Healthcare It News

AUGUST 24, 2023

"Epic’s approach to leveraging Microsoft’s technology and infrastructure is unprecedented in time and scope," Eric Boyd, corporate vice president of Microsoft's AI platform, wrote in a blog post Tuesday. Andrea Fox is senior editor of Healthcare IT News.

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Integration Accountable Care Accountability Patient Experience 207

p3care

NOVEMBER 8, 2022

One of the essential parts of optimized practice management is accurate billing. In the medical industry, one of the coding and billing sides deals with the service of massage therapy. There is a huge range of CPT codes when it comes to insurance billing for massage therapists. Importance of CPT codes.

Medicare 113

Medicare Regulations Doctors Healthcare 113

Etactics

JANUARY 19, 2024

According to Equifax, weak billing practices cost doctors roughly $125 billion every year. So what does it mean to have strong billing practices? Having a fortified revenue cycle management system! We’ve gone into detail about the inner mechanisms of the revenue cycle before. Denial posting.

Accountability 52

Accountability Process improvement Doctors Healthcare 52

Etactics

JANUARY 18, 2024

The revenue cycle process is what keeps hospitals, small practices, and larger healthcare systems financially healthy. Understandable of course, but acknowledging the impact that your revenue cycle has on your bottom line is essential. Have no fear, revenue cycle management is here!

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Etactics

APRIL 12, 2024

More specifically, medical billing. My point in beginning with this is that I write weekly blogs about healthcare and human resources and I STILL find myself getting pretty confused on all the different components that come into play with medical billing. The reality is that medical billing can be a rocky process.

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Healthcare Medicaid Doctors Medicare 52

Best Medical Billing Company | Physicians Revenue Group, Inc.

MARCH 8, 2023

prgseo March 8, 2023 Steps to Conduct a Successful Medical Billing Audit An audit is a periodic assessment of your medical practice according to the current billing and documentation standards. A comprehensive billing audit is the only way to navigate the billing errors and rectify documentation lags.

Prevention 52

Prevention Healthcare 52

Etactics

DECEMBER 1, 2023

Did you know that poor billing practices cause American doctors to lose around $125 billion each year ? Medical billing and coding has many challenges. If you keep up with our blogs or work in the industry, you know exactly what I’m talking about. For example, two terms are commonly misunderstood by billing professionals.

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Medicare Medicaid Medical Services Prevention 52

Etactics

MAY 11, 2023

In 2021, around 16% of all medical claims submitted received a denial code. This goes without saying that millions of dollars sat with those denied claims, and some practices missed out on that revenue. This goes without saying that millions of dollars sat with those denied claims, and some practices missed out on that revenue.

Physical Therapy 52

Physical Therapy Urgent Care Quality Assurance Hospitals 52

Etactics

OCTOBER 25, 2022

If you’re a veteran in the healthcare field, I’m sure healthcare revenue cycle management comes second nature to you… or you at least know what it is. These entities allow providers to extend medical treatment to those who may not be able to afford it. Managing your revenue cycle alone can be overwhelming.

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Regulations Doctors Healthcare Integration 52

Best Medical Billing Company | Physicians Revenue Group, Inc.

MARCH 30, 2023

Admin March 30, 2023 How Orthopedic Medical Billing Works? Orthopedic medical billing and coding involve complex musculoskeletal disorders like fractures, arthritis, and dislocations. Secure your claims from an intermittent refusal by accurately filling bills. That’s why we incorporate robust billing software.

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Regulations Quality Assurance Quality Control Accountability 52

Etactics

OCTOBER 20, 2023

Not many people can confidently say they understand everything about the medical billing and coding system. The intricacies of medical billing as a practice can be perplexing. Even so, those numbers and codes are essential for running a streamlined revenue cycle management process. So what can you do?

Prevention 52

Prevention Medicare Regulations Medicaid 52

Etactics

SEPTEMBER 1, 2023

Recovering revenue from healthcare insurance providers is one of the most important aspects of running a modern-day practice. Of course, what I’m referring to is the revenue cycle industry. If you’ve ever tried to work through the revenue cycle for your business alone, you likely know how convoluted the process is.

Healthcare 52

Healthcare Accountability Healthcare Providers Doctors 52

Health Populi

FEBRUARY 1, 2022

Recognizing the fact that nearly one-half of insured Americans don’t have enough in savings to pay for medical expenses, the company established the Aflac Care Index to educate and advocate for peoples’ health and financial security — including those people who have health care coverage.

