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revenue cycle management

What do Providers and Medical Billers Need to Know about the Final MACRA Rule?

What do Providers and Medical Billers Need to Know about the Final MACRA Rule?

Indicating a departure from the volume-based, fee-for-service model, MACRA now replaces the SGR – sustainable-growth-rate-formula to control Medicare costs. The MACRA rule is all about linking Medicare reimbursements to the quality metrics with the medical billers which will be now rewarded for offering value-based quality services. MACRA revokes the set payment rates based on economic […]

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How providers must implement strategies to collect on outstanding patient balances?

How providers must implement strategies to collect on outstanding patient balances?

As reforms continue to alter in the healthcare industry, it is affecting practitioners/hospitals, insurance providers and patients. Deductibles are increasing and the payments are increasingly becoming the patient’s own responsibility. Therefore, patients are becoming more involved and active regarding their insurance plans and payments which can at times be overwhelming for the practitioners to collect […]

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Critical Trends Affecting the path of your Optometry Reimbursement

Critical Trends Affecting the path of your Optometry Reimbursement

The industry of medical billing and coding is an ever-evolving and developing industry. New advancements and techniques have totally changed the way medical billing professionals perform their daily activities. As of late, optometry practices have been compelled to change the way they bill and code for their procedures to comply with certain medical billing trends. Here […]

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Should optometrists be allowed to perform surgeries?

Should optometrists be allowed to perform surgeries?

Optometrists are the independent primary health care professionals for the eye; The current trends in optometry billing are driving down the reimbursement process. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. (Reference: American Optometric […]

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