Finding the Right Medical Billing Company in Georgia
Medical billing is a tedious and challenging job that needs special attention in order to ensure optimal competence. Although most doctors and hospital have an in house billin...
New England Journal of Medicine: 22% of Surprise Medical Bills occur in ER Visits
Have you ever experienced a situation when you have been made to pay a bill twice for the same product? This is exactly what is happening in the healthcare industry. According...
MACRA – APM vs. MIPS
The latest in a series of steps taken by the Centers for Medicare and Medicaid Services (CMS) to incentivize care quality over volume; MACRA was signed into law in 2015 and re...
10 Common HCC Coding Mistakes
In response to the demand for improving the capture of chronic illness diagnoses for reimbursements, the Center for Medicare and Medicaid Services (CMS) mandated the developme...
Risk Adjustment and HCC Documentation Basics
With healthcare reform and system changes underway, accurate medical documentation and coding is critical to the financial health of your practice and to the health of your pa...
Things You Need to Know about the MACRA Final Rule
Representing a departure from the volume based, fee-for-service model, MACRA replaces the SGR (sustainable growth rate) formula to control Medicare costs. Linking Medicare rei...
Do you need to change your Medical Billing Company?
Healthcare practices typically outsource their billing for two reasons – lack of resources and/or lack of time. While outsourcing your billing has many advantages, there are c...
7 MACRA Preparation Tips
Replacing the much-maligned sustainable growth rate formula and in an effort to increase quality while bringing down costs, the Congress last year passed the Medicare Access a...
Revenue Cycle Analytics Improves Claims Submissions
Healthcare revenue cycle management has undergone a radical and drastic change in the last decade. From days when most patients had $20 or so as co-payments and insurance comp...
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...
