Category: Blog

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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Healthcare online Forms

Paperless Healthcare: 5 Reasons to Transition to Online Healthcare Forms

The healthcare industry has long been burdened with paperwork, from patient intake forms to insurance documentation. While many healthcare providers have already adopted Electronic Medical Records (EMRs), there’s a growing realization that going paperless can extend far beyond just digitizing patient records. One significant area where healthcare can continue to evolve is through the use […]
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Medicare coverage

Comprehensive Overview of Medicare Coverage for 2024

Medicare coverage is the federal health insurance program for Americans 65 and older, as well as younger individuals with long-term disabilities. It covers a wide range of medical services, including hospitalizations, doctor’s visits, prescription drugs, and specialized care like skilled nursing, home health, hospice, and preventive services There are two primary ways to receive Medicare […]
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Healthcare Debate

The Future of the Affordable Care Act (ACA) in the 2024 Healthcare Debate

During the Healthcare debate between Vice President Kamala Harris and former President Donald Trump, healthcare—especially the Affordable Care Act (ACA)—became a central focus in the final stages of the discussion. Moderated by journalists Linsey Davis and David Muir, the Healthcare debate showcased starkly different perspectives on the future of the ACA. Trump’s Unclear Healthcare Plan: […]
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Future of Medicare telehealth

Future of Medicare Telehealth is Bright and Innovative

Medicare, the federal health insurance program for people aged 65 and older, has been at the forefront of healthcare innovation. In recent years, telehealth has emerged as a powerful tool, transforming the way healthcare services are delivered. As technology continues to advance, the future of Medicare telehealth looks increasingly promising. Telehealth: A Brief Overview Telehealth, […]
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Medicare changes in 2025

Major Medicare Changes Coming in 2025: A Summary

Medicare changes in 2025 marks a significant year for Medicare beneficiaries as the program undergoes its most substantial changes in decades. The Inflation Reduction Act has introduced several key reforms aimed at lowering prescription drug costs and improving overall coverage. 1. Out-of-Pocket Drug Costs Capped at $2,000 A major highlight of the Medicare changes in […]
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Inaccurate Medical Bills

How to Avoid and Correct Inaccurate Medical Bills

Inaccurate medical bills can be a frustrating and costly experience for patients. From coding errors to duplicate charges, these mistakes can lead to financial strain and unnecessary stress. Understanding the common causes of Medical billing errors and taking proactive steps can help you avoid these issues. Common Causes of Inaccurate Medical Bills 1. Medical Coding […]
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Healthcare Claim Denials

Reduce Healthcare Claim Denials and Improve Revenue: Proven Strategies

Healthcare Claim Denials can be a frustrating and costly setback. However, with the right strategies, you can significantly reduce denials and improve your revenue. This article outlines four effective approaches to handling denied claims and ensures timely resubmissions. 1. Establish a Routine for Denial Handling Create a standardized procedure: Develop a clear and efficient process […]
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medical coding and CDI

Unlocking AI Power for Medical Coding and CDI: Essential Features

 Unlocking the Power of AI: Essential Features for Medical Coding and CDI Tools: When choosing an AI tool to improve medical coding or clinical documentation integrity (CDI), healthcare organizations navigate a complex landscape of emerging technologies. To ensure the right selection, focus on key features that enhance accuracy, efficiency, and compliance. One crucial aspect is […]
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