Tag: Electronic Health Record

Medical Coding Strategies to Prevent Payer Denials

As a former emergency department physician from the U.K., this individual was well aware of claim denials and rejections, with payers frequently withholding or reducing payments. However, it was only when his personal insurance company, denied his medical claim for a vitamin D test that he decided to delve deeper into the issue. He found […]
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EHR-RCM Integration Can Improve Revenue Cycle Efficiency

Partnering with a vendor that provides EHR and RCM capabilities helped one healthcare organization boost communication and improve revenue cycle efficiency for 150 care centers. Leveraging automation for revenue cycle management (RCM) processes can streamline tasks and improve efficiencies. Specifically, partnering with an EHR vendor helped a healthcare organization to achieve $1 billion in patient […]
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AI-Improves-Physician-Readiness-For-Patients

AI Improves Physician Readiness For Patients

Computerized artificial intelligence (AI) cut the time primary care physicians spent sifting through patient charts – but helped them feel better prepared for patient visits. The findings were part of a study by the American Academy of Family Physicians’ (AAFP) Innovation Lab. AAFP worked with a computer program developer to test its AI Assistant program […]
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Billing-Patients-Insurers-Messages

A Medical Center Bills Patients’ Insurers For Messages

  One of the nation’s largest hospital systems has begun charging for some electronic messages its doctors send to patients. On November 17 the hospital system began billing patients’ insurers for messages that typically take more than five minutes to answer and require a doctor’s “medical expertise,” according to an announcement on their website. Among […]
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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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Pulmonary Hypertension Coding

4 Tips for Accurate Pulmonary Hypertension Coding

PH WHO groups key to understanding I27 codes. Despite the fact that pulmonary hypertension (PH) is a “frequently identified … highly morbid condition … associated with increased mortality, hospitalizations and financial burden,” it is “rarely coded in the EHR [Electronic Health Record]” according to a recent article published in the Journal of Cardiac Failure. What, then, can you […]
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