The CMS budget for fraud, waste and abuse has doubled in size from 2021 to 2022. Two years ago, the federal government created a plan to audit Medicare Advantage (MA) insurers more…
Your practice is considering making a move—or has moved—to a collaborative care model so patients have greater access to mental health care in the primary care setting. It’s a model…
Despite skepticism, artificial intelligence (AI) can be a boon for physicians…but some improvements are needed first. Notably, AI algorithms need to be validated, and bias toward particular groups of patients…
Protect the integrity of your practice’s medical records with this sage advice. Evaluation and management (E/M) services are likely the most regulated and most often audited services in medical practices.…
Modern medical billing activities are complex, and it may take months to process a bill. Most issues crop up from internal workflow with demands forced by claims processing sellers as…
By April of last year, seemingly every news station in American was featuring the heroic efforts of physicians, nurses, and other clinicians fighting COVID-19. These providers transformed healthcare, implementing telehealth…
While some have said medical coding sits quietly in the middle of the healthcare revenue cycle, it is a key step that, when done inadequately, can impact each part of…
According to published results, orthopedic residents who received formal medical coding education better identified proper billing codes for common procedures compared with residents who received no coding education. Researchers at…
In our Coding Case Studies, we will explore the correct coding for a specific condition based on a hypothetical clinical scenario. This scenario involves a patient presenting with symptoms of…
Most of the physicians lose a significant amount of revenue every year due to minor and major mistakes that cause errors while filing medical claims. A minor write-off in physician…
Rightfully so, the coronavirus pandemic has shone the spotlight on front-line medical professionals who continue to risk their lives treating patients. In the background and often working from home, though,…
Claims denials can be frustrating for a physician practice to deal with, but leaving them unattended leaves a significant amount of revenue uncollected, says Andria Jacobs, RN, CPHQ, chief operating…
Republican Gov. Brian Kemp signed legislation into law July 16 that aims to curb instances of surprise medical billing in Georgia. Three things to know:1. The legislation, HB 888, outlines…
"Our goal was to develop a single source of truth that is user-friendly, dynamic, and easily accessible," said Jeannette Wood, vice president of revenue cycle management for Privia Health. A…
As the novel coronavirus continues to take hold throughout the country and healthcare facilities attempt to quickly reconfigure care delivery for patients and consumers who are being advised to stay…
The global market for the durable medical equipment (DME) is predicted to reach up to USD 246.6 billion by the year 2026, according to a survey done by the Polaris…