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U.S. Healthcare System Addressing COVID-19 Patient Surge

Centers for Medicare & Medicaid Services (CMS) on 30th March 2020 issued an unprecedented array of temporary regulatory waivers and new rules to equip the American healthcare system with maximum flexibility to respond to the 2019 Novel Coronavirus (COVID-19) pandemic. CMS sets and enforces essential quality and safety standards for the nation’s healthcare system, and […]

Avoid the Top 10 Modifier Mistakes – Modifier 79

Matching CPT code with an ICD 10 code, would seem to be a very straightforward process but there are always variations/exceptions to everything. Sometimes, there are related services that the physician is performing, global periods to contend with, etc. Modifiers will clarify extenuating circumstances, which should allow for payment when they otherwise may not. That […]

Will only the big giants of healthcare survive?

Healthcare is a wide term that includes a range of undertakings- insurance coverage, workforce compensation, health information technology, and drug administration. Thus, healthcare matters require a great deal of understanding, experience, and manpower in order to be precise in delivering accurate solutions and as marketers in the field of healthcare, we need to have our […]

Predicted Healthcare Reforms in 2016

The year 2015 saw several healthcare reforms bring changes into the way healthcare is practiced in America, the main goal being to provide healthcare for all and also improve on the delivery of healthcare. With the number of footfalls coming into healthcare provider organizations and the insurance sector too gearing up to deal with the […]

Health Care Industry Highlights-2015

As we move to a close of 2015, the healthcare Industry has seen a lot of ups and down, and changes that although seemed to threaten disruption, but have created just minor ripples. Here is a fleeting glance at the industry. CMS & Reporting Requirements In January 2015, Medicare announced that it would ramp up […]

Ways in which Healthcare Analytics are Ensuring Better Patient Satisfaction

Critical patient care has been backed by pushing through the Value based performance payment model along with a few other subsidiary payment models that tie into it. But given the number of footfalls, with the Affordable Care Act (ACA), which has made it mandatory that every American needs to have insurance to avail of healthcare, […]

Why are US Hospital Costs Higher than those in Canada and Scotland?

The administrative costs in US healthcare sector consumed approximately $156 billion in 2007. This spending is projected to reach $315 billion by 2018. Recently, a study published in Health Affairs compared hospital administrative costs of eight nations. According to the study, the US hospital administrative costs were the highest, consuming 25.3% of hospital budgets in […]

Top 5 Healthcare Changes in 2015

Improving patient care and reducing healthcare costs will continue to be the top two challenges for the US healthcare industry in 2015. However, providers need to be prepared for various other regulatory changes this year that might prove challenging for the financial health of their practices. Here are the top five healthcare changes that providers […]

What are the Changes in “2014 Physician fee Schedule”, Medicare and its Modalities?

The CMS physician fee schedule of 2014 and Medicare modalities have brought in an era of financial stress and reduced pay-outs for medical practitioners. Physicians are reluctantly admitting and accepting the payment cuts given their prior commitments for certain processes. Medicare on the whole has announced 2-6% of cut in various reimbursement ratios. However, the […]

Adapting to Evolving Trends and Billing Practices in Oncology Medical Billing

Dental medicine is often seen as a highly profitable healthcare stream with guaranteed long term returns. However, what most people fail to understand is the amount of complex planning and execution that goes into acquiring and maintaining that sustained level of profitability. Dental reimbursement rates are generally poorer than medical reimbursement rates. Given that, ensuring […]

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