Year: 2021

ICD-11 Is Coming, Prepare Now

ICD-11 Is Coming, Prepare Now

IFHIMA makes the case for ICD-11 adoption with latest whitepaper. As healthcare transformation progresses due to the digitization of data and advancements in medical science and technology, it is increasingly important that nations around the world begin planning for adoption of ICD-11. The International Classification of Diseases (ICD) has a long and valued history of […]
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Physicians Collect More From Surprise Medical Bills in ED

Physicians Collect More From Surprise Medical Bills in ED

  Physicians in a hospital’s emergency department (ED) collected significantly more of the charged amount for likely surprise medical bills compared to other patient cases, a new study in Health Affairs reveals. In the event of a likely surprise medical bill, physicians collected 65 percent of the charged amount compared with just 52 percent for other cases. Researchers also […]
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Append Surgical Modifiers With Confidence

Append Surgical Modifiers With Confidence

Modifiers 79: Know how to differentiate modifiers 79, 78, and 58to ensure proper reimbursement for all procedures performed. Modifiers convey important information about a claim and can directly affect reimbursement. But choosing the most appropriate modifier can be confusing — especially when two or more modifiers have similar descriptors. Modifiers 58, 78, and 79 are all […]
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Top 5 Trends Impacting Healthcare Revenue Cycle Management

Top 5 Trends Impacting Healthcare Revenue Cycle Management

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 […]
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Top Advantages of Employing AI in Medical Billing and Coding

Top Advantages of Employing AI in Medical Billing and Coding

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 […]
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Key Ways Providers Can Prepare for New Surprise Billing Rules

Key Ways Providers Can Prepare for New Surprise Billing Rules

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 […]
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Biden Administration Shares Latest Round of HHS Staff Appointments

Biden Administration Shares Latest Round of HHS Staff Appointments

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 […]
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E_M Coding and Billing for Interventional Radiology

E/M Coding and Billing for Interventional Radiology

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 […]
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