Category: Blog

Impact of Technology on Healthcare Management

The Impact of Technology on Healthcare Management

To efficiently manage healthcare, it is imperative for systems and management teams to maintain a continuous focus on becoming leaner. Healthcare administrators are responsible for overseeing an increasing number of hospitals, clinics, and medical facilities. Their responsibilities include managing operations, facilities, accounting, and policy, as well as evaluating and recommending new technology to improve patient-centered […]
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Proposed Home Health Payments

CMS Proposed Payment Cut to Home Health Agencies

Part of the reason for the decrease is attributed to a permanent adjustment in behavior assumptions. The 2024 Home Health Prospective Payment System Rate Update proposed rule released on June 30 revealed that Home Health Agencies will experience a 2.2% payment decrease in 2024 compared to 2023, partly due to a permanent behavior assumption adjustment. […]
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Medical Claims Processing Automation: A Comprehensive Guide

Automating the processing of medical claims offers several benefits such as better efficiency and accuracy, improved customer service, and increased productivity. Medical claims processing is one of the many processes that can be automated through Business Process Automation (BPA). BPA is used by businesses to automate routine, repetitive, and sometimes redundant daily processes. By using […]
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Outsourced Medical Billing Services

How Outsourced Medical Billing Services Improve Your Bottom Line

Outsourcing medical billing services can be an effective strategy to improve the financial health of your healthcare practice. By delegating the billing and coding tasks to a specialized third-party provider, you can streamline your revenue cycle, reduce administrative burdens, and enhance your profitability. However, medical billing can be a complex and time-consuming task that requires […]
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Cardiac Arrest v Cardiogenic Shock

Differentiate and Code: Cardiac Arrest v Cardiogenic Shock

Ensure that you are aware of the contrast between the two, and which one takes precedence over the other. Both cardiac arrest and cardiac shock are medical emergencies that require immediate attention and treatment. These ailments can have severe consequences and may result in fatality if not treated promptly. In medical coding, it is critical […]
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Bill Minor Procedure

How to Bill an E/M With a Minor Procedure

To determine the appropriate use of modifier 25, review this case study in otolaryngology. The Cigna Group has delayed the requirement for submitting documentation with claims that involve a 25 modified offices or other outpatient evaluation and management (E/M) service (CPT® 99212-99215) and a minor procedure. Despite the payer not enforcing this requirement, physician practices […]
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EHR Interoperability

The Future Impact of EHR Interoperability on Health Care IT: A Look into 2023 and Beyond

After years of longing for an update, the U.S. healthcare system is finally undergoing the crucial modernization it desperately needs. Dedicated IT professionals within healthcare organizations are now diligently developing enhanced electronic health records (EHRs) that promise increased efficiency and effectiveness. This transformative process entails integrating EHRs with state-of-the-art patient-access technologies. Consequently, various healthcare practitioners, […]
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SDoH Coding

Revisiting New Adjustments to SDoH Coding

In the 2024 ICD-10-CM, there are noteworthy changes to the SDoH codes Z55-Z65 that are worth mentioning. Instead of discussing minor formatting and grammatical adjustments made by CMS, I will concentrate on the significant changes. Here are the updates. ● Under the category of problems related to social environment (Z60.8), the ICD-10-CM now includes more […]
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Prior Authorization in Medicare Advantage

Prior Authorization in Medicare Advantage : Lawmakers Call for Streamlined Process

CMS has proposed a rule to simplify prior authorization in government-sponsored health insurance programs. However, some lawmakers are urging the agency to do more. A bipartisan coalition of 233 representatives and 61 senators have written a letter to CMS requesting that the proposed rules be expanded and that the changes be finalized quickly to enhance […]
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