Tag: Healthcare management

Federal Policy to End Surprise Billing

Federal Policy to End Surprise Billing: Building on Prior Approaches

Ending surprise medical bills has risen to a national priority with bipartisan political interest. In January, President Donald Trump directed Cabinet officials to find a solution, and multiple congressional bills were proposed in the last Congress with the same goal. Surprise medical bills consist of unanticipated charges from out-of-network clinicians—often when the facility or primary physician is […]
Coding “Separate Procedures”

Coding “Separate Procedures:” What Coders Need to Know

“Separate procedure” may not mean what you think. Many procedural codes in the CPT® Book are designated as “separate procedures.” However, the common misinterpretation of this is that coders can report such codes as such in every case. Not true. First, you must consider: Were there other procedures performed during the same encounter? Did you consult […]
Providers Need to Start Talking About Costs

To Increase Patient Satisfaction, Providers Need to Start Talking About Costs: Survey

Even as health systems confront rising healthcare costs and declining margins, they are under pressure to improve the patient experience, retain customer loyalty and collect patient payments. But while two-thirds of patients said cost strongly influences their overall satisfaction with their hospital or physician, nearly 60% of health systems do not discuss costs with patients, […]
Chronic Condition

Chronic Conditions: Code or Not to Code MCCs

  Understanding the correct use of chronic condition codes in the coding process. Unexpected and inaccurate medical bills can be alarming and shocking. Coders are often confused regarding when they should code co-morbid chronic conditions and when they should not. This leads to inaccurate coding of levels, or sometimes missing out on the opportunity of […]
How To Lower Your Medical Bills

How To Lower Your Medical Bills, No Matter The Cost

In the midst of a medical recovery, the last thing you want to deal with is an unexpectedly high medical bill. As Americans continue to pay an estimated $3.4 trillion yearly in health care costs, it’s likely that at some point we’ll all encounter a big bill from a trip to the doctor’s office or an unscheduled […]
Artificial Intelligence

Artificial Intelligence (AI) and Blockchain in Medicare: Technologies to Watch in 2019

Expect more mass production of audits. Looking forward to the remainder of 2019, we will see a number of exciting information technologies (IT) that will reshape healthcare and Medicare. These include artificial intelligence (AI), the cloud, DNA sequencing, in silico testing of new molecular entities (NMEs), and distributed ledger systems, also known as “blockchain.” We also will […]
Allzone Management Services is a Silver Sponsor at the 2019 Healthpac User’s Meeting in Savannah, GA.

Allzone Management Services is a Silver Sponsor at the 2019 Healthpac User’s Meeting in Savannah, GA.

Healthpac has announced that Allzone Management Services, Inc., an industry leader in Healthcare Revenue Cycle Management Outsourcing Solutions, will be one of the Silver Sponsors for the Healthpac 2019 Annual User’s Meeting. Allzone Management Services, Inc., is pleased to announce that they will be exhibiting at the Healthpac 2019 Annual User’s Meeting from February 07th […]
Non-Coverage Denials

Non-Coverage Denials: Cause and Cure

Explanation of Medicare Benefits (EOB) error message 96 Non-covered charge was the No. 1 reason for claims denials in December in all of Medicare Jurisdiction H, according to the region’s Medicare Administrative Contractor (MAC). “Prior to performing or billing a service, ensure that the service is covered under Medicare,” Novitas Solutions says on their website. This should be […]
The Benefit of Flexible Patient Payment Options

The Benefit of Flexible Patient Payment Options

The New Year brings new health plans, often with higher deductibles, and old bills that patients may be struggling to pay. According to 2018 data compiled by MedData, 83 percent of physician practices with fewer than five practitioners reported that their top collection challenge was slow payment among high-deductible plan patients. In this landscape, physicians […]