The COVID-19 pandemic has made a drastic impact on the healthcare industry. Some licensed providers are returning to a partly insurance-based model of private practice because of the lack of private pay patients. If you are running a group practice then you have multiple questions regarding credentialing, like how to credential a group practice? Do […]
Telehealth is rising drastically after COVID-19 due to mandatory social distancing and the safest interactive system between patients, both infected and uninfected, and clinicians. Now Vaccination is going on all over the country to win over pandemic and PHE. But Telehealth will continue to stay here as an important care provider model and also, some […]
Medical Billing a Challenge for Struggling Primary Care Practices Medical billing is a complex process, and it’s always been a reason for primary care physicians’ struggles. In addition, their practice is often overwhelmed with constantly changing information, including protocols and billing codes, which makes the situation more challenging. When the COVID-19 pandemic strains the U.S. […]
When providers need outpatient wound care billing, CPT codes 11043, 11046, and 11044, 11047 may only be billed in place of service inpatient hospital, outpatient hospital, or ambulatory surgical center (ASC). Outpatient wound care is often considered early discharge of patients from the acute care setting to the home care setting and surgical wound care […]
Today the healthcare industry is going through a transformative change called “Vertical integration” and its popularity is rising continuously over the US. However, it is observed in most cases that such mergers would lead to higher healthcare costs and a low level of patient satisfaction. As a physician or healthcare organization, you should know about […]
When the radiology physician submits the error-free claim on time then the practice’s cash flow will improve and the overall operational cost gets minimized. However, you may find delays in payment due to radiology claim denials from the payer for some reasons. When claims get denied, the patient will be vulnerable first as the entire […]
Are you thinking that revenue flow is interrupted due to high accounts receivable? Of course, you need to boost A/R productivity for the Success of Revenue Cycle but you aren’t the only healthcare professional to face revenue loss but you can make a difference particularly during the pandemic. Insurance companies are obliged to pay healthcare […]
Managed Care plays important role in the delivery of healthcare and it is used to describe a health insurance plan or health care system that coordinates the provision, quality, and cost of care for its enrolled members. Traditionally States have utilized a fee-for-service (FFS) payment system to cover enrollees but now states are also making […]
Healthcare providers implemented telehealth for COVID-19 pandemic widely in the US. According to 2019 Health Center Program Data, 43% of health centers were capable of providing telemedicine (it is a part of telehealth), compared with 95% of the health centers that reported using telehealth during the COVID-19 pandemic. While the largest increase in the use […]
Denial Code CO 50 means that the payer refused to pay the claim because they did not deem the service or procedure as medically necessary. It is a very popular denial code and the sixth most frequent reason for Medicare claim denials. According to a CMS, It is observed that 30% of claims are either […]
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