In today’s competitive healthcare landscape, patients have numerous choices for where they receive care. This is advantageous for patients, but it poses challenges for medical practices. A single negative patient experience can drive patients away, possibly for good. The silver lining? While patient turnover can’t be completely eradicated, there are strategies to minimize it and...Read More
Introduction The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule for the Calendar Year (CY) 2025 Medicare Physician Fee Schedule (PFS). This rule, set to take effect on January 1, 2025, outlines numerous policy changes aimed at creating a more equitable healthcare system. These changes promise to enhance accessibility, quality, affordability,...Read More
Understanding the Significance of Cybersecurity Protecting Patient Data In the healthcare sector, the protection of patient data is critical. Health records include sensitive information such as personal identification, medical history, and financial details. Unauthorized access or data breaches can result in severe consequences like identity theft, financial loss, and violation of privacy. Ensuring Operational Continuity...Read More
Managing patient billing can be a complex and time-consuming process for healthcare providers. Achieving timely and accurate reimbursement for services rendered is often challenging, impacting the overall flow of patient care. Patient billing is a demanding task that many providers find chaotic and difficult to manage. According to 73% of healthcare providers, it takes 30...Read More
In today’s healthcare landscape, digital health is a transformative frontier. As health systems tackle the complexities of digital transformation, Revenue Cycle Management (RCM) vendors are indispensable allies. This article explores how RCM vendors significantly support health systems in advancing digital health through strategic technologies and expertise in the broader digital health ecosystem. The Role of...Read More
In the intricate and fast-paced world of healthcare, precision in medical billing is paramount. Think of medical billing audits as your practice’s financial health checkup. They are essential to ensuring compliance, maximizing revenue, and safeguarding your practice’s financial well-being. Here’s why making medical billing audits a priority can transform your practice. The Unseen Pitfalls of...Read More
Introduction The Molecular Diagnostic Services (MolDX) Program, established in 2011, plays a crucial role in modern healthcare by facilitating the identification and reimbursement of molecular diagnostic tests. This program simplifies the coverage process for laboratories, helping them navigate the often complex world of medical billing and ensuring that patients receive accurate diagnostic services. With standardized...Read More
Billing for colorectal cancer screenings, particularly using codes G0121 and G0105, can be complex due to the specific guidelines and frequency limitations imposed by Medicare. Understanding these complexities is essential for healthcare providers to ensure compliance and optimize reimbursement. Billing Code G0121 G0121 is used for a screening colonoscopy for individuals who are at average...Read More
Introduction Patients and healthcare professionals often use terms like preventive visit, initial preventive visit, annual well visit, and annual well woman visit interchangeably. However, each term refers to a distinct type of exam, each with its own specific codes, definitions, and coverage. This article aims to clear up the confusion surrounding these terms and provide...Read More
In the intricate world of healthcare, credentialing is a critical yet often overlooked process. Ensuring that practitioners are qualified and compliant with regulatory standards is essential, but the costs and complexities of managing credentialing in-house can be overwhelming. Let’s delve into the hidden expenses of in-house credentialing and discover why outsourcing this crucial task can...Read More
