Category: Blog

ICD-10-CM Codes for Symptoms of Diabetes Mellitus

ICD-10-CM Codes for Diabetes Mellitus Symptoms

In 1991, International Diabetes Federation (IDF) & World Health Organization (WHO) combine to create World Diabetes Day (WDD) on November 14 and we take this day to spread awareness and education on Diabetes, a chronic disease where pancreas won’t produce enough insulin which leads to serious health issues. Many physician and health providers will struggle […]
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Automation-Can-Protect-Small-Healthcare-Practices

How to Protect Small Healthcare Practices Through Automation

Amid inflation and recession concerns, organizations are cutting back on IT spending. While healthcare tends to outperform other industries when faced with economic headwinds, healthcare practices are not entirely immune to a recession. Smaller offices with fewer resources, staff members and revenue are the most susceptible to potential difficulties. So where can healthcare providers trim […]
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2023-MPFS-and-Quality-Payment-Program-Final-Rule-Released

2023 MPFS and Quality Payment Program Final Rule Released

The conversion factor is down but certain public health emergency flexibilities will continue. The 2023 Medicare Physician Fee Schedule (MPFS) and Quality Payment Program final rule, released Nov. 1, allows Part B physician payment for behavioral healthcare, cancer screening, and dental care. But while the Centers for Medicare & Medicaid Services (CMS) continues its focus […]
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Outsourcing-RCM-Services-can-Lead-to-Better-Outcomes

Outsourcing RCM Services can Lead to Better Outcomes

A report highlights pandemic-related impacts of the past year on revenue cycle challenges. As the labor shortage continues to hamper healthcare organizations, outsourcing has become a common strategy to mitigate costs. Nearly one-third of hospital and health system leaders (63%) have pursued at least one outsourcing solution, with revenue cycle functions at the top of […]
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How-to-Avoid-Medical-Board-Complaints

How to Deal, Avoid, and Solve a Medical Board Complaint

Most physicians spend their sleepless nights worrying about malpractice lawsuits but not medical board complaints. However, a complaint to a medical board is a considerable challenge posing as much risk to a physician’s career as a malpractice case. Such a complaint often can be very trying and potentially damaging to one’s reputation. Some of the […]
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False-Claims-Act-Allegations

An EHR Vendor to Pay $45M to Resolve False Claims Act Allegations

The U.S. Department of Justice alleges that the EHR vendor accepted and provided “unlawful remuneration in exchange for referrals and by causing its users to report inaccurate information in connection with claims for federal incentive payments.” A developer of electronic health record technology has agreed to pay $45 million to resolve allegations that it violated […]
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CPT®-and-HCPCS-Newly-Added-and-Revised-Codes

CPT® and HCPCS Newly Added and Revised Codes

CPT® codes are effective Jan. 1, 2023. The American Medical Association (AMA) released CPT 2023 on Sept. 12. There are 225 new codes, 75 deletions, and 93 revisions. Most of the changes fall in the Evaluation and Management (E&M) section. The 2023 CPT codes are effective Jan. 1, 2023. The October 2022 release of the […]
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Reasons-for-Holdups-in-the-Medical-Billing-Process

Reasons for Holdups in the Medical Billing Process

The revenue cycle process within healthcare is intricate and has led to disconnections among various stakeholders, including physicians, coding teams, billers, and administrators. This has resulted in the diversion of time and staff resources away from patient care towards revenue collection efforts. This situation leads to lost revenue, diluted patient care quality, and decreased staff […]
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Is-Medicare-Advantage-Really-a-Disadvantage

Is Medicare Advantage Really a Disadvantage?

It’s autumn, and along with leaves changing color, pumpkin spice lattes, and cooler weather comes an avalanche of TV ads, commercials, and telephone marketing calls, all entreating us to believe that Medicare Advantage (MA) is the best thing since the invention of the cell phone. With open enrolment season upon us, it’s critical to examine […]
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Rising Costs - Revenues - Patient Encounters – Physician Practices

Rising Costs, Revenues, Patient Encounters – Physician Practices

How bad is inflation? Physicians, financial managers report the latest. The Medical Group Management Association has published its 2022 MGMA Cost and Revenue Survey Report. The title is “Maintaining Margin in the Inflation Era,” and survey respondents said it’s been difficult to do so in 2022. The COVID-19 pandemic and its lingering effects on health […]
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