Category: Blog

Telehealth Claims

Telehealth Claims Decline in Q1: Things To Know

Based on FAIR Health’s Monthly Telehealth Regional Tracker, the national decline in private insurance telehealth claims reached 5.4% in April, comprising 5.3% of all medical claims. This reduction can be observed across all four U.S. census regions: the Midwest (4.7%), Northeast (6.3%), South (6.8%), and West (6.4%). On average, patient visits lasted between 20 and […]
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Benefits of Advanced Healthcare Technology

Benefits of Advanced Healthcare Technology for Providers & Payers

Collaboration among a diverse team that blends clinical expertise and technical proficiency is essential in today’s dynamic healthcare environment to overcome administrative and diagnostic challenges. This multidisciplinary approach facilitates the creation of healthcare technology solutions that benefit all stakeholders, including payers, providers, and patients. By adopting a more personalized approach, treatment outcomes can be optimized […]
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Telehealth Compliance 10 Things You Need to Know

Telehealth Compliance: 10 Things You Need to Know

Telemedicine or telehealth, which refers to providing care via electronic communication when patients and providers are in separate locations, has been available for decades. However, the COVID-19 pandemic has accelerated the adoption of telehealth due to the urgent need to deliver care in new ways. Before the pandemic, telehealth faced challenges such as limited reimbursement, […]
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Surprise Medical Billing

President’s Efforts to Limit Surprise Medical Bills and Reduce Health Care Expenses

The President administration has announced its intention to restrict the sale of “junk” insurance policies, including short-term plans that may not provide adequate coverage for individuals who are in-between jobs and require temporary health care coverage. These policies have been known to deny basic coverage to policyholders. On Friday, President announced a set of fresh […]
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New ICD-11 Codes

The New ICD-11 Codes: What You Need to Know

 In the ever-evolving field of healthcare, accurate diagnosis and effective treatment depend on a universal coding system that provides a common language for medical professionals worldwide. The International Classification of Diseases (ICD) serves as the backbone of this system, and with the recent transition to ICD-11, a new era of coding has begun. In this […]
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Diagnosis Coding Guidelines

Latest Diagnosis Coding Guidelines for 2024

Review the changes to ensure that ICD-10-CM codes are reported accurately On July 5th, The National Center for Health Statistics released the 2024 update to the ICD-10-CM Official Guidelines for Coding and Reporting. It is recommended that medical coders and auditors review these guidelines on an annual basis to ensure accurate reporting of patient conditions […]
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Impact of Technology on Healthcare Management

The Impact of Technology on Healthcare Management

To efficiently manage healthcare, it is imperative for systems and management teams to maintain a continuous focus on becoming leaner. Healthcare administrators are responsible for overseeing an increasing number of hospitals, clinics, and medical facilities. Their responsibilities include managing operations, facilities, accounting, and policy, as well as evaluating and recommending new technology to improve patient-centered […]
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Proposed Home Health Payments

CMS Proposed Payment Cut to Home Health Agencies

Part of the reason for the decrease is attributed to a permanent adjustment in behavior assumptions. The 2024 Home Health Prospective Payment System Rate Update proposed rule released on June 30 revealed that Home Health Agencies will experience a 2.2% payment decrease in 2024 compared to 2023, partly due to a permanent behavior assumption adjustment. […]
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