Hospital billing departments coordinate health plan benefits every day. Typically, coordination of benefits (COB) is aided by patient registration workflows that gather basic demographic and health insurance information. But what if a patient gets hurt on the job or in an automobile accident? How well does your organization collect the information needed to coordinate […]
HBI data reveals that the rate of hospitals or health systems that have implemented artificial intelligence for any revenue cycle function has not widely increased over the past year, but automation in healthcare has shown some forward movement in comparison. Based on the conversations revenue cycle analysts have conducted with HBI members over the past […]
The technology, growing in popularity, is one way to reduce errors and enhance communication. Speeding up and simplifying the communication between provider and payer means a lot more than just getting reimbursed. It can help healthcare organizations be more transparent about costs to patients. It can maximize the amount of time skilled workers deal with […]
Allzone Management Services, Inc., an industry leader in Healthcare Revenue Cycle Management Outsourcing Solutions is a Bronze Sponsor for 2020 Healthpac Annual Users Meeting to be held at The Desoto in Savannah, Georgia from January 23rd, 2020 to January 25th, 2020. The Healthpac Annual Users Meeting takes place in Savannah each year and attracts representatives […]
Q: Some of our Medicare patient’s complain about their $20 or so co-pay when we bill ‘Combination visits’, a G0439 Annual Wellness visit codes(AWV) and another Current Procedural Terminology (CPT) code for managing their problems during the same visit. Is there a good solution to this issue or any advice to maybe remedy this? A: This […]
The American Medical Association issued a checklist for the transition to fundamental changes in evaluation and management (E/M) services, a medical coding process in support of medical billing which practicing healthcare providers must use to be reimbursed by Medicare, Medicaid programs or private insurance. The checklist provides a guide for physician practices, which already are […]
As the sun sets on 2019, we look back and reflect on the major news and trends that shaped the revenue cycle this year. From the tumultuous battle over price transparency to the rise of automation and the ushering in of AI, 2019 was a banner year for revenue cycles as they reckoned with a […]
Among the proposed new rules is one intended to clarify the contentious “Stark Law” On Oct. 9, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to modernize and clarify the regulations that interpret the Medicare physician self-referral law (often called the “Stark Law”). The law prohibits physicians from making referrals for […]
Changes Coming to Office Visit Codes Question: At my family practice’ office visit code, my office manager and I have recently been debating over coding. She reports that the new coding system has changed our typical 99214 visits into 99213s. For example, I see a patient for routine follow-up on three or more chronic conditions. […]