Non-ST elevation (NSTEMI) ICD-10 Codes for Myocardial Infarction

NSTEMI, Type 1 vs Type 2 MI: Why Accurate ICD-10 Coding Directly Impacts Revenue and Compliance Myocardial infarction (MI) documentation errors are no longer just clinical inaccuracies. In today’s reimbursement environment, misclassifying Type 1 MI, Type 2 MI, demand ischemia, or assigning incorrect NSTEMI ICD-10 codes — including Non-ST Elevation (NSTEMI) ICD-10 codes — can […]

Common challenges facing by physicians in 2021

Today physicians whether they own their practice or are employed by a hospital or larger health system are facing many challenges in the day-to-day routine. These common challenges include “How to use the EMR efficiently and getting paid”, overburden with administrative requirements, staffing, burnout, etc. despite their devotion to the practice of medicine and the […]

Avoiding Medicare/Medicaid Crossover Claims Rejections

If your Medicaid crossover claims are rejecting it may be due to the address you have on file with Medicare and Medicaid. When Medicare crosses over your claim to Medicaid, address fields like Master address and Pay-to (or remit address) are submitted. If Medicaid does not have the same addresses in their file, Medicaid will […]

Updates to the IRF Quality Reporting Program

CMS recently announced the proposed rules for the ‘Inpatient Psychiatric Facility Prospective Payment System and Inpatient Rehabilitation Facility Prospective Payment System’ for FY 2022. This proposed rule would update the prospective payment rates for IRFs for Federal FY 2022. The proposed FY 2022 IRF Prospective Payment System rule would boost Medicare payments by 1.8%, or […]

Avoid healthcare fraud by improving the medical billing process

In the US, providers are struggling daily basis with healthcare frauds. These frauds generally cost the healthcare industry 3 to 15 percent of the total expenditure in the United States hence healthcare fraud and abuse must be critical. What are healthcare fraud and abuse? Generally, fraud and abuse are referred to describe a range of […]

E/M Time-Based Coding

The physician or other qualified healthcare professional are using CPT codes from the range 99202-99499 which is called Evaluation and management (E/M) codes to represent services offered by physicians. These codes are applicable while evaluating and managing patient health. These (E/M) codes have been around for many years still reporting timed-based services is confusing. So let’s […]

ASC- The promising avenues for improving the delivery of health care

Ambulatory Surgical Centers brought a revolution in surgical care, enabling affordable, safe outpatient surgery. Moreover, the ASC industry is ahead of the curve in identifying avenues to improve health care delivery. ASCs are a rare example of a successful transformation in healthcare delivery. Hence, stakeholders must understand ASCs and their benefits and growth factors: For […]

What is accounts receivable turnover ratio?

The account receivable turnover ratio is referred as an important financial ratio to indicate the Ability of the company to collect its accounts receivable. When you are setting a benchmark to accelerate receipt of payment for services and then improve the processes to support the goal; you should consider the account receivable turnover ratio as […]

Virtual Care Challenges in 2021

COVID-19 affected the healthcare system badly in 2020 hence there is an immense opportunity for the payers and stakeholder collaborators to rebuild the healthcare system into a more effective and consumer-centric system in 2021. Virtual care is a broad term and it comprises various ways that healthcare providers are using remotely interact with their patients. […]

What is Patient Compliance?

Globally it is observed that patient compliance consists a multidimensional and complex health issue. Approximately 50% of patients do not take their medications as prescribed. They don’t follow instructions for the timing, dosage, and frequency of their medications which comprise the health of the patients. Hence it is necessary to understand the importance of patient […]

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