The key benefits of AI in Electronic health records are improving productivity, providing better-personalized care, and facilitating support for decision-making. Medical imaging advances and the proliferation of clinical diagnostics and screenings generate large amounts of health data. In large, integrated healthcare delivery systems, EHRs are often regarded as inflexible, difficult to use, and expensive to […]
The number one priority of management, executive, and ownership level business is learning when and how to delegate responsibility. When it comes to revenue cycle management, the evolving healthcare industry almost requires that medical professionals take full account of their administrative capacity. Although keeping this aspect of business in the house may seem like a […]
As we forge ahead into 2023, audiology practices face a myriad of challenges. The growing prevalence of hearing loss, rapid technological advancements, and changing market dynamics are just a few of the many hurdles that audiologists must overcome to thrive in an increasingly competitive environment. With an estimated 466 million people worldwide suffering from disabling […]
ChatGPT, the large language Artificial Intelligence (AI) model, trained on 570 GB of internet data as well through reinforcement learning from human feedback, is finding a footing in healthcare. It’s already passed a US Medical Licensing Examination, co-wrote a peer-reviewed medical article, and has even written a letter to United Healthcare requesting prior authorization for an echocardiogram. Despite these achievements, […]
In recent years, there has been an increase in scrutiny regarding the use of modifier -25 to identify separate evaluation and management (E/M) services on the same day as another procedure. Insurers are now demanding documentation of such services both before and after payment, leading to a significant administrative burden for urology practices. The reason […]
CPT code 99214. Is that Jean Valjean’s number? No. It is an evaluation and management (E&M) code of moderate complexity. Few CPT® codes cause goosebumps, a chill in the air, and a pit in your stomach besides CPT code 99214. It is an E&M code of moderate complexity. For a low-complexity visit, the code decreases […]
Three big CMS moves have affected physician reimbursements in the last 10 years, according to VMG Health’s 2023 mergers and acquisitions report released on March 21: Here are the three CMS policies: In April 2015, the Senate passed the Medicare Access and CHIP Reauthorization Act, which permanently removed the sustainable growth rate formula under the […]
How do you resolve a repeated and shooting up problem like claims denials? It’s been a fresher subject for revenue cycle management professionals for years that are only experiencing hotter with the growing pressures of staffing shortages, troubles with staff movement and instructing and developing policies and protocols at the government and payer levels. On […]
It may become common practice to identify genetic abnormalities prior to the development of manifestations. The March 2023 ICD-10-CM Coordination and Maintenance Committee Meeting presented me with a dilemma (Topic packet March 8, 2023, ICD-10-CM Coord & Maint Cmte Meeting). Now that we have the technology to unravel the genetic basis for conditions, are we […]
On March 14, 2023, the U.S. Food and Drug Administration amended the emergency use authorization (EUA) of the bivalent Pfizer-BioNTech COVID-19 vaccine to allow providers to administer a booster to certain young patients. As a result, on March 17, the American Medical Association (AMA) released a new CPT® code for booster administration. Here’s what you […]