Since the launch of OpenAI’s ChatGPT last year, healthcare executives have been actively discussing the potential of artificial intelligence in healthcare. The technology is constantly advancing, and health systems are closely monitoring its applications for maximum benefits. Microsoft is said to be working on a healthcare-oriented version of ChatGPT that prioritizes privacy, and they have […]
Despite ongoing concerns about denials and beneficiary access to care, Medicare Advantage (MA) companies remain in the spotlight as their market penetration continues to grow. In April 2022, a report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) highlighted a significant issue in the capitated payment model employed […]
The healthcare industry is on the brink of transformation, as a multitude of emerging technologies and trends, such as artificial intelligence, virtual reality, telehealth, and blockchain, are set to revolutionize it. The pace of innovation in healthcare technology is relentless and shows no signs of decelerating. A myriad of emerging technologies and trends, such as […]
Cardiology Medical Billing and Coding Process: To effectively handle these changes, cardiology practitioners might have to keep themselves informed about the modifications in payment regulations, modify their billing procedures as needed, and employ novel methods to enhance their compensation. Cardiology billing and coding can be challenging due to various factors, such as the complexity of […]
On May 1, UnitedHealthcare made nine changes to its reimbursement policies for its commercial, individual and family, and Medicare Advantage plans. Some of the changes go into effect June 1, while others will begin August 1. Here are nine UnitedHealthcare reimbursement changes happening in the coming months: Commercial plans: Molecular pathology policy, professional and facility: […]
Having been on the receiving end of audits, and also having been an individual who has conducted them, I know the mindset from both sides of this equation. The one element to this equation that has changed over time is the increase in payer denials: those that are now clinical- and coding-focused, often resulting in […]
Medical coding is an essential aspect of healthcare in that it translates diagnoses, procedures, medical services, and equipment into alphanumeric codes. The processes involved in medical coding is complex, however, so errors can often result in payment delays and significant financial losses. The most common errors leading to delays and lost revenue are tracking down […]
Healthcare Providers Turn to Outsourcing for Revenue Cycle Management Amid Workforce Shortages In an effort to enhance cash flow and improve patient care, healthcare providers are increasingly seeking reliable vendors to outsource their Revenue Cycle Management (RCM) services. A study reveals that many providers are outsourcing RCM processes to address staffing shortages and financial challenges. […]
How do you resolve a repeated and shooting up problem like claims denials? It’s been a fresher subject for revenue cycle management professionals for years that are only experiencing hotter with the growing pressures of staffing shortages, troubles with staff movement and instructing and developing policies and protocols at the government and payer levels. On […]
The hype around Artificial Intelligence (AI) spiked again recently with the public release of ChatGPT. The easy-to-use interface of this natural language chat model makes this AI particularly accessible to the public, allowing people to experience first-hand the potential of AI. This experience has spurred users’ imagination and generated feelings ranging from great excitement to […]