Coding Corner: Billing For Date of Service

CMS recently released a document reminding physicians, non-physician practitioners, and others submitting claims of the guidelines for billing for date of service. The fact that they released this reminder indicates that many people are not following the guidelines correctly. Use this summary of the guidelines to refresh your practices and make sure you are following the…


Top Reasons For Denied Claims

Every practice deals with the headache of denied claims. Insurance companies are strict, and their rules are constantly changing. It takes a lot of time and attention to detail to keep a low denial rate. Reducing your denial rate is a critical way practices can improve their revenue cycle outcomes. A low denial rate and…


Most Healthcare Organizations Will Hire New Coders This Year

Are you looking to either add or replace a coder this year? You’re not alone. Most practices expect to hire a new coder within the next 6 months to a year. As revenue cycle workloads increase, managers seek to meet the ever growing demands by adding coders to their team. This will prove to be…


3 Signs You Need to Upgrade Your Revenue Cycle Software

Technology allows us to manage our business more efficiently than ever before. We have so much information at our fingertips, and we have the power to automate tasks that used to be manual. Managing your revenue cycle should be easier than ever before, but that’s not always the case. With so many different software vendors…


How Revenue Cycle Analytics Helps Managers Make Better Decisions

The number one reason managers need revenue cycle analytics is insight – insight into processes, employee performance, and the overall functioning of your revenue cycle. In order for managers to manage their practice well, they need to have full insight into their revenue cycle. Coder Performance Most managers probably assume they know who their best…


Physician Burnout By the Numbers

Physician burnout is impacting doctors across every specialty and type of practice. Medscape 2019’s National Physicians Burnout & Depression Report sheds light on the details of how burnout is affecting different physicians today. Burnout Across the Board Although burnout is impacting physicians in every specialty and walk of life, there are certain areas that are more at risk….


The Real Automation ROI For Physician Practices

Physician practices want to provide quality care to patients. That is the focus of everything that you do. Non-clinical, back office operations are actually imperative to reaching that goal. Patients cannot receive care if the practice doesn’t get paid. If you are stuck with manual processes, you’re wasting time and money that your practice could…


5 Payment Plans Under New CMS Primary Cares Initiative

On April 22nd, the HHS and CMS announced the new CMS Primary Cares Initiative. The goal of this initiative is to reduce administrative burdens and free up primary care physicians to focus on caring for patients, all while cutting down healthcare costs. This move by CMS shows the continual industry trend towards value-based care. If value-based…


Interoperability Strides Made With FHIR 4 APIs

  HL7 released the latest version of the Fast Healthcare Interoperability Resources standard – FHIR 4 for short – on January 2nd of this year. There are several reasons that this new standard is driving further interoperability progress in healthcare. Significance of FHIR 4 One of the benefits of the FHIR standard is the flexibility and functionality…


New Medicare Rule Reduces Payment For Hospital-Owned Clinics

Medicare released a new rule this year to reduce reimbursements for off-campus hospital outpatient clinics. These off-campus clinics will now essentially be paid the same as an independent physician clinic. Individual physicians & patients will benefit from the change, while hospitals balk. These are some of the benefits & costs that will result from this new…