Category: Blog

Expanded-Telehealth-Services-Won’t-Lower-Healthcare-Costs

Expanded Telehealth Services Won’t Lower Healthcare Costs

  Contrary to widespread hopes, the growth in telehealth brought on by the COVID-19 pandemic probably won’t lower health care costs. But it may make some services more widely accessible. A new Kaiser Family Foundation study compares average 2020 commercial insurance payments for evaluation and management and mental health therapy claims for services provided via […]
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Ways-To-Handle-Patient-Collections

Ways To Handle Patient Collections

Collecting patients is not an easy job, but there are ways to handle it in an efficient and compassionate manner. We talk to experts on how to prevent payment delinquencies and how to handle them when they occur. Ways to prevent delinquencies Before physicians worry about collecting delinquent payments, there are several strategies to ensure […]
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No-Surprises-Act-Law-Reshaped-Medical-Billing

How The No Surprises Act Law Reshaped Medical Billing

One year ago, the United States marked a turning point for health care cost transparency with a new law aimed at helping Americans avoid unnecessary, unexpected medical debt. As of Jan. 1, 2022, health care providers and insurers are no longer allowed to sideswipe privately insured people with bills for out-of-network services. Experts say the […]
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Advantages-of-Medical-Billing-Outsourcing

Top Reasons and Advantages of Outsourcing Medical Billing Process

Outsourcing the medical billing process reshapes healthcare sectors by building better and more stable revenue cycle management systems and helps businesses in the long run. Additionally, outsourcing pulls down the operating costs and strengthens the efficiency of the revenue cycle parallelly. Outsourcing medical billing services to a reputable medical billing company brings about a range […]
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Medicaid-Expansion-Boosts-Financial-Performance-of-Providers

Medicaid Expansion Boosts Financial Performance of Providers

Medicaid expansion improved financial performance for healthcare providers and was associated with lower uncompensated care costs and higher revenues. Medicaid expansion has positively impacted healthcare providers by boosting financial performance and resulting in payer mix improvements, data from the Kaiser Family Foundation (KFF) found. All but 11 states have expanded Medicaid eligibility as of January […]
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Possible-Changes-in-Prior-Authorizations

A Surgeon General Touts Possible Changes in Prior Authorizations

Federal healthcare leaders say they are committed to helping physicians, patients, and health insurance companies by improving the prior authorization process for medical care. On Jan. 17, Center for Medicare & Medicaid Services Administrator and U.S. Surgeon General Vice Admiral, held a listening session with health care stakeholders. That was followed by a conference call […]
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7 Most Common Reasons for Claim Denials

7 Most Common Reasons for Claim Denials in 2023

When a claim gets denied, it not only affects the company’s cash flow but also impacts the patient-doctor relationship. Even some denials get claimed by re-appealing but few claims are left on air – that what something your practice and patient would like to avoid. Poor management in claim processing will negatively impact the revenue […]
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New-Diagnosis-Codes-For-2023

New Diagnosis Codes For 2023 With A Focus On SDoH

On April 1, your revenue cycle will have additional diagnosis code options to further capture social determinants of health. The CDC just released upcoming changes to both the ICD-10-CM diagnosis code set and the official coding guidelines. The new changes include 42 diagnosis code additions, seven deletions, and one code revision. All changes will go […]
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New-Coding-Classifications-for-2023

New Coding Classifications for 2023

Update your facility-specific guidelines accordingly for 2023. Although the new calendar year is not the beginning of the federal fiscal year, there are coding classifications and terminologies that changed on Jan. 1, 2023. Current Procedural Terminology® (CPT) and Healthcare Current Procedure Coding System (HCPCS) have releases that went out on Jan. 1. There are also […]
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