In most markets, when a buyer and a seller can't settle on a price, they walk away. Medicine is different. Doctors and insurance companies often sort out who owes what…
Inappropriate outpatient antibiotic prescribing is a primary driver of antimicrobial resistance. Designing and evaluating antibiotic stewardship initiatives requires common measures of inappropriate prescribing that can be applied at the level…
Amazon made headlines this year — especially as it leaped further into the healthcare arena. While there has been speculation about Amazon's entry into the industry for years, announcements by the…
Dr. John Cullen's four-physician family medicine practice in Valdez, Alaska, employs three full-time staffers who work on insurance and patient billing. A fourth full-timer focuses on obtaining prior authorizations from…
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…
I often get the question, “What should my monthly numbers be?” My first response is, taking into account collections among other things affecting their practice, “What are your minimum requirements,…
By the time the late President Lyndon B. Johnson signed the law establishing Medicare and Medicaid in 1965, the health care community was already figuring out how to maximize its…
While it might surprise some folks that five Modesto doctors are among those facing fraud charges in a $40 million medical billing and kickback case based in Southern California, it…
Imagine going on Amazon, buying an Electronic Spin the Bottle Game for its listed price of $32.92, receiving the product (sparing the arduous effort required to spin the bottle) and…
On Oct. 1, a big change is coming to the health care industry. That’s the deadline for all health care companies – doctors, hospitals, clinics, insurance provider – to upgrade…
ICD-10 is almost here, with only 43 days remaining. Of paramount significance come October 1 when ICD-10 implementation swings into full gear is a keen and clear understanding of what…
U.S. lawmakers are making their third attempt in just over a month to tweak ICD-10 with new legislation. This time around, rather than attempting to kill or delay ICD-10 altogether,…
If big data in healthcare is the future for medicine, then ICD-10 is the way to get there. Over the past year, most of the news surrounding ICD-10 has been either bureaucratic or comical in nature.
The health care revenue cycle is more than just collecting bills and is a pillar of a successful organization.
Medical coders certainly have their work cut out for them ahead of the ICD-10 transition if the results of the ICD-10 National Pilot Program hold true across the majority of…
University of Illinois at Chicago researchers have developed a website that walks healthcare providers through the challenging transition from the current International Classification of Diseases -- ICD-9 -- to the…