Price transparency, increasing revenue, and reducing denials are three of the revenue cycle’s thorniest issues. At the HealthLeaders Revenue Cycle Ideas Exchange in mid-March revenue cycle leaders from the nation’s top health systems shared their proven strategies for success for each of these problems. Here’s what they had to say. Although root cause data showed that 47% of […]
Given the current state of the world, AI is expected to play a critical role in home-based care systems, particularly in the areas of data collection, monitoring, analysis, and interpretation. The increase in the number of monitoring devices such as fitness trackers and wearable technology, for example, demonstrates the effect of AI on home […]
The world is changing and the operations behind healthcare reimbursement is changing with it. Healthcare organizations are recovering from an unprecedented public health crisis during which entire service lines shut down so providers could focus on stopping the spread of a deadly virus. Meanwhile, healthcare has been going through a digital revolution. The clinical shift […]
In the realm of medical billing and coding, the incorporation of artificial intelligence stands as a pivotal advancement. Its role in healthcare establishments is to optimize billing procedures, thereby mitigating costly errors. Among the array of AI-driven technologies, machine learning and Natural Language Processing (NLP) take the forefront. These tools excel at swiftly and accurately […]
Starting January 1, 2022, healthcare providers will be subject to a new surprise billing law that makes it illegal for providers to bill patients more than in-network cost-sharing for out-of-network services and establishes an arbitration process to resolve unexpected out-of-network charges. The law, the No Surprises Act, was passed in December 2020 as part of […]
Healthcare consumerism is on the rise , as patients report the desire to use telehealth and contactless payment options post-COVID-19. However there are disconnects between payer, provider, and consumer expectations, according to the eleventh annual Trends in Healthcare Payments Report from InstaMed. The report explores how COVID-19 has accelerated many trends that have improved the consumer experience […]
Today the Biden Administration announced its latest group of appointments to the Department of Health and Human Services. The new appointees join tens of thousands of career officials throughout the agency at a time when expertise is critical to tackling the ongoing COVID-19 pandemic. WHAT’S THE IMPACT? Kristina Schake will serve as HHS Secretary Xavier Becerra’s […]
Radiology practices that perform interventional procedures have to be up to date on the use of documentation and coding techniques for evaluation and management (E/M) services. Since these current procedural terminology (CPT) codes in the 99xxx range are less commonly utilized in many radiology practices, identifying circumstances where E/M services are billable and then properly […]
The new code is expected to be here in October. EDITOR’S NOTE: The following is the broadcast script from Dr. Erica Remer’s segment during Talk Ten Tuesdays, March 16, 2021. One of the highlights of my year, and most definitely in this past year, is participating in the ICD-10-CM Coordination and Maintenance Committee Meeting. It was […]
The extended unemployment benefits and $1,400 direct payments that are part of the American Rescue Plan Act of 2021 signed into law by President Biden on March 11 have gained much attention. But the new law contains several other provisions aimed at making health insurance more affordable for millions of people with lower and moderate incomes, […]