HIMSS: One-third Clinicians still use manual Claims Denial Management
Claim submission and denial management are critical components to the revenue cycle of healthcare facilities. As regulations are getting more stringent with the transition to...
MACRA – What Is It All About?
April 28, 2016 witnessed the release of the proposed rule that is intended to guide the implementation of MACRA (Medicare Access and CHIP Reauthorization Act of 2015) which ai...
RAC Audit Preparation Tips
The increase in audits has made them more of a rule than an exception. Each year, approximately 9% of physicians undergo a RAC audit. According to projections, wit...
Tips For Hiring A Medical Coding Company
In order to keep your practice afloat, it is imperative that your services receive full and timely reimbursements. Getting your cash flow moving smoothly depends on accurate ...
3 Things You Need To Know About Medicare Audits
Healthcare facilities across the nation have or will have to face Medicare audits at some point. Even those healthcare facilities that have done everything correctly and...
Common Evaluation And Management (E/M) Services Coding Errors
One of the recurring problems facing healthcare facilities is incorrect coding of Evaluation and Management (E/M) Services. The recent CERT (Comprehensive Error Testing) clai...
8 Tips On Medical Billing And Patient Collections
One of the biggest challenges faced by healthcare practices and crucial to their very survival is medical billing and collections. A healthy revenue cycle is important to sus...
HHS ‘A Bill You Can Understand’ Challenge
Most patients and their families find it very difficult to understand their medical billing documents. Currently, there are no established standards for consumer medical...
8 Must-Knows for Balance Billing
Billing patients for outstanding balances after receiving the portion covered by the insurance company is known as balance billing. This can happen if the insurance company g...
Best Practices – Clinical Documentation Improvement
All healthcare facilities – irrespective of whether they are a business enterprise or a charitable institution – have to be financially viable in order to continue to provide ...