New Changes from CMS for HCCs Reimbursement
Hierarchical Condition Categories (HCCs) and value-based care have been a major focus for healthcare organizations during recent years. As many of you may know, the Centers for Medicare & Medicaid…
Hierarchical Condition Categories (HCCs) and value-based care have been a major focus for healthcare organizations during recent years. As many of you may know, the Centers for Medicare & Medicaid…
The last several years have been tumultuous for the healthcare industry. Providers are continuing to face challenging profit margins, increased costs, staffing shortages and burnout. At the same time, consumers…
Amid the many challenges health care leaders face today, it can be easy to lose sight of some recent advances that could significantly change patient care. Here’s a look at…
The pace of innovation is picking up as health IT vendors seek to integrate artificial intelligence into their offerings for provider operations, medical testing, patient engagement and other use cases.…
Odds are, you are making these mistakes and missing out on revenue Q: What are the most common coding mistakes physicians make? A: As I work with providers across the…
The Seattle-based startup is using GPT among other AI cloud technologies to reduce healthcare's administrative costs, improve productivity and elevate the daily job experience for human talent. "Our AI Virtual…
The healthcare system might stand to undergo a few adjustments before we turn things over to the machines. There’s a moment early in the 1993 blockbuster film Jurassic Park when…
Months of high-level discussions regarding reforming Medicare physician payment has culminated in physician lawmakers introducing bipartisan legislation advancing the first leg of the AMA’s three-part strategy for fixing the broken…
The document will also be identified as CR 13136. The April 2023 Outpatient Prospective Payment System (OPPS) Update has been released and is effective April 1, 2023, and implemented on…
Several lawmakers are seeking to tie physician payment updates in Medicare to inflation to prevent potential physician shortage issues. Representatives Raul Ruiz, MD (D-CA-25), Larry Bucshon, MD (R-IN-08), Ami Bera,…
The American College of Rheumatology (ACR) commended CMS for its proposed prior authorization policies but asked the agency to expand its guidance to other utilization management tools and shorten the…
From prior authorizations to paperwork, applications are being uncovered every day. I’m about to spice things up a bit here, but stick with me. “Chuck, I’m Sydney, and I’m in…
Outpatient visits are being billed at higher levels, leading to increased healthcare spending and concerns about upcoding, a Peterson-KFF Health System Tracker found. Healthcare providers can bill outpatient evaluation and…
Following a recent US District Court ruling on the federal government’s arbitration process for disputed medical billing—making the protocol for issuing decisions on disputed claims unclear—CMS posted some clarifying guidance…
Current Procedural Terminology (CPT®) codes provide a uniform nomenclature for coding medical procedures and services that are critical to the communication between multiple stakeholders about the care patients receive. They…
MedLearn Media is proud to be at the forefront of offering world-class guidance on a vitally important topic. February may be American Heart Month, but correctly diagnosing and coding cardiac…