A key component of revenue cycle management (RCM), medical coding involves converting medical services, diagnoses, procedures, and equipment into codes for claim submission. Accurate and compliant coding is necessary to minimize denials and for providers to receive...
With the effects of the economic recession wearing off and US states slowly picking up the reins of progress once again, a welcome Medicaid trend has been reported. Many states are boosting payment...
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...
The federal government has a new concern to deal with – a cloning feature in electronic health records which enable physicians to cut and paste from the previous visits of patients. The cut and...
The patient protection and affordable care act (PPACA) or Obamacare as it is more popularly known, was signed into law by President Barack Obama on March 23, 2010. After Medicare and Medicaid, this...
Healthcare providers have the responsibility to comply with all current regulations and reforms in the healthcare field. This is a field that experiences constant flux and therefore the challenges...
Compliance with Medicare is one of the most important challenges associated with medical billing. Using the right Medicare modifiers is essential for timely and accurate reimbursement. When...
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...
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...
Among the measures taken by Medicare to save money spent unnecessarily was its 2008 policy to stop paying hospitals extra to treat certain hospital acquired preventable conditions including UTIs or...
During the period from 2004 to 2007, eighty-nine million Americans were found without any health insurance for at least one month, and 23 million lost the insurance coverage more than once during...
