5 Ways to Make the Most of Your Coverage. Now that you have health coverage, here is what you can do to put your health first and live a long and healthy life. 1. Confirm your coverage 2. Know where to go for answers 3. Find a provider 4. Make an appointment 5. Fill your […]

One of the most basic rights that a patient has is the right to privacy. Patients have the right to decide to whom, when, and what extent their private individually identifiable health information is disclosed. This information includes but is not limited to medical diagnosis, treatment plans, prescriptions, health insurance information, genetic information, clinical research […]

Imagine for a minute that you have received a denial in the mail for an insurance claim and it states that services are not covered or this procedure requires prior authorization. You think for a moment…why didn’t someone know about this ahead of time. Of course, someone would have known if your office had a […]

Revenue cycle management refers to the business side of your practice—from verifying patient insurance eligibility to submitting claims to receive health plan payments and billing patients for their share of service costs. Although patient care will always be your top passion and priority, an efficient revenue management system is critical for your practice’s financial health […]

Prior authorization steals time from physicians that would be better spent with patients and increases practice costs. The process can pose roadblocks to patient care, delaying much needed services or stalling the delivery of a patient’s treatment. These five tips can help you to relieve your prior authorization frustrations and better select a method that […]

2019 Payment Adjustment Information – How To Avoid Medicare Payment Penalties With Basic Reporting. The Medicare Quality Payment Program (QPP) is designed to potentially reward physicians for providing quality, high-value care to Medicare patients. This is the first year physicians will need to report on quality measures under the new Quality Payment Program (QPP) from […]

New Medicare cards offer greater protection to more than 57.7 million Americans.  New cards will no longer contain Social Security numbers, to combat fraud and illegal use. The Centers for Medicare & Medicaid Services (CMS) is readying a fraud prevention initiative that removes Social Security numbers from Medicare cards to help combat identity theft, and […]

Billing Headaches: Is There a Code for That? Denials become even more of a threat as the finer points of medical coding and billing become overwhelming challenges for many practices. Under ICD-10, the stakes have never been higher. Recent research confirms that ICD-10 as currently implemented is seriously flawed. In 2015, the University of Illinois […]

It’s A Fact of Life Now, For Better or Worse. ICD-10, with its tenfold increase in the medical billing codes (MBC) that healthcare providers and payers depend on for every aspect of medical diagnostics, treatment, and compensation, has been in place for nearly two years now. How has it worked out so far? Well, that […]

Becker’s Hospital Review is a respected forum for healthcare industry thought leaders and has long offered valuable insights into the latest healthcare trends. In these disruptive times, amidst sweeping changes, generalities are scarce and predicting the future is riskier than ever. Here are the unalloyed truths and toughest advice from industry experts who have been […]