It’s a New Year, and welcome, 2023! When I still practiced clinically, I once got a job as an emergency physician at a brand-new hospital. I was really excited, because I recognized the opportunity for our department to develop our own...
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Medical billing outsourcing services are services in which a healthcare provider hires a medical billing service provider outside their practice to do all the billing. The main types of services in medical billing outsourcing are the front end...
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Quality metric reporting can be a significant challenge to health care administration due to a number of obstacles. First and foremost, you need buy-in from the physicians providing the care to the patients. Without this, it is difficult to make...
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You’ve received a request for medical records from a payer, who is going to conduct an audit on your claims. Your Electronic Health Record (EHR) system is excellent, the notes are voluminous, your providers are well-versed at coding. If anything...
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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)...
More InfoBeing a physician comes with certain baseline stressors. For most, the culprits are pretty familiar: patient care responsibilities, high debt loads that compel long working hours, system complexities, and mounting administrative chores. COVID-19...
More InfoIn the medical billing and coding industry, artificial intelligence will help healthcare organizations streamline their billing processes while reducing costly errors. Machine learning and Natural Language Processing (NLP), for example, are...
More InfoWith forethought and the right technology on board, remote patient monitoring can be a good complement to telehealth, allowing physicians to receive data about their patients’ in real time. As the COVID-19 pandemic and shutdown kept people at...
More InfoHealthcare information technology is the approach of information technology to healthcare; it refers to the electronics systems that healthcare professionals utilize to store, share, and analyze the health information. The adoption of health...
More InfoACOs and hospital-based providers will be most impacted by upcoming changes to quality scoring under full MACRA implementation, but with some work, they also have a lot to gain. With the Medicare Access and CHIP Reauthorization Act of 2015...
More InfoAs we near the fourth quarter of 2020, HBI has begun to receive an influx of questions from revenue cycle leaders who want to know what others are doing to comply with the CMS price transparency rule going into effect January 1, 2021. There are...
More InfoClaims denials can be frustrating for a physician practice to deal with, but leaving them unattended leaves a significant amount of revenue uncollected, says Andria Jacobs, RN, CPHQ, chief operating officer at PCG Software. Her company develops...
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