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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
Subscribe to be notified anytime we post more valuable content.
