Revenue cycle management (RCM) in critical care comes with unique challenges that can lead to financial losses if not addressed properly. Critical care billing and coding rules and regulations regarding are complex and the process itself is tedious. The time spent on...
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ICD 10 Implementation Delayed Until 2015
For the last six months, there was a big push for ICD-10. However, the implementation of ICD-10 has been delayed until October 1, 2015. The news is surely a big relief for many healthcare providers...
Electronic Health Records Contributing to Upcoding and Medical Billing Fraud, Says HHS Report
Though CMS is encouraging Medicare 'meaningful use' of EHRs by paying over $22.5 billion as incentives, a recent report released by the Office of the Inspector General for the Health and Human...
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...
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...
Understanding the Complexities and Challenges of Anesthesia Coding
Anesthesia coding is a specialized branch that requires an understanding of the intricacies involved in relevant coding guidelines to provide accurate charge capture. Unlike other medical...