Tag: Value Based Care

Medicare Advantage plans benefit

Medicare Advantage Plans Benefit from Expert Medical Billing

As the U.S. healthcare system continues to evolve, Medicare Advantage (MA) plans have seen rapid growth, offering seniors an alternative to traditional Medicare. With more than 30 million beneficiaries enrolled in Medicare Advantage as of 2025, the demand for administrative efficiency and accurate claims processing has never been greater. Medical billing companies play a pivotal […]
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HCPCS G-Codes

AUC Program & HCPCS G-Codes: Ensuring Compliance in Medicare Billing

The Centers for Medicare & Medicaid Services (CMS) initiated the educational and operations testing phase of the Appropriate Use Criteria (AUC) program. During this period, Medicare Administrative Contractors (MACs) began accepting AUC-related modifiers and HCPCS G-Codes on claims for advanced diagnostic imaging services provided to Medicare Part B patients. Understanding AUC Program Requirements Under the […]
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Top Medical Billing Trends

Medical billing trends in 2025

The medical billing landscape is evolving rapidly, driven by advancements in technology, regulatory updates, and shifting patient expectations. Staying informed about Top Medical Billing Trends is crucial. As we enter 2025, healthcare providers and medical billing companies must stay ahead of the curve to ensure compliance, maximize revenue, and improve patient satisfaction. This newsletter will […]
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cpt chronicles- Medical coding

CPT Chronicles: The Future of Medical Coding

Medical coding is at the heart of healthcare administration, ensuring accuracy, compliance, and efficiency in the complex world of medical billing and reimbursement. With the rapid advancement of technology, regulatory changes, and an evolving healthcare landscape, medical coding is undergoing a transformative shift. As part of this shift, professionals are turning to resources like ‘CPT […]
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HCPCS codes G9037 and G9038

New MCP Model HCPCS Codes G9037 & G9038

Clinicians participating in the Making Care Primary (MCP) model now have access to two new HCPCS Level II codes, HCPCS Codes G9037 and G9038, introduced in fiscal year (FY) 2024. These codes expand the scope of interprofessional consultation services, allowing primary care providers (PCPs) to bill for time spent collaborating with specialists. The MCP Model: […]
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future of RCM in 2025

Decoding 2025: The RCM Revolution

As the healthcare landscape continues to evolve at an unprecedented pace, 2025 is poised to be a landmark year for revenue cycle management (RCM). With regulatory changes, emerging technologies, and shifting patient expectations, healthcare providers and RCM professionals must stay ahead of the curve to optimize financial performance and patient care. In this newsletter, we […]
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Medical coding challenges

2025 Coding Challenges: Strategies for Success

It is predicted that the healthcare industry will continue to evolve rapidly as we enter 2025. Medical coding, one of the cornerstones of healthcare administration, faces unique Coding challenges that require innovative strategies to succeed. For organizations to maintain accuracy, compliance, and efficiency, it is imperative to stay current with the changing regulations, technological advances, […]
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Healthcare Coding updates

2025 CPT, ICD-11, and HCPCS Updates: A Guide for Providers

Healthcare providers need to stay informed about Healthcare Coding Updates to the Current Procedural Terminology (CPT), International Classification of Diseases (ICD-11), and Healthcare Common Procedure Coding System (HCPCS) in the ever-evolving world of medical coding and billing. To ensure accurate coding and maximize revenue cycles, we must understand these Healthcare Coding Updates as we enter […]
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