Tag: Healthcare providers

Top Tips to Optimize Your Cardiology Billing and Coding Process

Top Tips to Optimize Your Cardiology Billing and Coding Process

Cardiology Medical Billing and Coding Process: To effectively handle these changes, cardiology practitioners might have to keep themselves informed about the modifications in payment regulations, modify their billing procedures as needed, and employ novel methods to enhance their compensation. Cardiology billing and coding can be challenging due to various factors, such as the complexity of […]
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UnitedHealthcare Implements 9 Changes to Reimbursement Policies for May

UnitedHealthcare Implements 9 Changes to Reimbursement Policies for May

On May 1, UnitedHealthcare made nine changes to its reimbursement policies for its commercial, individual and family, and Medicare Advantage plans. Some of the changes go into effect June 1, while others will begin August 1. Here are nine UnitedHealthcare reimbursement changes happening in the coming months: Commercial plans: Molecular pathology policy, professional and facility: […]
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Mastering Medical Coding: Strategies To Avoid Revenue Loss

Mastering Medical Coding: Strategies To Avoid Revenue Loss

Medical coding is an essential aspect of healthcare in that it translates diagnoses, procedures, medical services, and equipment into alphanumeric codes. The processes involved in medical coding is complex, however, so errors can often result in payment delays and significant financial losses. The most common errors leading to delays and lost revenue are tracking down […]
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Study States, Providers Look to Outsource Revenue Cycle Management Services

Study States, Providers Look to Outsource Revenue Cycle Management Services

Healthcare Providers Turn to Outsourcing for Revenue Cycle Management Amid Workforce Shortages In an effort to enhance cash flow and improve patient care, healthcare providers are increasingly seeking reliable vendors to outsource their Revenue Cycle Management (RCM) services. A study reveals that many providers are outsourcing RCM processes to address staffing shortages and financial challenges. […]
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The State of Claims and Denials in 2023

The State of Claims and Denials in 2023

How do you resolve a repeated and shooting up problem like claims denials? It’s been a fresher subject for revenue cycle management professionals for years that are only experiencing hotter with the growing pressures of staffing shortages, troubles with staff movement and instructing and developing policies and protocols at the government and payer levels. On […]
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The Risks and Benefits of AI in Healthcare

The Risks and Benefits of AI in Healthcare

The hype around Artificial Intelligence (AI) spiked again recently with the public release of ChatGPT. The easy-to-use interface of this natural language chat model makes this AI particularly accessible to the public, allowing people to experience first-hand the potential of AI. This experience has spurred users’ imagination and generated feelings ranging from great excitement to […]
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Six Steps to Prevent Readmission Denials

Six Steps to Prevent Readmission Denials

Prevention of readmission denials improves case mix index (CMI), reimbursement, and quality metrics. As a consultant, I am like the FBI – if you invite me in, I will likely take your case. This often leads to varied and challenging projects. Often, I am engaged to assess opportunity in provider documentation, clinical documentation integrity (CDI) […]
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