Category: Blog

Advantages of Data Analytics in Healthcare: Patient Outcomes, Efficiency, Precision

 With the healthcare sector generating vast volumes of data, leveraging data analytics can lead to improved patient outcomes, reduced costs, and enhanced operational efficiencies for Advantages of Data Analytics in Healthcare. Data analytics encompasses the collection, management, and analysis of extensive data to identify patterns, insights, and trends, enabling more informed decision-making. In the healthcare […]
Learn More
Senators seek accountability from Medicare Advantage insurers on claims denials

Senators seek accountability from Medicare Advantage insurers on claims denials

In Congress this week, it wasn’t just pharmacy benefit managers facing scrutiny. The Senate’s Permanent Subcommittee on Investigations directed its attention towards Medicare Advantage (MA) plans, seeking explanations for claims denials. During the hearing, the committee’s chairman highlighted that letters were sent to the three largest MA plans—UnitedHealthcare, Humana, and Aetna—requesting documentation regarding their decision-making […]
Learn More
Exploring the Potential of AI in Healthcare with ChatGPT

Exploring the Potential of AI in Healthcare with ChatGPT

Since the launch of OpenAI’s ChatGPT last year, healthcare executives have been actively discussing the potential of artificial intelligence in healthcare. The technology is constantly advancing, and health systems are closely monitoring its applications for maximum benefits. Microsoft is said to be working on a healthcare-oriented version of ChatGPT that prioritizes privacy, and they have […]
Learn More
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 […]
Learn More
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 […]
Learn More
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 […]
Learn More
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 […]
Learn More
x