Category: Newsletters

2024 Medical Coding Updates

2024 Coding Updates: Navigating New CPT, HCPCS, and ICD-11 Changes

In 2024, healthcare providers, medical coders, and revenue cycle management (RCM) professionals need to stay up-to-date on 2024 medical coding updates. Several updates have been made to Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD-11) by the American Medical Association (AMA), the Centers for Medicare & Medicaid […]
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Future of medical billing services

The Future of Medical Billing Services: Preparing for the Next Wave of Challenges

Medical billing is experiencing significant changes as the healthcare industry rapidly evolves. Healthcare providers are facing new challenges managing their revenue cycles as the sector becomes more complex. The future of medical billing services is not without obstacles. However, medical billing services play a critical role in ensuring providers receive timely and accurate reimbursement for […]
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managing denied claims

Decoding Denials: Strategies for Maximizing Reimbursement

Managing denied claims remains one of the most challenging challenges for healthcare providers and Revenue Cycle Management (RCM) professionals as healthcare reimbursement models continue to evolve. As well as delaying payments, claim denials contribute to administrative burdens, reduced cash flow, and significant revenue losses. Medicare denial rates are approximately 10%, according to the American Medical […]
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ICD-11 Transition Guide

Navigating the Shift: Preparing for the ICD-11 Transition in 2024

The healthcare industry is on the verge of a significant transformation as we approach 2024: transitioning from ICD-10 to ICD-11. Healthcare providers, payers, and patients alike will all be impacted by this shift, which promises to revolutionize the way medical diagnoses and treatments are documented and reported. Our comprehensive guide explores the intricacies of ICD-11, […]
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ICD-10 to ICD-11

ICD-10 to ICD-11: Bridging the Gap with Best Practices

The Evolution of Medical Coding (ICD-10 to ICD-11) As we transition from ICD-10 to ICD-11, it’s crucial to understand the implications of these changes on data accuracy, clinical documentation, and overall healthcare management. Healthcare data are based on medical coding, which plays a vital role in categorizing diseases, health conditions, and medical procedures. It has […]
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12-rcm-trends-reshaping-healthcare-

Innovations in RCM: What to Expect in the Coming Year

The Revenue Cycle Management (RCM) process is at the heart of any healthcare organization, encompassing all administrative and clinical functions that contribute to capturing, managing, and collecting revenues. Increasing efficiency, reducing costs, and improving patient care are essential in the rapidly evolving healthcare landscape. RCM will be reshaped by several key RCM trends and technological […]
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Medical billing trends 2024

Navigating the Future: Top Trends in Medical Billing 2024

Medical billing is at the forefront of a transformational industry in healthcare. Medical billing trends 2024 promise to make this a pivotal year for medical billing due to rapid technological advancements, regulatory changes, and evolving patient expectations. Providing insights that can help healthcare providers, billing professionals, and administrators navigate these changes effectively, this newsletter explores […]
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ICD-11 transition

ICD-11 Countdown: Are You Ready for the Next Coding Revolution?

ICD-11 transition: The healthcare landscape in the United States is on the cusp of a significant transformation. In October 2025, the long-awaited transition from ICD-10 to ICD-11, the International Classification of Diseases, Eleventh Revision, will take effect. This update promises a more comprehensive, granular, and clinically relevant coding system, impacting everything from patient care documentation […]
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Price-transparency

Price Transparency and RCM: A New Era

The healthcare industry has traditionally been a black box when it comes to pricing. Patients, providers, and payers alike have often struggled to understand the complex web of costs associated with medical services. However, a seismic shift is underway. The advent of price transparency regulations and the evolving role of Revenue Cycle Management (RCM) are […]
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Medicare Physician Fee Schedule 2025

2025 Medicare Physician Fee Schedule Proposed Rule By CMS

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1, 2025. The calendar year (CY) 2025 PFS proposed […]
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