Category: Blog

Comprehensive-Guide-to-CPT-2024-Updates

CPT® 2024 Updates: New Codes, Revisions, and Effective Dates

Curious about the upcoming procedure codes for the new year? Your curiosity ends here! The CPT® 2024 update will incorporate 153 fresh codes dispersed throughout the code book. These additions encompass various sections such as Evaluation and Management, several Surgery subsections (including Musculoskeletal System, Respiratory System, Cardiovascular System, Urinary System, Female Genital System, and Nervous […]
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Claims Reimbursement Speed and Denial Rate

The Impact of Location on Claims Reimbursement Speed and Denial Rate

A recent examination has revealed a significant link between the operational location of healthcare providers and the speed and accuracy of claims reimbursement by insurers. If your practice encounters delays in claims reimbursement, this may be attributed to the geographical area in which your practice is situated, according to a recent scrutiny of financial transactions. […]
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Outsourcing Medical Billing Services

5 Tips for Right Medical billing outsourcing provider

Medical billing outsourcing provider: The healthcare industry is constantly evolving, and medical billing is no exception. The ever-changing regulatory landscape, complex insurance plans, and increasing patient volumes can make it difficult for healthcare providers to keep up with their billing and coding needs. This is where outsourcing medical billing services can come in handy. Outsourcing […]
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CPT® codes play a pivotal role in the transition to value-based care

In order for value-based healthcare to succeed, it is imperative that physician practices effectively articulate the medical services and procedures they provide. This underscores the vital role of the Current Procedural Terminology (CPT®) code set in driving the shift towards value-based care. According to the chair of the AMA/Specialty Society Relative Value Scale Update Committee (RUC), […]
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Biden Administration Takes Action to Cut Medical Bills from Credit Reports

Biden Administration Takes Action to Cut Medical Bills from Credit Reports

On Thursday, the Biden administration revealed its intention to eliminate medical debt entries from Americans’ credit reports, aiming to put an end to what it views as coercive debt collection strategies affecting a wide swath of consumers. The proposed measures are designed to extend a financial lifeline to families grappling with medical crises, curbing the […]
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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 […]
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7 ways Coding Automation improves Reimbursement Capture

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 […]
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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 […]
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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 […]
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