TCM or Transitional Care Management services are provided to enable patients to transition successfully from a hospital stay back to a community setting. They are provided for an established or new patient whose medical and/or psychosocial problems necessitate...
Every physician knows the consequence of using a wrong diagnostic code – it will not only affect reimbursement, but more importantly, also jeopardize patient care. Medical coding outsourcing helps avoid risky coding practices. By entrusting the task to skilled and...
The Medicare risk adjusted payment model is one of the major changes that have impacted physician practice revenue since it was introduced. The Centers for Medicare & Medicaid Services (CMS) uses the HCC (Hierarchical Condition Category) risk stratification...
What is HEDIS? Measuring the quality of patient care delivered has become paramount and edged out the former fee-for-service payment system. The Healthcare Effectiveness Data Information Set (HEDIS) is a tool developed by the National Committee on Quality Assurance...
With ICD-10 codes, the need for outsourcing medical coding has become more important. The extensiveness of ICD-10 has made coding more confusing and laborious for physicians and practices. With EHR data entry also on the minds of doctors, they just have too much to...
