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 […]

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 […]

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 […]

Top Goals for Physicians to Implement In Their Facility

The changing political trends have affected the way physicians are implementing changes in their functioning at work, be it at clinics or hospitals. Keeping up with the times is the need of the hour and hence never knowing which way the winds will blow, physicians should initiate certain goals that can help them ride the […]

How Urology Practice can be at Risk with Consistence Claim Denials?

Irregularities, errors, and incorrect CPT codes are some critical reasons, that overall physician practices, including Urology, face claim denials. It’s disappointing for Urologists providing care to a patient and expecting fair reimbursement, only to realize that your facilities’ medical billing and coding claim is being denied since the insurance payer doesn’t think the service was […]

Is EMR Software The Right Choice to Optimize Podiatry Billing and Collection?

On any given bustling practice day, it can be a troublesome decision for you to decide on using Podiatry EMR software. However, a major hindrance for some doctors is the price and for others it is time. So, the moot question that stands in front of Podiatrist is, ‘Is EMR software the right choice to […]

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 […]

Leverage data analytics for medical billing to improve patient experience

Implantable-sensor-is-changing-the-oncology-practice

Health systems and hospitals across the nation are faced with different revenue management challenges, some of which are caused by the rise in the transition to the value-based payment alternatives, consumerism, and high deductible health coverage plans. Off late, it has pushed patients to become more involved in healthcare decision making. Better transparency into costs […]

Otorhinolaryngology Surgery: Taking Augmented Reality into Operation Room

Over the last few years, technological advancements in medicine have created new ways for surgical interventions requiring minimizing invasiveness in the internal anatomy, along with new developments in visual examination to provide treatments. Further, a new and safer approach has been devised using ‘augmented reality’ which combines ‘computer-generated images of preoperative imaging data with real-time […]

ASC Medical Billing: Key Points to Note

ASC stands for Ambulatory Surgery Centers or Outpatient Surgical Center that is a healthcare facility where patients need not be admitted. The patient is simply taken in, treatment is provided and after-care procedures are levied; after which he can leave. ASC is perfect for minor injuries or treatments and is cost-effective, safe, and easy and […]

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