Allzone Management Services Archives - Page 8 of 15

2 Keys To Reduce Clinical Validation Denials In Revenue Cycle

KEY TAKEAWAYS Denials rose to 11% of all claims last year, up nearly 8% from 2021. Revenue cycle leaders should place their focus on clinical validation denials to help ease the overall denials burden. A key defensive strategy for preventing denials is provider education. Revenue cycle leaders need to understand that clinical validation denials are […]

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Revenue Cycle Will Be The Main Focus Of Advocacy For 2023

Each year the American Hospital Association (AHA) releases an advocacy agenda focusing on key areas in need of “critical support” for hospitals and health systems, and this year, quite a few key areas will be focused on your revenue cycle. “Hospitals and health systems are dealing with unprecedented challenges as they manage the aftershocks and […]

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February 14, 2023
Blog, Medical Coding
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Coding of Cardiac Conditions Takes The Center Stage

February may be American Heart Month, but correctly diagnosing and coding cardiac conditions requires healthcare professionals to work hard to get right 365 days a year. Outlining coding guidance for pulmonary hypertension – a rare condition that nonetheless can be particularly deadly, often because it is not diagnosed until it is in advanced stages. It […]

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February 13, 2023
Blog, Medical Billing
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Only a Few Hospitals Comply with the Price Transparency Rule

Over 1,500 hospitals reviewed in the report were noncompliant with at least one requirement of the price transparency rule between December 2022 and January 2023. Less than a quarter of hospitals are complying with the hospital price transparency rule over two years after the regulation went into effect, according to a report from PatientRightsAdvocate.org. The […]

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February 10, 2023
Blog, Medical Coding
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Important Changes to ICD-10-CM Codes and Guidelines

The updates to ICD-10-CM and ICD-10-PCS that become effective April 1 were released in mid-January. The updates include 42 new diagnosis codes. The significant changes to the ICD-10-CM guidelines are the following: A.19 – Code Assignment and Clinical Criteria This section has added a new sentence: “If there is conflicting medical record documentation, query the […]

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February 7, 2023
Blog, Medical Coding
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Six Common Medical Coding Mistakes Physicians Make

Not Coding the Highest Level When it comes to ICD-10 coding, a coder’s job is to code to the highest level of specificity. This means detailing and abstracting the most information out of the medical reports from the provider and taking accurate notes. It also means knowing the medical terminology for both procedures and diagnoses. […]

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February 6, 2023
Blog, Medical Coding
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Check Out All the New Codes for Reporting Services

Don’t assume the codes you’ve been using to report drugs and biologicals still apply. The January 2023 update to the HCPCS Level II code file from the Centers for Medicare & Medicaid Services (CMS) includes 184 new codes for reporting services and supplies. Approximately 36 of the new codes were created to separately identify products […]

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Cost Of Denials Saw 67% Increase In 2022

The average health system saw 110,000 claim denials due to prior authorization and other factors in 2022, a recent study says. KEY TAKEAWAYS: Revenue cycle leaders are placing denials management at the top of the list of areas to improve for 2023. Denials rose to 11% of all claims last year, up nearly 8% from […]

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January 31, 2023
Blog, Medical Billing
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Telehealth Payment Parity Only Good Through 2023

The omnibus spending bill continues telehealth waivers for two years past the PHE, but was silent on the issue of reimbursement. The federal government extended telehealth waivers for two years, but the current higher rate of reimbursement is in place only through the end of this year. During the public health emergency, the Centers for […]

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January 25, 2023
Blog, Healthcare IT News
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Expanded Telehealth Services Won’t Lower Healthcare Costs

Contrary to widespread hopes, the growth in telehealth brought on by the COVID-19 pandemic probably won’t lower health care costs. But it may make some services more widely accessible. A new Kaiser Family Foundation study compares average 2020 commercial insurance payments for evaluation and management and mental health therapy claims for services provided via […]

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Tag: Allzone Management Services

2 Keys To Reduce Clinical Validation Denials In Revenue Cycle

Revenue Cycle Will Be The Main Focus Of Advocacy For 2023

Coding of Cardiac Conditions Takes The Center Stage

Only a Few Hospitals Comply with the Price Transparency Rule

Important Changes to ICD-10-CM Codes and Guidelines

Six Common Medical Coding Mistakes Physicians Make

Check Out All the New Codes for Reporting Services

Cost Of Denials Saw 67% Increase In 2022

Telehealth Payment Parity Only Good Through 2023

Expanded Telehealth Services Won’t Lower Healthcare Costs

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