Category: Blog

Trends That Providers Can Expect From Healthcare In 2018

There are certainly going to be new ways to keep healthcare providers and health IT pros stay engaged and excited, and here are our top 10 picks.  For More Information: Gop Healthcare Bill: The Republican healthcare reform bill gained immense traction this year.  In the third attempt of healthcare bill, the lawmakers have insisted that […]
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CMS Finalizes 2018 MPFS Payment and Policy Changes - Allzone

CMS Releases Final OPPS Rule For 2018: 8 Things To Know

CMS has released its final 2018 Medicare Outpatient Prospective Payment System rule, which cuts payments to hospitals under the 340B Drug Pricing Program and authorizes Medicare to reimburse for knee replacement surgeries performed in outpatient facilities. Here are eight things to know about the 1,133-page final rule. Payment Update: CMS will increase OPPS rates by […]
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EHR

Understanding the Relationship Between EHR and RCM

Amongst the many benefits of implementing an electronic health records (EHR) platform, two are fundamental: increasing the overall quality of patient care and improving business efficiency and revenue. While it can often be difficult to visualize the connection between these two sides of hospital operations, these two outcomes are linked together. Transitioning to a new […]
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Blue Shield to Require Electronic Claim Submission

On October 26, Blue Shield of California notified physicians that for new or renewing provider agreements for 2018, it will begin requiring practices to submit their claims electronically. All claims, with the exception of those with an accompanying medical record, will be required to be submitted via electronic data interchange (EDI). A complete list of […]
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CO16 denial code

5 Common Remark Codes For The CO16 Denial

co16 denial code description: The CO16 denial code is used in medical billing to indicate that a claim has been denied because it lacks necessary information or contains errors. It falls under the category of “Contractual Obligation” (CO) denials, which means the responsibility falls on the provider to fix the issue and resubmit the claim. […]
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Improving ASC Upfront Collections: 5 Fundamental Steps In Obtaining Payer Pre-Authorization

Your ASC’s surgery scheduler has just scheduled a procedure for next week. Prior to performing this procedure, there are numerous steps required to ensure that your ASC is properly compensated for services performed. Pre-authorization — also called pre certification, prior authorization, insurance verification and prior approval — from the patient’s payer is just one vital […]
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How Much Do Claim Denials Cost Hospitals? New Report Says $3.5M

Hospital and health systems have seen an improvement in some aspects of revenue cycle performance over the last two years, but a new report finds that many organizations are under pressure and face risks from increased denial write-offs, bad debt and inefficiencies due to high collection costs. Indeed, the Advisory Board’s biennial revenue cycle survey […]
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