As we end of the first quarter of 2025, we are already witnessing profound changes driven by a complex set of regulatory updates. The intricacies around medical coding/billing, and submitting a claim for the very first time is a given. Now, with substantial regulatory...
Primary care compensation has improved substantially, a consequence of physician and hospital reimbursement moving to value-based models based on quality and outcomes, from the earlier...
With the advancements in post-operative care management, there is a significant rise in the number of hospital discharges to home healthcare for patients with infected wounds after surgery. Home...
Outsourcing medical billing tasks to a professional medical billing company is a great way for health care providers to ensure proper reimbursement and devote more time to patient care. However, to...
Recovery Audit Contractors (RAC) audits, as physicians know, are part of the government's program to reduce fraud, waste, and errors in medical billing practices, especially Medicare and Medicaid....
Efforts are already in progress to incorporate sexual orientation and gender identity (SOGI) information into EMR and insurance billing system. This is the only way recommended by the Institute of...
The 2013 Practice Productivity Index, a survey which covered more than 5,000 U.S. physicians found that 58% of doctors 9% spend at least one day per week on paperwork instead of treating patients....
Though Electronic Health Records (EHRs) can support appropriate documentation for billing higher level evaluation and management (E/M) services for Medicare, cloning of medical records or copying...
Modifier 24 (Unrelated evaluation and management service by the same physician during a postoperative period) is to be used to report an unrelated E/M (evaluation and management) service during the...
Misdiagnosis is proven to be a serious concern for hospitals and may lead to patient harm, incorrect or delayed treatment, wasted resources and malpractice lawsuits. A wrong diagnosis by a...
Keeping the patients engaged and loyal has become important to the long-term financial viability of a healthcare practice. The new health plans have increase the patient's financial responsibility...
