Most of the practice owners work really hard to understand payer billing and coding guidelines and reimbursement policies. Their intention is to receive accurate insurance reimbursements on time from private as well as government payers. But while making such strategies they miss on the prominent payer i.e., their patients. You will be surprised to know […]
Denied claims offer lots of challenges for any practice owner. Your billing staff is already busy verifying patient and insurance data and trying to submit clean claims. And when claims are denied, they have to work on these denied claims once again from the start. Ideally, when you submit 100 claims, not more than 10 […]
According to MGMA’s (Medical Group Management Association) report, amongst the COVID-19 pandemic, burnout among medical billing staff becomes an overwhelming problem. MGMA reported a combined 30% turnover rate specifically among front office and operational staff, the highest of any other healthcare career category. Continuously changing payer policies and reimbursement guidelines put additional pressure on medical […]
Basics of Shared Visit Nurse practitioners (NPs) or physician assistants/physician associates (PAs) and physicians sometimes ‘share; patient visits. A shared visit which is also called a split visit is one where both types of clinicians participate in evaluating and managing a patient on a given day. The Centers for Medicare & Medicaid Services (CMS) defined […]
Defining Value-Based Contract (VBC) A value-based contract (VBC) is a written contractual arrangement between parties in which the payment for health care goods and services is tied to predetermined, mutually agreed upon terms that are based on clinical circumstances, patient outcomes, and other specified measures of the appropriateness and effectiveness of the services rendered. In […]
Most radiology practices are currently feeling the pinch of deep reduction in imaging revenue and decreased volume. Based on an analysis of the change in imaging volume from Yale’s academic multi-specialty radiology practice, the group saw a 70 percent dip in outpatient imaging since the start of the COVID-19 crisis, including a 50 percent drop […]
Understanding billing codes for psychiatric collaborative care management is crucial for healthcare providers offering mental health services. These codes help ensure proper reimbursement for the collaborative care provided to patients. By accurately using these codes, healthcare providers can effectively communicate the services rendered and receive appropriate compensation for their valuable contributions to mental health care. […]
Healthcare providers are under increasing pressure as more and more patients are shifting to value-based care. Providers are already under pressure as they have to deal with declining reimbursements, higher risks, and tighter margins while improving patient care. Due to this, hospitals and physician practices of all sizes are being forced to re-examine their revenue cycle […]
Hospitals are receiving more claim denials from payers, with the average rate increasing by 23 percent in 2020 compared to 2016, according to a research report conducted by Change Healthcare. The analysis includes 102 million hospital transactions valued at $407 billion in total charges across more than 1,500 U.S. hospitals. Since 2016, the denial rate […]
Even though medical coding plays a crucial part in revenue cycle management, it is the most neglected process of medical billing. As per the study report, documentation and medical coding are considered to be the weakest processes of the revenue cycle in 2019. Accurate medical coding will ensure the claims will get out the door […]
Connect with us by filling out this form. Let’s tailor a
solution that fits your needs perfectly.
Specialities
Services
Resource Center
Pricing
About
Contact
