According to the Centers for Disease Control and Prevention (CDC), in 2020, 126,240 new colorectal cancers were reported in the U.S., with 51,869 deaths from colorectal cancer. Colonoscopy is the most common procedure used for CRC screening. Recent policy changes and...
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ACOG Says Certain Medicare Contractors are Denying G0101 Claims
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...
Making Health Plans More Customer-oriented with HEDIS
HEDIS is an important yardstick by which health plans can measure their performance and worth. In fact, this yardstick is being employed by over 90% of health plans in the US. Results that come with...
24% Pay Cut for Medicare Docs in 2014 – How Physicians May Offset It
A recent CNN report has highlighted the 24.4% cut Medicare doctors are going to face in their reimbursements from January 1, 2014. This is much higher than the 2% reduction in 2013. This scheduled...
HEDIS Vital for Health Plan Assessment
HEDIS for Accurate Health Plan Comparison HEDIS is a vital set of measures that define the effectiveness of a health plan in America, and is important for prospective health plan members, healthcare...
Medical Testing Price Comparison by Physicians Can Cut Health Care Costs
It is expected that total health care spending in the United States will reach $4.8 trillion or nearly 20 percent of gross domestic product (GDP) by 2021. Increasing health care costs are straining...
Why Americans are Paying So Much for Health Care
Americans are paying much more for health care services than the average residents in most other developed countries. Infographics published by TIME Magazine recently gives a clear insight into the...
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...
Veterans Affairs Center for Innovations in Quality, Effectiveness and Safety Concludes that Rushing Doctors during Consultation Increases Chances of Misdiagnosis
Doctors can make mistakes, especially when they’re rushed. A March 2013 study by Dr. Hardeep Singh representing Houston Veterans Affairs Center for Innovations in Quality, Effectiveness and Safety...
Anesthesia Coding, Its Difficulties and Challenges
In the realm of medical coding, anesthesia coding is a specialized branch that requires an understanding of the intricacies involved in anesthesia coding guidelines to provide an accurate charge...
Shared Medical Appointments – More Popular Paradigm to Cut Cost & Provide Quality Care
Shared medical appointments! What does this increasingly popular paradigm hold for patients, physicians and payers? As a patient, you may be wondering whether you will have to discuss intimate...