The American Congress of Obstetricians and Gynecologists (ACOG) reports that some Medicare contractors are refusing to provide payment for routine pelvic and breast examinations when they are...
An Overview of Anesthesia Coding Challenges
Anesthesiology medical billing is not based on a fee-for-service payment like other medical specialties. Reimbursement for anesthesiologists depends on the base unit (how complicated the procedure...
Increased Administrative Costs Shutting Down Physician Private Practices
A recent report CNNMoney report states that physicians in the U.S. have started selling their private practices to big hospitals because of rising business costs and falling reimbursements from...
What is HEDIS Coding?
The Healthcare Effectiveness Data and Information Set (HEDIS) is set of norms employed by most of the healthcare plans in the US for measuring performance in relation to service and care. HEDIS was...
Medicare Payment Reductions to Affect Doctors and Beneficiaries
Medicare beneficiaries, doctors and other healthcare providers are in for quite a tough time thanks to rising healthcare costs not coinciding with a proportionate increase in income for the latter....
Proper Appointment Scheduling Can Help Lower Patient Wait Time
According to healthcare experts, making relevant changes in scheduling and managing patient workflow can minimize the average patient wait time for a new appointment from eleven weeks to two weeks....
Health Exchange Deadline for States Extended
The deadline for setting up a state-based health insurance exchange has been extended until December 14. Announcing this, Health and Human Services Secretary Kathleen Sebelius said that this was...
HEDIS Data Collection – Some Facts
HEDIS (Healthcare Effectiveness Data and Information Set) is an important tool that is developed by the National Committee for Quality Assurance (NCQA) for assessing healthcare provided to...
HIPAA Privacy and Security Changes and Policies Mentioned in HITECH Act
HITECH Act: IT Policies & Procedures The healthcare IT component of the ARRA (American Relief and Recovery Act) is commonly referred to as the HITECH (Health Information Technology for Economic...