Tag: Healthcare Compliance

ICD-10 to ICD-11

ICD-10 to ICD-11: Bridging the Gap with Best Practices

The Evolution of Medical Coding (ICD-10 to ICD-11) As we transition from ICD-10 to ICD-11, it’s crucial to understand the implications of these changes on data accuracy, clinical documentation, and overall healthcare management. Healthcare data are based on medical coding, which plays a vital role in categorizing diseases, health conditions, and medical procedures. It has […]
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Cyberattack on Change Healthcare: HIPAA Breach Notification

Following a major cyberattack on Change Healthcare, a subsidiary of UnitedHealth Group (UHG), confusion arose regarding who would handle the Change Healthcare cyberattack HIPAA breach notification for potentially millions of affected individuals. HIPAA regulations govern such notifications, but the situation presented unique challenges. In May 2024, the Department of Health and Human Services (HHS) issued […]
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ICD-10 Coding Challenges

Demystifying the Most Common ICD-10 Coding Challenges

Medical coding is the backbone of administrative and clinical processes in healthcare. This landscape is characterized by the International Classification of Diseases, 10th Edition (ICD-10), which provides a standardized system to classify diseases, injuries, and medical procedures. While ICD-10 offers robust benefits in terms of specificity and data granularity, healthcare professional’s worldwide face significant challenges […]
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Radiology RCM Strategies

Radiology RCM Strategies for Success in a Changing Landscape

The field of medical Specialties, with its cutting-edge technology and intricate procedures, presents a unique environment for radiology RCM. While it offers the potential for significant success, navigating the RCM landscape in radiology requires a keen understanding of the industry’s specific challenges. This includes navigating the complexities of billing and coding, keeping pace with evolving […]
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Benefits of Charge Capture audits

How Charge Capture Audits Boost Your Healthcare Revenue

The healthcare industry holds hidden potential for improved revenue and streamlined operations. Charge capture audits act as your key to unlock these hidden treasures. Similar to explorers seeking buried riches, healthcare organizations can embark on a quest for financial stability through these audits. This guide will explain charge capture audits, help you identify hidden opportunities, […]
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April 2024 HCPCS Level II Code

April 2024 HCPCS Level II Code Update

The official April 2024 update to the HCPCS Level II code set is now available on the Centers for Medicare & Medicaid Services website.  April update includes: 62 new codes 2 changes to scope and long description 21 obsolete codes 11 changes to long description 1 change to changes miscellaneous changes Below are some  code […]
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NSA Implementation

Congressional Concerns: Lawmakers Challenge CMS on NSA Implementation

NSA Implementation Shortly before Congress adjourns for 2023; lawmakers sent another in a series of letters to the Centers for Medicare and Medicaid Services (CMS) expressing “serious concerns” about the implementation of the No Surprises Act (NSA). The letter accused CMS of failing to properly implement key portions of the law and suggested that the […]
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Accurate-Medical-Coding-in-Healthcare-Reimbursement

The Profound Importance Of Medical Coding Services in Healthcare Reimbursement

In the intricate realm of healthcare, where patient well-being is paramount, the financial dimension often receives less attention. Yet, it’s imperative to recognize that healthcare encompasses not only patient treatment but also ensuring fair compensation for healthcare providers. Precise medical coding is a cornerstone of this endeavor. This piece delves into the profound importance of […]
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Revenue-cycle-Technology

Top 7 Revenue Cycle Management Technologies for Providers

Revenue cycle technology comes in various forms, tailored to the specific needs of healthcare providers, yet these indispensable tools have become vital for ensuring seamless operations within the revenue cycle. The healthcare revenue cycle represents a vast and intricate operation that encompasses a range of activities, from patient registration and insurance verification to denials management […]
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