If you are scratching your head over trying to figure out what is revenue cycle management and how to handle your revenue cycle management, you’re not alone. Healthcare systems in not only the United States, but all over the world, face the same coding, billing, and...
Billing & RCM
Risk Adjustment Impacts Everyone: 10 Tips for Improving your HCC Coding and Billing
May 17, 2021
As a healthcare consultant, one of the most frequent questions I get from physicians and practices is: “How does Hierarchical Condition Category (HCC) coding affect me?” Traditionally, risk...
Medical Advantage Podcast Ep 5: E/M Coding Changes 2021
Mar 3, 2021
Proper billing and coding is key to any medical practice’s RCM workflow. But with 2021 bringing the biggest changes to E/M coding guidelines in decades, many physicians are trying to figure out what has changed— and...
The Top 5 Changes to E/M Coding in 2021
Feb 9, 2021
For the first time in more than 25 years, coding guidelines for outpatient evaluation and management (E/M coding) services have experienced a major overhaul. What can practices do to prepare for the 2021 E/M Coding changes? For medical practices seeking to get...
E/M Coding is Changing: Why it’s Important for your Practice to take Note
Nov 24, 2020
As the calendar page turns over to another year, a big opportunity for medical practices to reduce administrative burden, bill more accurately, and increase profitability and care quality is on the horizon. In 2021, the Evaluation and Management (E&M) coding...
Leverage Your EHR to Harvest Denied Claims Revenue
Jun 9, 2020
On a number of levels, COVID-19 has made it more important than ever for a medical practice to focus on maximally efficient management of denied claims. First, finding additional revenue is critical for most practices at this moment, as the COVID “stay-at-home” world...
Steps To Accurate Risk Adjustment
Jul 30, 2019
Value-based care programs rely on financial risk adjustment to reward providers who successfully care for complex, high-risk patients. Risk adjustment is a statistical method used to offset the cost of providing healthcare to individuals, especially those suffering...
Physician Practice Increases Revenue More Than 50% With Medical Advantage RCM Services
Sep 12, 2018
After several years of losing money based on aging accounts receivables, Dr. Nuzhat Ali, owner of a single provider pediatric practice, was ready for a new revenue cycle management solution. “I had gone through three billing companies all with poor customer service...
Ensure Your Practice Gets the Most Out of Hierarchical Condition Category (HCC) Coding
Jun 26, 2018
What is HCC Coding? In medical terms, Hierarchical Condition Category (HCC) coding is a common non-proprietary system used by the Centers for Medicare & Medicaid Services (CMS) for Medicare Advantage and the Comprehensive Primary Care Plus (CPC+) program. Medical...
Steps to Take to Reduce Patient Collections
May 15, 2018
With the increase in medical insurance plans with high deductibles, most medical practices have a significant amount of patient accounts receivables. Practices send statements monthly but do not see the return on investment based on the amount of money it costs to...
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