As healthcare organizations grapple with financial challenges due to rising costs, declining reimbursement rates, and staffing shortages, proper revenue cycle management (RCM) has become more...
5 Key Ways AI is Revolutionizing Denial Management
Every year, claim denials result in substantial losses for healthcare providers. Managing denied claims is a crucial element in healthcare revenue cycle management (RCM). Agencies handling rejected...
Key Steps in Home Health Medical Billing
The number of Americans aged 65 and older is projected to rise from 58 million in 2022 to 82 million by 2050—a 47% increase, according to the Population Reference Bureau. Home health services...
What’s the Difference between a New Patient and an Established Patient?
Evaluation and management (E/M) codes apply to visits and services that involve evaluating and managing patient health. E/M services include office and outpatient visits, hospital visits, home...
Muscular Dystrophy and Updated ICD-10 Codes: A Guideline for Practitioners
Muscular Dystrophy (MD) is a group of over 30 genetic disorders that cause progressive muscle degeneration and weakness. As healthcare practitioners, staying updated on the latest diagnostic...
Billing and Coding Tips for Spine and Pain Management
The diagnosis and treatment for spinal care can be complex, and requires a multidisciplinary team of healthcare specialists - neurosurgeon, orthopedic surgeon, physical therapist, chiropractor and...
What Are the Steps Involved in the Pharmacy Prior Authorization Process?
Healthcare providers and patients often report difficulties with health insurers regarding prior authorizations, with many consumers saying their care was either denied or delayed last year, due to...
Proven Strategies to Maximize Cash Flow in Medical Practices
Running a successful medical practice involves not only providing quality patient care but also managing the financial aspects that keep your practice thriving. One crucial element of financial...
Blockchain and its Role in Securing Insurance Verification Data
Blockchain technology generates a data structure with integral security characteristics based on the principles of cryptography, decentralization and consensus. IBM defines blockchain security as “a...