Category: Blog

Three Strategies for Streamlining Denials Management

3 Strategies for Streamlining Healthcare Denials Management

In the intricate dance of healthcare administration, few steps are as frustrating and resource-intensive as denials management. Every rejected claim represents lost revenue, increased administrative burden, and potentially delayed or denied care for patients. In today’s challenging healthcare landscape, marked by shrinking margins and increasing regulatory complexities, a proactive and efficient approach to denials management […]
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New AI Tools for Efficient Billing and Enhanced Testing

New AI Tools for Efficient Billing and Enhanced Testing

The integration of artificial intelligence into health IT vendor offerings for provider operations, medical testing, patient engagement, and various other use cases has led to a remarkable pace of innovation in the industry. AI-Powered Billing Assistants Seattle-based Healthtech company, established in 2021, made an announcement on Tuesday regarding the expansion of its cloud-powered AI Application […]
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Impact of CARE Act laws on Patient Outcomes

Impact of CARE Act laws on Patient Outcomes

Policies designed to improve communication with patients and caregivers during hospitalization appear to be leading to better outcomes, researchers have found. Researchers with the University of Pennsylvania examined the impact of state laws that bring the caregiver into the process. The findings of the study were published May 1 in Jama Network Open. Since 2014, 42 states have […]
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Cigna Updates Modifier 25 Reimbursement Policy

Cigna Updates Modifier 25 Reimbursement Policy

Find out what you must do to get significant, separately identifiable E/M services paid. The Cigna Group recently updated its reimbursement policy for modifier 25. Effective May 25, if you are billing this health insurance company for an evaluation and management (E/M) service and a minor procedure, you may need to do more than append […]
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Future of Healthcare Technology: Emerging Trends and Technologies

Future of Healthcare Technology: Emerging Trends and Technologies

The healthcare industry is on the brink of transformation, as a multitude of emerging technologies and trends, such as artificial intelligence, virtual reality, telehealth, and blockchain, are set to revolutionize it. The pace of innovation in healthcare technology is relentless and shows no signs of decelerating. A myriad of emerging technologies and trends, such as […]
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Guide to the Latest HCPCS Level II Codes

Guide to the Latest HCPCS Level II Codes

A retroactive effective date of April 1 has been assigned to a newly introduced code. The Centers for Medicare & Medicaid Services (CMS) has released the results of its review cycle for drug and biological HCPCS Level II codes in the first quarter of 2023. Out of the 36 applications received, 23 have been approved […]
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Discover the Top 5 Qualities of a Great Physician Billing Solution

Discover the Top 5 Qualities of a Great Physician Billing Solution

Ensure you make a well-informed choice when selecting a company to manage your reimbursements. Physicians seeking to improve their reimbursement rates, financial performance, operational efficiency, or focus on patient care should consider outsourcing their billing needs. However, choosing the right physician billing service for your practice can be a challenging task, as not all services […]
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Top Tips to Optimize Your Cardiology Billing and Coding Process

Top Tips to Optimize Your Cardiology Billing and Coding Process

Cardiology Medical Billing and Coding Process: To effectively handle these changes, cardiology practitioners might have to keep themselves informed about the modifications in payment regulations, modify their billing procedures as needed, and employ novel methods to enhance their compensation. Cardiology billing and coding can be challenging due to various factors, such as the complexity of […]
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UnitedHealthcare Implements 9 Changes to Reimbursement Policies for May

UnitedHealthcare Implements 9 Changes to Reimbursement Policies for May

On May 1, UnitedHealthcare made nine changes to its reimbursement policies for its commercial, individual and family, and Medicare Advantage plans. Some of the changes go into effect June 1, while others will begin August 1. Here are nine UnitedHealthcare reimbursement changes happening in the coming months: Commercial plans: Molecular pathology policy, professional and facility: […]
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