Total expenses for hospitals and physician practices were up 7 percent compared to June 2021. Hospitals, health systems, and physician practices saw rising revenues and patient volumes in June 2022, but it was not enough to offset the...
More InfoA survey shows that 60% of consumers who look for pricing information seek answers from their insurance companies, but healthcare price transparency should still be a priority for providers. Not many consumers are asking how much healthcare...
More InfoObservation, outpatient outlier payments, and the Inpatient-only List: Getting it right is not always easy. On this week’s Monitor Mondays we had a robust discussion about Condition Code 44. And on June 9, I will be presenting a webinar on the...
More InfoProviders are currently stuck with outdated templates, leaving plenty of room for improvement. I thought it might be appropriate to take a “four score and seven years ago” look across evaluation and management (E&M) services, looking at what...
More InfoDiverse medical software — EHRs, billing software, patient relations tools — has already become essential for the efficient operation of any healthcare provider, be it a cross-state healthcare network or a small private practice. Though providers...
More InfoQ: The providers in our clinic want to start billing e-visits.Can they bill for all the communication between the provider and patient through our online portal? A: As you venture into billing e-visits, on-line visits, digital visits – however...
More InfoHealthcare spending could drop by more than $11.4 billion next year if enhanced premium tax credits enacted in the American Rescue Plan expire, new research finds. Hospital spending would decline by $3.8 billion, while spending on physician...
More InfoLimit this code to administration of the Pfizer-BioNTech vaccine. On May 17, 2022, the U.S. Food and Drug Administration (FDA) amended the emergency use authorization (EUA) for the Pfizer-BioNTech COVID-19 vaccine to authorize the use of a...
More InfoThe health care industry is rapidly evolving. COVID-19 has uncovered a litany of flaws in health care systems, leading to massive changes in the way patients, providers, and payers communicate and operate. One of the highest impact changes in the...
More InfoAround 3,600 healthcare providers that have experienced pandemic-related revenue losses and expenses will receive payments through this round of Phase 4 COVID-19 Provider Relief Funds. Through the Health Resources and Services Administration...
More InfoThe average cost of debunking a denial is $25 per claim, not to mention the continuous challenges associated with attaining timely payment. Reviewing denial management strategies on a regular basis may prove a more efficient payment journey...
More InfoThe U.S. Government Accountability Office is asking the Centers for Medicare and Medicaid Services to gauge the effect that an increase in telehealth utilization is having on the care quality experienced by Medicaid beneficiaries. The GAO cited...
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