The difference between a financially and clinically successful practice and one that is struggling often comes down to whether they have the code right and document thoroughly. Changes in 2021 to major coding categories, such as evaluation and management (E/M) coding for office visits means major change that can hamper your operations if not done […]
Cash is like oxygen for start-ups; founders sometimes take it for granted, but it keeps your business alive. Even if you have a great product, growing revenue, and a steady talent pipeline, your company is dead if you run out of cash. Given the importance of cash, cash management — which includes managing runway and […]
The Center for Medicare & Medicaid Innovation (CMMI) has launched more than 50 alternative payment and care delivery model tests, with 33 models now or still operational, according to CMMI’s sixth report to Congress on its progress. These model tests have impacted the lives of millions of patients. In the two-year period covering the report, […]
Partnering with a vendor that provides EHR and RCM capabilities helped one healthcare organization boost communication and improve revenue cycle efficiency for 150 care centers. Leveraging automation for revenue cycle management (RCM) processes can streamline tasks and improve efficiencies. Specifically, partnering with an EHR vendor helped a healthcare organization to achieve $1 billion in patient […]
Ultimately, a CDI program is only as good as how you use the data. Data can be a powerful tool. It is important to remember not to just capture data but to use it. Over the past week you can see articles on clinical documentation integrity (CDI) impacting patient care. The question is how do […]
Computerized artificial intelligence (AI) cut the time primary care physicians spent sifting through patient charts – but helped them feel better prepared for patient visits. The findings were part of a study by the American Academy of Family Physicians’ (AAFP) Innovation Lab. AAFP worked with a computer program developer to test its AI Assistant program […]
On November 2, 2022, the Centers for Medicare & Medicaid Services (CMS) issued CY 2023 Physician Fee Schedule Final Rule (Final Rule), implementing certain updates and policy changes for Medicare payments under the Physician Fee Schedule (PFS) and changes to the Medicare Shared Savings Program (MSSP), effective on or after January 1, 2023. The final […]
In 30 years of running revenue management the usual suspects come up in a Key Performance Indicator (KPI) Dashboard such as Charges, Payments, Adjustments, Net Collection, Gross Collection, Days in AR, AR over 90 Days and Bad Debt. Then you have the breakouts for each category by payer, CPT Code, Location, or ICD Code. There […]
hcc medical abbreviation: In medical terminology, “HCC” commonly stands for “Hepatocellular Carcinoma.” This is the most common type of primary liver cancer, which originates in the hepatocytes, the main type of liver cell. It’s important to note that medical abbreviations can vary depending on context, so if you encounter “HCC” in a different context, it’s […]
Value-based payment models, including accountable care organizations, bundled payment models, and capitation models, can generate savings for providers and limit healthcare spending. As healthcare spending escalates in the US, stakeholders have started looking at value-based payment models to address rising costs, but many payments are still tied to fee-for-service models, according to a Health Affairs […]