Category: Blog

The Importance of Front-End Revenue Cycle Management in Healthcare

The Importance of Front-End Revenue Cycle Management in Healthcare

The success of a healthcare provider’s financial performance hinges heavily on the efficiency of its front-end revenue cycle management. While the mid and back-end processes, such as coding, billing, and denials management, often receive significant attention, it’s crucial to recognize the profound impact of pre-encounter activities on overall revenue cycle efficiency. Front-end revenue cycle encompasses […]
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Cyberattacks on Healthcare Organizations Rise, Disrupting Patient Care

A new survey reveals a significant rise in cyberattacks on healthcare organizations since 2023. These attacks have led to substantial disruptions in patient care, with the average attack costing organizations nearly $1.5 million. According to the survey, 92% of healthcare IT and security professionals reported at least one cyberattack in the past year, up from […]
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The Power of Business Process Automation in Medical Claims Processing

The Power of Business Process Automation in Medical Claims Processing

Medical claims processing has traditionally been a labor-intensive and error-prone task, involving manual data entry, verification, and adjudication. However, the advent of Business Process Automation (BPA) has revolutionized this process, making it more efficient, accurate, and cost-effective. Beyond the Basics: Advanced BPA Features While the core functionality of BPA in medical claims processing involves automating […]
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HIPAA Compliance and Ransomware Attacks

HIPAA Compliance and Ransomware Attacks: What Need to Know

The U.S. Department of Health and Human Services (HHS) recently announced a $250,000 settlement with a Washington-based healthcare provider for alleged HIPAA violations. The violation stemmed from a ransomware attack and subsequent investigation by the HHS Office for Civil Rights (OCR) Ransomware Attacks and HIPAA Compliance: Protecting Patient Data: This settlement highlights a growing concern […]
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ICD-10 Codes Related to Natural Disasters

The International Classification of Diseases, 10th Revision (ICD-10), is a standardized medical classification system developed by the World Health Organization (WHO). It categorizes diseases, injuries, and other health conditions, including ICD-10 Codes for Natural Disasters. For natural disasters, the ICD-10 provides specific codes to classify related injuries and health issues. Here are some of the […]
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Healthcare Cyberattacks: Protecting Small Practices from Rising Threats

Healthcare providers face a rising tide of Healthcare cyberattacks, which can have devastating consequences. These attacks are becoming more frequent and costly, and healthcare organizations are spending more than any other industry to recover from them. Small Practices at Risk: Small healthcare providers are particularly vulnerable to Healthcare cyberattacks due to limited resources and staff. […]
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Prevent Coding and Billing Errors

Preventing coding and billing errors can reduce claims denials

Accurate medical coding and billing are essential components of a healthcare practice’s financial health. When codes for procedures and diagnoses are recorded correctly, providers can receive timely reimbursements for the services they deliver. However, Prevent coding and billing errors can lead to claim denials, delays in payments, and increased administrative burden This blog post will […]
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Spinal neurostimulator implantations

CMS Prior Authorization for Spinal Neurostimulator Procedures

Prior Authorization for Spinal Neurostimulator Implantations: The Centers for Medicare & Medicaid Services (CMS) implemented a prior authorization requirement for spinal neurostimulator implantations surgeries on July 1, 2021. This policy change took effect after the Office of Inspector General (OIG) had concluded its field work but before the release of its investigation report. CMS specifically […]
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Medicare Advantage denials

Understanding the Rise of Medicare Advantage Denials: What Need to Know

Medicare Advantage (MA) plans, a type of private health insurance, have become increasingly popular among seniors. These plans offer additional benefits beyond traditional Medicare, but they also come with their own set of complexities.  One of the most significant issues faced by MA beneficiaries is Medicare Advantage denials for medical services. Recent data has revealed […]
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