Category: Medical Billing

Recent-survey-reveals-a-shortfall-in-medical-billing-quality

Study Reveals Shocking Lack of Medical Billing Quality in US Hospitals

The Healthcare industry 2022 survey found that most hospitals fail to meet new billing measures. There is a shortage of qualified billing representatives at most hospitals, and patient itemized bills are not issued on time. Based on the Healthcare Industry survey’s new measures added in 2022, a study published in Healthcare media examined the quality […]
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Boost Reimbursement with G2211 Add-On Code

Medicare Billing Update: Boost Reimbursement with G2211 Add-On Code

To capture Medicare reimbursement for complex Medicare patient visits, you must know when to use this G2211 Code add-on code. To report the additional time, effort, and related practice expenses associated with caring for Medicare patients across the continuum of care, qualified healthcare providers can begin billing HCPCS Level II codes on Jan. 1, 2024. […]
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2024 Medicare physician fee schedule

Medicare CY 2024 Proposed Rule: Impact, Reimbursement Changes, and Key Insights

On July 13, Medicare released its Proposed Rule, which outlined changes to different Medicare programmes including as quality programmes, MIPS, rural employment, telemedicine, and others. This comprehensive yearly document of 2,033 pages covers the planned programme adjustments for fiscal year 2024. Between the release of the Draft Rule and the publishing of the Final Rule […]
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2024 Patient Experience trends

Healthier Horizons: Patient Experience Trends for 2024

The healthcare landscape is undergoing an unprecedented evolution, set to drive a significant transformation in patient experience in 2024. Recent technological advancements, coupled with increased patient expectations for enhanced care, are converging with a comprehensive approach encompassing clinical, social, and behavioral facets of patient well-being. This convergence necessitates the modernization of care delivery systems to […]
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Surprise-Billing-Dispute-Resolution

Surprise Billing Dispute Resolution: Challenges, Lawsuits, and Proposed Changes

This year, the CMS has frequently halted and resumed arbitration due to court cases causing disruptions in the regulatory process aimed at settling surprise billing disputes. Summary Overview: Last Friday, the CMS finalized its revamp of the No Surprises Act resolution process, fully reopening the portal for resolving disputes, including batched and single disputes for […]
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The-Evolution-&-Challenges-of-Recovery-Audit-Contractor-Audits

Evolution of Recovery Audit Contractor (RAC) Audits: Challenges, Changes, and Current Landscape

The inception of Recovery Audit Contractor (RAC) audits dates back to 2005, reaching their zenith around 2010 before encountering a deceleration amidst the COVID-19 period. In 2006, Congress granted the Centers for Medicare & Medicaid Services (CMS) the authority to launch the Recovery Audit Contractor program across three initial states: New York, Florida, and California. […]
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8-Powerful-Strategies-to-minimize-Denied-Claims

8 Successful Tactics for Reducing Denied Claims 2024

Roughly 65% of rejected claims aren’t reprocessed for resubmission (Zindl, 2021). As one of the healthcare industry’s numerous challenges, the upward trend of denied claims persists, with many left unaddressed. This has repercussions for both providers and patients alike. When denied claims remain unsubmitted, providers face substantial losses. Beyond revenue, these rejections strain staffing resources. […]
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wide range of Health care bill would impact physicians

Health care bill with a wide range of provisions would impact physicians

The Senate Finance Committee proposed that the full chamber should review a legislation that could instigate alterations in physician practices. This proposition was discussed during a 90-minute meeting on November 8, 2023, regarding the bill named “The Better Mental Health Care, Lower-Cost Drugs, and Extenders Act.” This bill encompasses diverse aspects of healthcare, including mental […]
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