Category: Blog

Medicare CY 2024 Proposed Rule: Impact, Reimbursement Changes, and Key Insights

Medicare CY 2024 Proposed Rule: Impact, Reimbursement Changes, and Key Insights

On July 13, Medicare released its Proposed Rule, which outlined changes to different Medicare programmes including as quality programmes, MIPS, rural employment, telemedicine, and others. This comprehensive yearly document of 2,033 pages covers the planned programme adjustments for fiscal year 2024. Between the release of the Draft Rule and the publishing of the Final Rule […]
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CMS Enhanced Patient Appeal Procedures

CMS Enhanced Patient Appeal Procedures

Doctors must consider the implications of altering a patient’s status. The Centers for Medicare & Medicaid Services (CMS) is suggesting novel retrospective and prospective appeal procedures in compliance with a federal district court order from the District of Connecticut. On December 21, the agency unveiled a proposed rule aiming to institute an appeal mechanism for […]
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Healthier Horizons: Patient Experience Trends for 2024

Healthier Horizons: Patient Experience Trends for 2024

The healthcare landscape is undergoing an unprecedented evolution, set to drive a significant transformation in patient experience in 2024. Recent technological advancements, coupled with increased patient expectations for enhanced care, are converging with a comprehensive approach encompassing clinical, social, and behavioral facets of patient well-being. This convergence necessitates the modernization of care delivery systems to […]
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Underutilization of Z-Codes: Impact on Documenting Social Determinants of Health

Underutilization of Z-Codes: Impact on Documenting Social Determinants of Health

The utilization of Z-codes for recording social determinants of health is notably low, as indicated by two distinct studies. Although these codes were integrated into ICD-10 to aid healthcare establishments in documenting and monitoring social determinants of health, recent findings published in Health Affairs Scholar highlight their underutilization. The initial study, conducted by University researchers, […]
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3 Strategies for Revenue Cycle Management Optimization

3 Strategies for Revenue Cycle Management Optimization

Optimizing revenue cycle management is crucial for recovering from the significant losses of the previous year. Leading provider organizations have developed three effective strategies to address this challenge. In the wake of the COVID-19 pandemic, fine-tuning revenue cycle management has become a priority for financial leaders. Last year, healthcare institutions faced substantial declines in revenue […]
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10 Prior Authorization Updates in 2023 

10 Prior Authorization Updates in 2023 

In 2023, multiple entities, such as the Health Insurance Company and health Services Company, declared reductions in prior authorizations. Healthcare Media provided further details on this and additional updates related to prior authorizations in the healthcare sector reported this year. According to a November 13 report from the Medical Group Management Association, 89% of medical […]
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How Revenue Cycle Management Software Reshapes Healthcare in 2024

How Revenue Cycle Management Software Reshapes Healthcare in 2024

Understanding the complexities of healthcare finance can resemble untangling a sophisticated puzzle. Every billing and coding intricacy holds the potential to influence patient care delivery. Recognizing this significance is key, and that’s precisely where the game-changing influence of revenue cycle management software becomes evident. Your worry might revolve around the potential financial stress on healthcare […]
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Surprise Billing Dispute Resolution: Challenges, Lawsuits, and Proposed Changes

Surprise Billing Dispute Resolution: Challenges, Lawsuits, and Proposed Changes

This year, the CMS has frequently halted and resumed arbitration due to court cases causing disruptions in the regulatory process aimed at settling surprise billing disputes. Summary Overview: Last Friday, the CMS finalized its revamp of the No Surprises Act resolution process, fully reopening the portal for resolving disputes, including batched and single disputes for […]
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Top 3 Critical Challenges for Revenue Cycle Leaders in 2024

Top 3 Critical Challenges for Revenue Cycle Leaders in 2024

Revenue cycle leaders ought to contemplate including these three challenges in their organization’s roster of New Year’s resolutions. 1. Automating Payer Processes: Similar to healthcare organizations, payers have also started embracing automated solutions, intensifying challenges in managing denials and causing delays in payment for rendered care. At the 2023 Revenue Tech Exchange in Raleigh, leaders […]
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