Patient financial responsibility is on the rise, according to findings from a TransUnion Healthcare analysis revealed at HIMSS18. Patients saw their average out-of-pocket costs increase 11 percent in 2017, growing…
The Trump administration twice last week demonstrated its interest in simplifying the administrative burden of electronic health records (EHRs) for physicians. Separately, a major new study suggests these high-tech medical…
CMS should delay the BPCI Advanced application deadline until it provides information on target prices, attribution, and quality measures for the bundled payments, AHA advised. Though supportive of the Bundled…
Getting paid requires accurate documentation and selecting the correct codes. In our Coding Case Studies, we will explore the correct coding for a specific condition based on a hypothetical clinical…
I need your help. I'm trying to figure out how to get rid of something that's terribly broken in our process of taking care of patients, and I can't do…
Errors on medical bills are a more significant problem than you might think. Experts say as many as 80% of medical bills in the U.S. contain errors, according to Derek…
Current Procedural Terminology (CPT) codes used for medical billing did not account for all the care provided by primary care physicians in about 60.3 percent of visits, a recent Journal…
The Current Procedural Terminology (CPT) manual offers guidelines on how to code for a “problem” that is addressed during a preventive medicine service. The guidelines cover “insignificant or trivial” problems…
A patient voices a concern of privacy violation because the provider mistakenly emailed her medical treatment information to unrecognized email addresses. Your Notice of Privacy Practices correctly informs the patient…
The number of babies who were exposed to opioids in the womb jumped by 200 percent in Florida between 2015 and 2016 — to more than 2,500 cases — the…
Stakeholders argued that the 2018 MACRA implementation rule will slow the value-based care transition and does not promote quality over quantity. Industry groups, including the American Medical Group Association (AMGA)…
Hospitals, health systems, and post-acute care providers spend almost $39 billion annually on administrative tasks related to regulatory compliance, the American Hospital Association (AHA) reported. “As a result of this…
When President Trump declared the opioid crisis a public health emergency Thursday, he noted that "last year we lost at least 64,000 Americans to overdoses." He is not incorrect. A…
A shortage of experienced nurses has hit the United States, particularly in rural communities, forcing many hospitals in the Midwest to recruit nurses from one another. One way hospitals have…
In the Medicare Advantage (MA) context, "risk adjustment" is the process by which the Centers for Medicare & Medicaid Services (CMS) reimburses Medicare Advantage Organizations (MAOs) based on demographic factors…
Once a year, the National Center for Health Statistics (NCHS), the federal agency responsible for the use of the International Classification of Diseases – 10th revision (ICD-10) in the US,…