The number of prior authorization requests continues to increase — despite promises to the contrary by payers — costing physicians time and money. A Medical Group Management Association (MGMA) poll found that 70% of medical groups indicated that...
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Using a single EHR vendor is best for patient care, a study by researchers at the University of Notre Dame and University of South Carolina found. A single EHR vendor environment is effective in fulfilling providers’ information needs for...
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The revenue cycle function in healthcare is a complex process that has led to a disconnect between physicians, coding teams, billers, and administrators. The result is unnecessary time and staffing resources reallocated toward capturing revenue...
More InfoRevenue cycle executives have a lot of conflicting thoughts about artificial intelligence (AI). They’re intrigued about it, but also sometimes confused and a bit skeptical. Not only do many vendors market tools like bots as AI, but even the...
More InfoHealthcare seems to be important in all areas where Artificial Intelligence (AI) is promising. This likelihood is because healthcare services are overwhelmed by workforce shortages, inadequate medication, increased patient burdens, and inaccurate...
More InfoCMS provided clarification on submitting inpatient claims for patients diagnosed with novel coronavirus (COVID-19) without a positive viral test, in an update to MLN Matters SE20015 released September 11. Earlier this year, the CARES...
More InfoTips for improving outpatient billing, coding and CDI. In moving from inpatient clinical documentation improvement (CDI) to outpatient CDI, I have been discovering some unique educational pointers. I know we are all very busy, so let’s just dive...
More InfoArtificial intelligence (AI) has received a lot of buzz and been positioned as the central healthcare technology needed to solve many financial challenges and digitally transform internal operations. However, if you’re looking for practical...
More InfoBlockchain technology continues to cause a significant amount of disruption in various industries across the world, particularly in healthcare, according to a Research and Markets report. Three things to know: The decentralized ledger technology...
More InfoElectronic medical records (EMR) introduced a new era of healthcare management. Should healthcare operators want to venture farther, they may need to consider digitizing their internal operations, as well. Hospitals and clinics present extremely...
More InfoThe global medical billing outsourcing market is poised to expand for years to come as medical practices face challenges related to multiple payers and medical code representation, and large practices consolidate, according to a new report by...
More InfoThe focus on electronic health record implementation has turned to how to make use of the vast data stored within to improve revenue cycle operations. “These EHRs capture so much data. The trick is translating that data into...
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