In healthcare, claim denials pose a significant challenge to a provider’s revenue cycle. Each year, over $4.5 trillion in claims are submitted to insurance carriers in the U.S. alone. Despite this volume, healthcare providers continue to see an alarming rise in denied claims. In 2022, 42% of respondents reported an increase in denials, but by […]
Medical coding is the lifeblood of healthcare operations. It forms the crucial bridge between patient care and financial reimbursement, ensuring that healthcare providers are compensated for the services they render. However, the complexity and sheer volume of medical codes, coupled with the ever-evolving regulatory landscape, make accuracy a persistent challenge. This is where the potential […]
AI-driven coding automation can save your practice countless hours each week, allowing physicians and staff to focus on higher-value tasks. This innovative technology is set to revolutionize the coding process entirely. In the future, it’s likely the healthcare industry will look back and wonder, “How did we ever manage coding without AI?” Now, let’s dive […]
In the fast-paced world of medical coding, efficiency is key. With ever-changing regulations, increasing workloads, and tight deadlines, maximizing your coding speed and accuracy becomes crucial. This newsletter explores a range of practical Medical Coders tips and strategies to help you conquer your coding tasks and free up valuable time. Master the Art of Organization: […]
The revenue cycle management process (RCM) must be optimized for financial stability and growth in today’s competitive healthcare landscape. As a result of a smooth RCM process, revenue leakage is minimized and profitability is maximized. With this newsletter, leading medical billing experts share their insights on how to streamline and optimize Revenue Cycle Management. The […]
Medical coding is the backbone of administrative and clinical processes in healthcare. This landscape is characterized by the International Classification of Diseases, 10th Edition (ICD-10), which provides a standardized system to classify diseases, injuries, and medical procedures. While ICD-10 offers robust benefits in terms of specificity and data granularity, healthcare professional’s worldwide face significant challenges […]
Some effective RCM Hacks you can implement to streamline your processes, boost collections, and free up your staff for higher-value tasks. Increasing revenue and minimizing administrative burdens are critical in today’s competitive healthcare landscape. The engine that drives your financial health is a well-oiled revenue cycle management (RCM) system. However, many practices struggle with inefficiencies, […]
Risk adjustment coding plays a vital role in the healthcare sector by capturing and documenting the severity of patient conditions. Its primary purpose is to guarantee precise reimbursement and risk adjustment scores. Given the ever-changing healthcare landscape, it is imperative for healthcare providers and coding professionals to remain adaptable and well-informed about the evolving requirements. […]
The relationship between medical coding and patient care may not initially appear connected, and they may even seem like complete opposites. While medical coding focuses on billing and revenue, patient care revolves around providing care to individuals. An from leading E-magazine’s recent article emphasized this distinction, asserting that prioritizing care is essential over coding. However, […]
Using this technology to create the discharge summary is that the output is only as good as the input. A physician advisor once had a terribly unfortunate incident in which a pregnant patient died. This initiated a mandatory investigation by the Ohio Department of Health (ODH). This was one of those imperfect storms in which […]