Category: Blog

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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COVID-19 Vaccine Coding Updates: What You Need to Know

COVID-19 Vaccine Coding Updates: What You Need to Know

An Oncoming Wave of 70+ Coding Revisions Is Approaching. Starting from November 1st, the American Medical Association is eliminating nearly all of the COVID-19 vaccine-related CPT® codes that were developed over the past several years. Instead, there will be a more concise set of product codes and a solitary administration code to replace them. What […]
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A Guide to the New ICD-10-CM Codes for 2024

A Guide to the New ICD-10-CM Codes for 2024

2024 ICD 10 CM codes : The volatility brought about by the COVID pandemic has gradually transitioned towards a semblance of stability in the coding landscape. Particularly noteworthy is CMS’s unexpected revelation of the smallest count of codes in recent times. A sum of 395 new billable codes has been incorporated for the year 2024, […]
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3 Key Strategies for Revenue Cycle Leadership for Operational Success in 2023

3 Key Strategies for Revenue Cycle Leadership for Operational Success in 2023

To ensure both financial stability and operational efficiency, revenue cycle leaders must reinforce three essential areas. The challenges of grappling with low operating margins, diminished reimbursements, and escalating costs will persist throughout 2024. In an era where a subpar financial journey could overshadow a top-tier clinical experience for patients, the burden on revenue cycle leaders […]
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