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How to get success in risk-based payment model

How to get success in a risk-based payment model?

Reimbursement insufficiency, data on time, and most important data access are preventing hospitals and health systems from moving to risk-based payment, according to a recent survey from healthcare improvement company Premier. What is a risk-based payment model? According to American Academy of Pediatrics, There are a variety of risk-based or budget-based payment models being developed. […]

Medicare is saving billions of dollars by Switching to Generic cholesterol drugs

Medicare is saving billions of dollars by Switching to Generic cholesterol drugs

The number of Medicare beneficiaries who were on cholesterol drugs went up in between 2014 to 2018 but total costs decreased, a study published in JAMA Cardiology found that switching patients to generic cholesterol drugs saved Medicare billions of dollars. In the study, researchers used the Medicare Part D Prescription Drug Event Database to collect […]

Revised Evaluation and Management Codes in 2021

Revised Evaluation and Management Codes in 2021

The American Medical Association (AMA) strongly disagreed, and the AMA’s CPT® panel got to work on revisions. It takes time to revise CPT® codes and definitions., but the CPT® editorial panel made changes in 2019 that will take effect in 2021. There wasn’t time to put these changes in the 2020 book, and the guidelines […]

ICD 10 F Coding for Mental Health

ICD 10 F Coding for Mental Health

(DSM-5) – The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is the official set of recognized mental health diagnoses for mental health providers in the United States. Developed and maintained by the American Psychiatric Association (APA). DSM-5 includes nearly all of the guidance a provider may need to diagnose any recognized mental disorder, which […]

Oncology Common ICD-10-CM Diagnosis Codes

Oncology Common ICD-10-CM Diagnosis Codes

Oncology coding is the base of your oncology practice. If you code correctly then your practice is on the path of success. If there are any mistakes then your medical billing and coding in need of attention. In many cases, in house oncology biller is not possible, training and turnover are issues. Outsourcing your billing […]