Tag - medical coding services

DMEPOS Competitive Bidding Program and New Regulations

DMEPOS Competitive Bidding Program and New Regulations

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 [...]

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Benefits of end to end revenue cycle management

BENEFITS OF END TO END REVENUE CYCLE MANAGEMENT

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, [...]

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How to master the ICD-10-CM 7th Character

How to master the ICD-10-CM 7th Character?

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 [...]

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Impacts of COVID-19 on Healthcare revenue cycle

Impacts of COVID-19 on Healthcare revenue cycle

Revenue cycle management (RCM) is the backbone of the healthcare industry as every healthcare organization needs to develop successful processes and policies for financial stability. The healthcare RCM begins with patients appointment to seek medical services while ends on settlement of claims and [...]

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Basics-of-Healthcare-Revenue-Cycle-Management

Basics of Healthcare Revenue Cycle Management

The noble cause of saving lives and treating patients is the prior most aim of the healthcare providers like doctors, physicians, imaging centers, emergency and intensive care centers, pharmacies, etc. Perfect financial management, tools and techniques to meet inevitable crises and expertise are [...]

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Patients are unsatisfied with provider's poor digital medical billing process

Patients are unsatisfied with provider’s poor digital medical billing process

Medical bills in the notoriously twisted health insurance matters are at times quite confusing for the patients. Sometimes, patients may grumble to visit back if they are confused about what they owe or what their insurance can pay for. They may fear for [...]

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Medical billing and coding are the backbone of the healthcare revenue cycle

Medical billing and coding are the backbone of the healthcare revenue cycle

Medical billing and coding are the backbone of the healthcare revenue cycle. It ensures payers and patients reimburse providers for services delivered. Medical billing and coding interpret a patient come across into the languages used for claims submission and reimbursement. Billing and coding [...]

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Prior-authorization-represented-the-biggest-cost-saving-opportunity-for-providers-1

Prior authorization represented the biggest cost-saving opportunity for providers

Prior authorization is a check conduct by some insurance companies or third-party payers in the United States before they agree to cover specific prescribed medications or medical procedures for patient. Prior authorization costs accounted for approximate two percent of overall medical industry spending on [...]

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How Do Oncology Practices Affect Mandatory Bundled Payment Models

How Do Oncology Practices Affect Mandatory Bundled Payment Models?

One of the new bundled payment models from the Centers for Medicare & Medicaid Services (CMS) that is the Oncology Care Model has increased the interest and doubled the participation numbers among healthcare providers as many medical organizations participating than initially expected. Research-based study [...]

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Get Ready for Radiology Billing Changes in 2020

Get Ready for Radiology Billing Changes in 2020

The Centers for Medicare & Medicaid Services (CMS) recently published the final Medicare Physician Fee Schedule for 2020, drawing positive and negative reactions from various radiology groups. The American College of Radiology, said it was “disappointed” that CMS chose to finalize plans to [...]

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