Category: Revenue Cycle Management

Differences: Preventive vs. Office Visits in Medical Coding & Billing

Differences: Preventive vs. Office Visits in Medical Coding & Billing

Preventive Services Vs Office Visits: It is important to note that Medicare does not cover preventive services in the same manner as commercial payers. Therefore, it is important to know the patient’s policy and insurance coverage. Table A shows a breakdown of the coverage parameters. Understanding the distinction between Preventive Services Vs Office Visits is […]
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Boost Revenue & Reduce Denials: Expert RCM for Healthcare Providers

Boost Revenue & Reduce Denials: Expert RCM for Healthcare Providers

RCM Company has been at the cutting edge of making a difference in healing centers and wellbeing frameworks addressing patient-involved (coordination of benefits) and clinical dissents, recouping on low-balance accounts, and resolving complex claims. Getting these ranges of the income cycle settled rapidly and effectively is becoming tall need these days, as healthcare providers confront […]
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CMS Unveils Final Rule to Streamline Prior Authorization Processes

CMS Unveils Final Rule to Streamline Prior Authorization Processes

Affected payers have to be sent earlier authorization choices inside 72 hours for pressing demands and seven days for standard requests. Under a last run the show discharged nowadays, affected payers will be required to send earlier authorization choices inside 72 hours for critical demands and seven calendar days for standard requests. The Centers for […]
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Enhancing Medicare Advantage Benefits for Patients and Providers

Enhancing Medicare Advantage Benefits for Patients and Providers

The AMGA says that expanding Medicare Advantage benefits would benefit patients, physicians, and others in the health care industry. For Medicare Part C, also known as Medicare Part C, and Medicare Prescription Drug Benefit Program (Medicare Part D), some policy and technical changes have been approved for 2025 by the association. A public comment period […]
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CMS Enhanced Patient Appeal Procedures

CMS Enhanced Patient Appeal Procedures

Doctors must consider the implications of altering a patient’s status. The Centers for Medicare & Medicaid Services (CMS) is suggesting novel retrospective and prospective appeal procedures in compliance with a federal district court order from the District of Connecticut. On December 21, the agency unveiled a proposed rule aiming to institute an appeal mechanism for […]
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3 Strategies for Revenue Cycle Management Optimization

3 Strategies for Revenue Cycle Management Optimization

Optimizing revenue cycle management is crucial for recovering from the significant losses of the previous year. Leading provider organizations have developed three effective strategies to address this challenge. In the wake of the COVID-19 pandemic, fine-tuning revenue cycle management has become a priority for financial leaders. Last year, healthcare institutions faced substantial declines in revenue […]
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Top 3 Critical Challenges for Revenue Cycle Leaders in 2024

Top 3 Critical Challenges for Revenue Cycle Leaders in 2024

Revenue cycle leaders ought to contemplate including these three challenges in their organization’s roster of New Year’s resolutions. 1. Automating Payer Processes: Similar to healthcare organizations, payers have also started embracing automated solutions, intensifying challenges in managing denials and causing delays in payment for rendered care. At the 2023 Revenue Tech Exchange in Raleigh, leaders […]
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