Tag: Value Based Care

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 […]
Revenue Cycle Management trends

RCM Trends for 2025: Redefining Efficiency and Patient-Centric Billing

2025 promises to bring transformative changes to Revenue Cycle Management (RCM) in an ever-evolving healthcare landscape. To navigate financial complexities and enhance patient satisfaction, healthcare providers must stay on top of emerging 2025 Revenue Cycle Management trends as they emphasize efficiency, transparency, and patient-centered care. In this newsletter, we explore key RCM trends that will […]
December’s Hot Topics in Medical Coding: Key Changes and Insights

December’s Hot Topics in Medical Coding: Key Changes and Insights

December Medical Coding Insights are crucial as the year draws to a close, offering valuable information and updates that will significantly impact the industry in the coming months. During December, medical coders, billers, and revenue cycle management (RCM) professionals must diligently prepare for the year ahead. Numerous updates to coding guidelines and emerging trends demand […]
Growth in the Medical Billing Industry: Trends and Challenges

Growth in the Medical Billing Industry: Trends and Challenges

The medical billing industry, while complex and often mired in regulatory hurdles, is experiencing a period of growth and transformation. A recent survey conducted by healthcare software company, a digital health operating system company, revealed that 65% of medical billing companies hold a positive outlook on the industry’s future. This optimism is fueled by several […]
Impact of Healthcare Reform on RCM

Healthcare Reform Update: How New Regulations Affect RCM

Health care in the United States is constantly changing, with new regulations and policies being developed to improve patient outcomes, increase access to care, and reduce costs. Impact of Healthcare Reform on RCM, keeping up with these changes is essential for Revenue Cycle Management (RCM) professionals. New regulations can impact everything from billing and coding […]
Healthcare reform

Healthcare Reform: How It’s Affecting Medical Billing

Medical billing is shaped by healthcare reform, which is one of the most dynamic forces at play. Legislation, regulatory changes, and shifts in healthcare delivery models have led to a significant change in how providers bill. In response to the continued push for value-based care, increased patient responsibility, and technological advancements, medical billing is evolving. […]
Future of medical billing services

The Future of Medical Billing Services: Preparing for the Next Wave of Challenges

Medical billing is experiencing significant changes as the healthcare industry rapidly evolves. Healthcare providers are facing new challenges managing their revenue cycles as the sector becomes more complex. The future of medical billing services is not without obstacles. However, medical billing services play a critical role in ensuring providers receive timely and accurate reimbursement for […]
Navigating the Financial Impact of Value-Based Care (VBC)

Navigating the Financial Impact of Value-Based Care (VBC)

The financial impact of VBC is profound, necessitating adjustments in how providers approach and manage their financial operations to align with this new model of care. The healthcare industry is shifting towards value-based care (VBC), a model that prioritizes high-quality care while aiming to lower costs. In contrast to the traditional fee-for-service model, value-based care […]
Value-Based Care: Navigating Challenges and Opportunities in Revenue Cycle Management

Value-Based Care: Navigating Challenges and Opportunities in Revenue Cycle Management

RCM and Value-Based Care Challenges and Opportunities: Healthcare is a dynamic field constantly evolving to improve patient and staff experiences. As the industry transforms, it’s crucial to understand both the potential benefits and drawbacks of these changes. One area experiencing significant evolution is Revenue Cycle Management (RCM). The shift towards value-based care models is a […]
Medicare Payment Cuts Hit Physicians: 2.93% Reduction in 2025

Medicare Payment Cuts Hit Physicians: 2.93% Reduction in 2025

Medicare payment cut: The Centers for Medicare & Medicaid Services (CMS) has released its proposed rule for the 2025 Medicare Physician Fee Schedule (MPFS), which includes a 2.93% average payment rate reduction for physicians. This comes despite the agency’s stated commitment to advancing health equity and supporting whole-person care through initiatives like strengthening primary care […]