In medical practices documentation, billing, coding, compliance, and auditing have become buzzwords after ICD-10. Cardiology billing and coding is one of the most complex billing and coding procedures for billing experts and physicians. It comes with numerous process rules, continuous changing of codes, and contractual adjustments. Some of the challenging factors occurred while coding and
As we know the world is going through the crisis of COVID-19 and the government of every country is urging people to stay at home. On the other hand, healthcare providers are battling on fields to mitigate the intensity of novel coronavirus. According to the latest data by world health organization (WHO), globally there are about
DEMPOS stands for Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS). The DEMPOS competitive bidding program was set by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA). In order to become Medicare contract suppliers, under the DMEPOS Competitive Bidding Program, DMEPOS suppliers compete with each other by submitting bids to provide certain
End to end revenue cycle management deals with the distribution of cash flows and accelerate the reimbursement process. Apart from this, it also helps hospitals and healthcare service providers in order to handle the complexity of the revenue cycle, which ultimately raise their bottom lines. In today’s era decreasing reimbursement, changing health plans and industry
With the advancements in medical professions and medical emergency throughout the world with COVID19 infections, a lot of researches have come to light. Let us understand the diagnosis coding for ICD-10-CM. International Classification of Disease ICD stands for International Classification of Disease, a technological innovation that helps to spot health trends, statistics and new diseases
A considerable share of stress in reimbursement in radiology practices is grappled by the economic domain. There are several factors that have cut down the operating margins in certain practices. Declined number of physicians’ reimbursements, Dropped percentage in the provider’s salaries, Alterations in the compliance rules, Commonly preferred high deductible health plans, Service providing staff
Electronic Healthcare Record (EHR) software is a computer system that helps healthcare providers to manage patient medical records and automate clinical workflows. This software enables providers to deliver the modern standards of patient care while enjoying government incentives. EHR system provides a patient’s entire medical history to the logistical aspects of running practice in one
COVID-19 is a new coronavirus, which means that no-one has a natural immunity to it. This virus has spread worldwide, leading the WHO to label it a pandemic. Worldwide millions of people are advised to stay at home to minimize transmission of coronavirus. However, healthcare providers need to visit clinics and hospitals, putting themselves at
Money is an important aspect of the healthcare revenue cycle due to the rising declining rate of Medicare reimbursement and new value-based care models. Healthcare organizations should focus on negotiating claims reimbursement contracts with payers to optimize revenue cycle management. Several key factors such as communication with stakeholders compare expected and actual revenue yields, evaluate
The denial management process is important for successful revenue management and the purpose of the process is to investigate every unpaid claim as well as identify the trends of one or several insurance providers and appeal for the denial based on the terms mentioned in the provider’s contract. Claim denials are often for most of
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