Category: Blog

What’s driving the transition to value-based care?

What’s driving the transition to value-based care?

The COVID-19 pandemic has taught us it’s possible for the health care system to transform care delivery—and quickly. We saw vaccines come to market in record time, heightened cross-industry collaboration to track vaccine statuses, and virtual care use surge. Similarly, the pandemic demonstrated that value-based care delivery models, where payment is based on outcomes versus […]
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HHS Distributes $1.75B in Phase 4 COVID-19 Provider Relief Funds

HHS Distributes $1.75B in Phase 4 COVID-19 Provider Relief Funds

  Around 3,600 healthcare providers that have experienced pandemic-related revenue losses and expenses will receive payments through this round of Phase 4 COVID-19 Provider Relief Funds. Through the Health Resources and Services Administration (HRSA), HHS has released the fifth round of Phase 4 COVID-19 Provider Relief Funds, which includes $1.75 billion for healthcare providers that […]
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4 Ways to improve claims efficiency for rural providers

4 Ways to improve claims efficiency for rural providers

The Centers for Medicare & Medicaid Services (CMS) subsidizes healthcare in defined rural environments, paying encounter rates for provided services provided and the overhead required to provide them. However, it’s not free money. Rural health clinic (RHC) leaders must keep track of the services provided and submit yearly totals. They also must submit and process […]
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5 Tax traps physicians should avoid

5 Tax traps physicians should avoid

With Tax Day on the horizon, don’t fall into these specific traps. Our last installment provided some details and basic rules every doctor should know about tax planning, including who is responsible for the information on your tax return, details about what income you have to report, and a look at the sales techniques promoters […]
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Get to the Heart of Coding TAVR

Get to the Heart of Coding TAVR

Solidify your understanding of aortic valve disease and how to report this life-changing treatment. Transcatheter aortic valve replacement (TAVR) is a minimally invasive cardiac procedure to replace a diseased aortic valve in a person’s heart. The most common reason to undergo TAVR is aortic stenosis, which is an abnormal narrowing of the aortic valve opening […]
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Updates Clarify Medicare Split/Shared Billing

Updates Clarify Medicare Split/Shared Billing

Know the facts for ensuring proper payment of these claims in 2022. New policy for split/shared evaluation and management (E/M) visits (including critical care services and prolonged services) was finalized in the calendar year (CY) 2022 Medicare Physician Fee Schedule (MPFS) final rule. Knowing the new guidelines for billing split/shared visits performed in the facility […]
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