Category: Blog

2024 ICD-10 Changes: How They Will Impact Your Practice

2024 ICD-10 Changes: How They Will Impact Your Practice

For the FY 2024 ICD-10-CM code set, the Centers for Medicare and Medicaid Services (CMS) have introduced 395 new diagnosis codes, deleted 25 codes, and revised 13 codes. Additionally, the 2024 Addendum has been updated with revisions to dozens of codes related to conditions such as osteoporosis with fractures, retinopathy, muscle entrapment in the eye, […]
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AMA Unveils 2024 CPT Codes

AMA Unveils 2024 CPT Codes

The revised code set now features descriptions of procedures and services in Spanish for the first time. The American Medical Association’s 2024 Current Procedural Terminology (CPT) code set, revealed today, encompasses various noteworthy features. These include consolidated codes for reporting ongoing COVID-19 immunizations, provisional codes for upcoming monovalent vaccines, and codes for Respiratory Syncytial Virus […]
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How Revenue Cycle Management Improves Healthcare in 2023

How Revenue Cycle Management Improves Healthcare in 2023

Discover how healthcare providers can accelerate cash flow, minimize denials, reduce operational costs, and enhance patient satisfaction through streamlined Revenue Cycle Management (RCM). RCM is a strategic approach to overseeing all financial aspects of a patient’s journey, from initial appointment scheduling to final bill payment. This article highlights the critical role RCM plays in maximizing […]
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Facts to Avoid Confusion During Debridement Billing

Facts to Avoid Confusion During Debridement Billing

Debridement is a process that involves the removal of foreign material, as well as tissue that is either devitalized or contaminated, until healthy tissue is revealed. Its primary purpose is to clean the affected area and is often performed concurrently with other orthopedic surgical interventions. In my role as an auditor specializing in orthopedics, I […]
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IPPS /LTCH Final Rule – Increasing Operating Payment Rates by 3.1%

IPPS /LTCH Final Rule – Increasing Operating Payment Rates by 3.1%

Hospitals contend that the 3.1 percent increase in payments linked to quality reporting is insufficient to address the rising inflationary pressures. The Centers for Medicare & Medicaid Services (CMS) has officially published the final rule for the Hospital Inpatient Prospective Payment System (IPPS) and Long-term Care Hospital Prospective Payment System (LTCH PPS) in the Federal […]
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AI-enabled ICD-10 CM Guidelines: The Future of Medical Coding

AI-enabled ICD-10 CM Guidelines: The Future of Medical Coding

In the ever-changing realm of healthcare coding, it is imperative for professionals to stay updated on the latest developments within the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). This dynamic coding system plays a pivotal role in recording diagnoses, conditions, and other vital health-related information. With the advent of artificial intelligence (AI) technologies […]
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Medicare Advantage Plans: A Positive Experience for Beneficiaries

Medicare Advantage Plans: A Positive Experience for Beneficiaries

Higher satisfaction with problem resolution was observed among beneficiaries who were more inclined to renew their Medicare Advantage plan. Medicare Advantage plans have garnered favorable satisfaction scores, with beneficiaries showing high approval ratings for trustworthiness, operational ease, and coverage adequacy, as outlined in a recent market research study. The 2023 US Medicare Advantage Study encompasses […]
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Employer Healthcare Costs to Increase 8.5% in 2024

Employer Healthcare Costs to Increase 8.5% in 2024

A recent study conducted by a leading professional services firm revealed that the anticipated expenses borne by U.S. employers for their workforce’s healthcare will see a notable uptick of 8.5%, surpassing $15,000 per employee. This surge, assuming companies do not introduce augmented employee contribution methods or alternate cost-reducing strategies, stands almost twice as high as […]
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