Tag - most preferred medical billing company

Four vital elements that affect payments and income cycle in medical billing

The recent changes in the U.S healthcare system have brought with it variety of challenges for healthcare units, patients and insurance companies alike. Staying afloat in such a transition can be a tough task, while the frequent alterations of [...]

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Tips to get paid for downcoded claims

A timely turnaround time in claims cycle and fair payment is what almost all the healthcare service providers in the United States look for. And in order to achieve this target downcoding is something you need to avoid. Downcoding on [...]

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Upcoming challenges for Ambulatory Surgical Centers and how to overcome them

As ASCs observe a period of deteriorating reimbursement, regulatory changes and challenges, numerous ASC facilities are trying to guide their medical billing and coding team through budgetary crises.  Experts in the field are looking for feasible solutions that will [...]

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Impact of Artificial Intelligence of medical billing and coding

For many, the future of the healthcare industry and medical billing and coding in the age of artificial intelligence (AI) is difficult to imagine. Today, technology is here to assist your healthcare business and improve the revenue cycle and [...]

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Tips to credential a provider with insurance company

Healthcare facilities, payer networks and hospitals require credentialing to admit a provider in a network or to treat patients at a clinic or hospital. What may look like a straightforward credentialing process is engulfed with complications that can frustrate [...]

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Improve HCC Coding Accuracy and Risk Adjustment

Diagnosis coding is becoming more and more important. The shift from volume to value requires HCC coding for patient acuity not just diagnosis coding for medical necessity.  As the healthcare reimbursement process shifts towards a Value-Based model, Fee-for-Service will [...]

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Cost Variation For A Diagnostic Test In Healthcare Industry Affecting Reimbursement

The health care costs in the USA are exceeding considerably by 17% of GDP. Whereas expenditure done by other countries are less but with the same time healthcare cost is in increasing trend. As the population ages, the advanced [...]

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Final rule for Medicare Advantage and Medicare Part D plans

The CMS (Centers for Medicare & Medicaid Services) issued a final rule on May 16, 2019 that modernizes and improves the Medicare Advantage and Part D programs. Now patient will have transparency into the cost of prescription drug in [...]

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Oncology Care – Precision Medicine Can Lower Drug Cost

There is a lot of connection between the terms “precision medicine” and “personalized medicine.” According to the National Research Council, “personalized medicine” is an older term with a meaning similar to “precision medicine.” Precision medicine is a method to [...]

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Success of Pennsylvania Rural Health Model

Rural hospitals provide essential health care services and are pillars of their communities, but many are struggling to stay open. Rural hospitals are facing challenges due to financial instability and a system that dis-incentivizes visionary transformation. Rural hospitals are essential [...]

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