Healthcare providers Archives - Page 7 of 25

No Surprises Act Final Rule Favors Insurers, Must Be Revamped

In a win for physicians, a federal court for the second time in less than two years has rejected the government’s attempt to implement an independent-dispute resolution process that Congress created with the 2020 “No Surprises Act.” The Texas Medical Association (TMA) and others challenged the final rule, showing how language in it still favored […]

Learn More

Six Steps to Prevent Readmission Denials

Prevention of readmission denials improves case mix index (CMI), reimbursement, and quality metrics. As a consultant, I am like the FBI – if you invite me in, I will likely take your case. This often leads to varied and challenging projects. Often, I am engaged to assess opportunity in provider documentation, clinical documentation integrity (CDI) […]

Learn More

February 24, 2023
Blog, Medical Coding
No Comments

Is ChatGPT Appropriate for Discharge Summaries?

Using this technology to create the discharge summary is that the output is only as good as the input. A physician advisor once had a terribly unfortunate incident in which a pregnant patient died. This initiated a mandatory investigation by the Ohio Department of Health (ODH). This was one of those imperfect storms in which […]

Learn More

February 9, 2023
Blog, Medical Billing
No Comments

Automating Claims Management Processes May Reduce Costs

The adoption of electronic transactions increased in 2021, but further automation of claims management processes could save healthcare providers nearly $25 billion annually. Automating claims management processes could help healthcare providers curb the high spending on administrative transactions they saw in 2021, according to the 2022 Index report from the Council for Affordable Quality Healthcare, […]

Learn More

February 3, 2023
Blog, Medical Coding
No Comments

How To Improve The EHR And Make It More End-User-Friendly

Erica Remer, MD, CCDS, a Member Board of Directors of American College of Physician Advisors, have been talking about improving the electronic medical record and making it more end-user-friendly. Today, she grouses about documentation in general. Her husband, who is a radiologist, and she were commiserating at how awful and uninformative provider documentation has become […]

Learn More

Cost Of Denials Saw 67% Increase In 2022

The average health system saw 110,000 claim denials due to prior authorization and other factors in 2022, a recent study says. KEY TAKEAWAYS: Revenue cycle leaders are placing denials management at the top of the list of areas to improve for 2023. Denials rose to 11% of all claims last year, up nearly 8% from […]

Learn More

January 23, 2023
Blog, Medical Billing
No Comments

How The No Surprises Act Law Reshaped Medical Billing

One year ago, the United States marked a turning point for health care cost transparency with a new law aimed at helping Americans avoid unnecessary, unexpected medical debt. As of Jan. 1, 2022, health care providers and insurers are no longer allowed to sideswipe privately insured people with bills for out-of-network services. Experts say the […]

Learn More

Medicaid Expansion Boosts Financial Performance of Providers

Medicaid expansion improved financial performance for healthcare providers and was associated with lower uncompensated care costs and higher revenues. Medicaid expansion has positively impacted healthcare providers by boosting financial performance and resulting in payer mix improvements, data from the Kaiser Family Foundation (KFF) found. All but 11 states have expanded Medicaid eligibility as of January […]

Learn More

December 21, 2022
Blog, Healthcare News
No Comments

4 KPIs For Providers To Improve Value-based Care

Here are four must-know key performance indicators that providers should know and use when looking to improve outcomes and the patient experience. Key performance indicators (KPIs) have always mattered, but they are now more relevant than ever in the healthcare industry, as providers make the shift to value-based care. While there are many common types […]

Learn More

December 19, 2022
Blog, Medical Billing
No Comments

The Successful Alternative Payment Models from CMMI, To Date

The Center for Medicare & Medicaid Innovation (CMMI) has launched more than 50 alternative payment and care delivery model tests, with 33 models now or still operational, according to CMMI’s sixth report to Congress on its progress. These model tests have impacted the lives of millions of patients. In the two-year period covering the report, […]

Learn More

Tag: Healthcare providers

No Surprises Act Final Rule Favors Insurers, Must Be Revamped

Six Steps to Prevent Readmission Denials

Is ChatGPT Appropriate for Discharge Summaries?

Automating Claims Management Processes May Reduce Costs

How To Improve The EHR And Make It More End-User-Friendly

Cost Of Denials Saw 67% Increase In 2022

How The No Surprises Act Law Reshaped Medical Billing

Medicaid Expansion Boosts Financial Performance of Providers

4 KPIs For Providers To Improve Value-based Care

The Successful Alternative Payment Models from CMMI, To Date

Get recent updates

Subscribe Our Newsletters

Quick Links

Medical Billing

Medical coding AI Platform

Medical Coding

Revenue Cycle Management

Connect Us

Contact Us

Our Certification