p3care

JULY 6, 2023

This blog primarily highlights different tips and strategies. Furthermore, it does not apply to administrative claims measures as well. By developing effective procedures and tools for healthcare professionals to communicate with one another, clinicians may raise their scores. Score limits apply to these measures.

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Performance improvement Medicare Healthcare 130

Etactics

APRIL 13, 2023

When dealing with medical claim denial statistics, Experian Health has some great examples. For instance, according to their 2022 State of Claims Survey , 30% of health professionals say that claim denials are increasing anywhere from 10% to 15%. If you look back at our previous blogs, you can even find a few of them.

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Briggs Healthcare

MARCH 31, 2022

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. CMS has posted 20 Nursing homes including rehab services Datasets on March 31, 2022: COVID-19 Vaccination Rates – State and National Averages … State and National averages for facility resident and healthcare personnel COVID-19 vaccination rates.

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Etactics

FEBRUARY 15, 2022

In 2017, an American Medical Association (AMA) found that healthcare facilities spend two days every week working through prior authorization (PA) requirements on average. Based on the current rate of burnout within healthcare , that’s way too much time spent on dealing with insurance organizations. The solution is simple, right?

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Etactics

JANUARY 18, 2023

Nearly 15% of all claims get denied according to AARP. This amounts to over 200 million claim rejections each day! There are ways you can avoid claim rejections and thus keep your revenue flowing. From claim scrubbing to real-time alerts on denials so you don’t have to wait weeks on insurance companies.

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Healthcare Healthcare Providers 52

Etactics

SEPTEMBER 20, 2022

86% of all healthcare claim denials are avoidable. A lot of the revenue loss that healthcare organizations experience is preventable. Of course, the true answer to that question is that healthcare claim submission isn’t cut and dry. Healthcare organizations struggle with certain denial codes more so than others.

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Medicare Healthcare Prevention Hospitals 52

Healthcare Success

JULY 5, 2022

Generally speaking, doctors control large sums of money both professionally and personally, making them a highly desirable target audience for pharmaceutical companies, device and supply companies, SaaS, and even those outside the healthcare industry, like real estate brokers and investment advisors. This is the first blog in the series.

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Etactics

DECEMBER 21, 2021

Unfortunately, that also means both of those types of codes fall under the category that accounts for a lot of denials for healthcare organizations. Front-end revenue cycle processes account for half of all claim denials on average. So, what can medical billers do to cut down on front-end claim denials?

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Accountability Doctors Healthcare Patient Experience 52

Etactics

FEBRUARY 8, 2022

$262 billion worth of claims get denied on an annual basis according to HFMA. If you ran the math and divided that number by the total number of healthcare providers in the U.S., The reality is that the denial landscape is different for every healthcare organization. it would amount to around $5 million worth of denials per.

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Medicaid Healthcare Healthcare Providers 52

Sheppard Health Law

JANUARY 26, 2024

Merit-based Incentive Payment System (“MIPS”) eligible clinicians, operating under the Promoting Interoperability performance category of MIPS, and eligible hospitals and critical access hospitals (“CAHs”), operating under the Medicare Promoting Interoperability Program, are impacted by the Final Rule, as well.

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Medicare Medicaid Hospitals Health Data 52

Lexis Nexis

NOVEMBER 8, 2022

Discover more about the Health Care business of LexisNexis Risk Solutions in this interview hosted by Jess DaMassa of What’s the Future (WTF) Health as she talks with Jeff Diamond and Andrea Green about social determinants of health (SDoH), healthcare tokenization and the power of data for good*. Jess DaMassa: LexisNexis® Risk Solutions.

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Life Sciences Patient Safety Healthcare Quality of Care 52

Etactics

JULY 1, 2021

But I’ll answer that question the long way for the rest of this blog post. Furthermore, the skills that medical coders develop over the course of their career are translatable into other healthcare information technology (IT) areas. Insurance claim denials cost hospitals and practices around $262 billion per year.

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Regulations Healthcare Accountability Doctors 52

Etactics

SEPTEMBER 7, 2023

There were nearly 50 million denied healthcare claims in 2021. Based on the total number of in-network claims submitted, that averaged out to a 17% denial rate. In other words, healthcare claim denials are a plague that every healthcare organization has to not only deal with but also try to figure out ways to manage them.

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Healthcare Doctors Prevention Medical Services 52

Etactics

JANUARY 12, 2023

These laws dictate how healthcare entities go about handling, protecting, disclosing, using, and securing PHI. In other words, healthcare workers aren’t allowed to talk about you or your medical situation without your consent. The consequences of a HIPAA violation fall under two categories: civil and criminal. Let me explain….

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Accountability Hospitals Regulations Healthcare 52

Etactics

JUNE 2, 2023

In the United States, insurers process over 5 billion healthcare claims annually. To be able to process these claims , healthcare professionals must provide details on the services and procedures provided. Developing medical guidelines and other forms of healthcare documentation. Conducting research.

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Medicaid Medicare Healthcare Accountability 52

Health Care Success

MARCH 7, 2022

Your patients are consumers, too, and when they’re searching for a healthcare provider or other health services, chances are high they’re using Google to do it. In today’s blog post, I share: What a Google Business Profile is, Why healthcare organizations need them, What information you can feature, and. healthcare).

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Cloud Blogs

OCTOBER 19, 2022

Across all industries, whether healthcare, financial services, manufacturing, or even non-profit, an organization’s digital resilience can be key to success. The model is easily deployable and can be trained within just two hours, leaving the healthcare provider ready to use the solution within just one day.

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Health Care Success

APRIL 4, 2022

If you want your healthcare business to rank high on Google or Bing, you have to analyze, compare, and contrast your marketing efforts with your competitors. In today’s blog post, I share: A competitive analysis refresher. Establish the category your brand is competing in and how it’s relevant to your customers. Paid Search.

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Healthcare Hospitals Telemedicine Healthcare Providers 52

Etactics

FEBRUARY 7, 2023

This means that the statistics in this blog post don’t come from a random sample. Out of 16,951 known human trafficking cases between 2007 and 2016, 616 of them fall under the category of pornography. It’s important to note that trafficking involving webcams doesn’t fall under the category of pornography.

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Accountability Hospitals Healthcare Nursing 52

Home Health Care

OCTOBER 2, 2023

There are companies who are making real gains with, for example, claims or things like, do I want to predict whether I should take on this referral? Well, we definitely see a lot in terms of claims processing, so reducing the error rates in claims. If we compare it to the hospital system or other healthcare.

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Home Care Hospitals Accountability Healthcare 98