges

Artificial intelligence can alleviate revenue cycle management challenges About 64 million adults in America struggle to pay their medical bills. In fact, one in five Americans is considered to have delinquent medical debt. As high-deductible health plans (HDHPs) have grown in popularity over the past couple of years, patient financial responsibility continues to increase, making […]
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Transitional Health Insurance Plays Key Role in Coverage

Transitional health insurance can be a critical benefit for individuals in the midst of financial uncertainty or major life changes. Transitional health insurance, otherwise known as a short-term health plan, is a temporary insurance policy intended to provide stop-gap coverage when an individual is in between ACA compliant policies. The National Association of Insurance Commissioners […]
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