Do you know what your practice’s clean-claims submission rate is? Because if it’s not currently 95% or above, you’ve got work to do. Claim rejections are costly. Anything lower than…
Payers don’t accept deleted CPT® codes, so your claims can’t succeed if your medical procedure codes are out of date. But do you know how often you need to update…
It’s a compelling question; Are EHRs responsible for low provider productivity compared to when they were using paper based records in 2009. Providers often hold the complicated EHR systems responsible…
A longtime problem in workplaces around the world received international attention earlier this week, as the World Health Organization (WHO) announced it would be updating its definition of "burnout" to…
The hospital chargemaster is the heart of the revenue cycle, capturing the costs of every billable service or item delivered at the organization. To keep the heart pumping, providers are…
Not all individuals have the same illnesses, and even for the same chronic diseases, how any patient is affected varies. In determining payments for care, Medicare introduced modifiers to gauge…
The clock is ticking, and you’re trying to select the right E/M level from a drop-down menu in the EHR. Choose a level that’s too high, and you run the…
Billing and coding is always a challenge, but optometrists new to the field of neuro-optometric rehabilitation can find it doubly so, because the charting notes required are very different from…
ICD-10 is a set of around 70,000 diagnosis codes. ICD stands for International Statistical Classification of Diseases and Related Health Problems. The verbosity of the name is foreshadowing. Some of…
With the implementation of the Patient-Driven Payment Model (PDPM) fast approaching, now’s the time to prioritize your ICD-10 training, as proper diagnostic coding will become crucial to keeping your skilled…
For quite a long time, Medicare and Medicaid have been included on a Government Accountability Office (GAO) rundown of government programs that are at an expanded danger of misrepresentation, waste,…
Zion Market Research Offers an 8-Year Forecast In 110+ Pages Research Report “Medical Coding Market by Classification System (Healthcare Common Procedure Coding System and International Classification of Diseases), by Mode (In-House and…
It may not be skydiving, but the top item on the "bucket list" of Terry Edwards, MD, is a bold leap in an age of ever larger healthcare conglomerates. This…
The Patient-Driven Payment Model is the biggest overhaul of nursing home reimbursement in at least a generation, but it is only a temporary fix, cautioned an expert at the recent…
UnitedHealthcare and the American Medical Association have joined forces to enable healthcare organizations and payers to use ICD-10 codes for social determinants of health. The two organizations say they are…
By combining traditional medical data with self-reported SDOH data, the codes trigger referrals to social and government services to address people's unique needs. KEY TAKEAWAYS Increasingly, payers, providers, and state…