Efficient revenue cycle management is the backbone of any healthcare organization, and it is constantly shaped by emerging trends, technological advancements, and ongoing challenges. Like previous years, 2025 brings significant changes that will impact various facets...
The American Medical Association (AMA) has released CPT® Evaluation and Management (E/M) Code and Guideline Changes that will go into effect January 1, 2023 Evaluation and Management (E/M) services...
Prior authorization (PA) — also referred to as preauthorization, preapproval and precertification — is a tool that is health insurance companies use to ensure patients receive treatments and...
Our medical billing and coding company is glad to announce that our articles “March is National Kidney Month: Know How the Kidneys Support Your Health” by Amber Darst and “Top Strategies to...
A chronic and painful condition, which is common among men of all age groups, prostatitis refers to swelling and inflammation of the prostate gland. Prostate gland is a walnut-sized gland situated...
The Healthcare Effectiveness Data and Information Set (HEDIS) is a system maintained by the National Committee for Quality Assurance (NCQA) for evaluating the ability of health plans and providers...
One E/M documentation challenge that medical coding outsourcing companies face is related to helping physicians report a preventive visit that becomes problem-oriented during the encounter. This is...
Another year has dawned with renewed hope and expectations, but physicians continue to contemplate the many challenges facing them. From EHR data entry, quality measures, and changing reimbursement...
Medicare adjusts payments to Medicare Advantage (MA) organizations for cost variations in providing health care to beneficiaries based on various risk factors, including health status. The goal of...
Healthcare providers have the responsibility to comply with all current regulations and reforms in the healthcare field. This is a field that experiences constant flux and therefore the challenges...
With the implementation of EMR being a step that the healthcare industry cannot shirk from, healthcare providers are turning to EMR outsourcing. So, with respect to medical billing and other...
