In a weekly e-newsletter, Regent Surgical Health highlighted the key ways ASCs fail to manage risk and explained how to turn those shortcomings into opportunities for growth. Here are four…
Infections occasionally have a knack for developing resistance to treatment, and when that happens, costs add up, according to a new study published in Health Affairs. Resistance adds more than…
The departure of seven accountable care organizations from CMS' Next Generation ACO Model program will likely not threaten the viability of the program, but the reasons behind the early exit…
“Every great story starts with a tipping point. You have to have something that made you make a Herculean change.” For Detroit’s Davies Award-winning Henry Ford Health System, that came…
Physicians, medical groups and coding experts requested 25 diagnosis codes at the ICD-10 Coordination and Maintenance Committee meeting, March 6 and 7, along with 16 procedural codes. Here are six…
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…
Scott Palmer, CEO of Clariti Health, has dedicated his career to health IT in the ASC space, including founding and leading several companies over a 35 year career with products…
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…
Q: Can you clarify when an evaluation and management (E/M) code can be billed with a physical on the same day? A: This is always a difficult coding scenario to…
The Department of Health and Human Services, along with 15 other federal agencies, has issued a six-month delay to an Obama-era rule that provides health informatics researchers with greater access…
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…