Hospitals 62

Hospitals Healthcare 62

Etactics

JANUARY 26, 2024

In this blog, we focus on unveiling the details surrounding the fee-for-service payment model. This helps distinguish it from Medicare managed-care plans, as well as any other new payment systems there might be. As is anything in the medical billing industry, there are different hoops and roadblocks to maneuver through.

Healthcare 52

Healthcare Primary Care Medicare Healthcare Providers 52

Etactics

FEBRUARY 23, 2024

In fact, the need for skilled medical billers and coders is also expected to rise. So making sure your medical billing and coding team is on top of their game should be one of your practice’s top priorities. Without proper billing and coding, physical therapists will lose out on revenue. Nonspecific.

Physical Therapy 52

Physical Therapy Medicare Rehabilitation Medicaid 52

Etactics

FEBRUARY 15, 2024

Claim denials continue to plague the healthcare system, bogging down medical billing personnel when it comes to their day-to-day tasks. Well, there are a few ways you can combat this medical billing nemesis. Another code that’s often seen floating through the average medical biller’s day.

Prevention 52

Prevention Regulations Medicare Healthcare 52

Etactics

APRIL 6, 2023

When it comes to denial management in medical billing , the U.S. Healthcare Denial Management Markets , in 2021 denial management reached a value of $3.54 If you’re reading this and you’re in the medical billing field, I’m sure I don’t have to spell out why these numbers seem to be on the rise.

Prevention 52

Prevention Healthcare 52

Etactics

JANUARY 18, 2023

Medical billing has plenty more disheartening statistics, but I’ll spare you on all of those for now. There are ways you can avoid claim rejections and thus keep your revenue flowing. Being in the medical billing field, you have to stay on your toes… but you already knew that. But I do have some good news!

Healthcare 52

Healthcare Healthcare Providers 52

Etactics

APRIL 13, 2023

When dealing with medical claim denial statistics, Experian Health has some great examples. Medical billers who are just learning to navigate the trenches of claim denial, and even those more tenured, may lack the expertise to support appeals or understand the root cause of the denial. Let’s look at the common denial code PR 204!

Regulations 52

Regulations Nursing Prevention Healthcare 52

Cloud Blogs

JUNE 7, 2023

They’re engaged in making decisions about their health and healthcare spending, and they expect quick, easy access to their medical information. Providers must also generate useful medical insights and make them available—often at the point of care—to clinicians, patients and their families, and other stakeholders.

Healthcare 92

Healthcare Telemedicine Performance improvement Patient Safety 92

Etactics

DECEMBER 21, 2021

Ask any medical biller what their arch-enemy is and they’ll identify one of the two main types of codes that they work with. Although both types of those codes are an essential part of the medical billing process, they lead to a lot of headaches for billers and the organizations they represent. But, that comes at a premium.

Accountability 52

Accountability Doctors Healthcare Patient Experience 52

Etactics

JULY 14, 2023

AI and related technologies have the power to revolutionize the medical field in ways that include patient care and administrative/billing processing, just to name a few. Of course, I can’t go over all of them in this blog. Providing medical practitioners with additional information and analysis. Revenue cycle management.

Medical Practitioners 52

Medical Practitioners Clinical Practice Integration Healthcare 52

Etactics

NOVEMBER 3, 2022

Any medical biller with some experience will agree that there are a lot of steps. Billing isn’t as simple as submitting a claim to a patient’s insurance payer, the payer reviewing the document, and you gett paid. If you aren’t a seasoned medical biller, you are probably asking yourself, “what is claim adjudication?”

Healthcare Providers 52

Healthcare Providers Prevention Healthcare Accountability 52

Etactics

JANUARY 24, 2023

As you’ll learn from reading this blog, fraud by medical professionals can mimic legitimate transactions from insurers to providers. Healthcare Fraud in Florida January 2023 - Michael Ligotti Michael Ligotti was a medical director for over 50 addiction treatment facilities, also known as “sober homes'', in Palm Beach County.

Healthcare 52

Healthcare Physical Therapy Doctors Medicare 52

Etactics

MARCH 29, 2022

First, patients want to pay their medical bills over the internet. After all, a satisfied billing experience leads to 75% of patients paying their bills in full. There are several massive regulations that medical organizations need to stay in compliance with in order to avoid massive fines.

Regulations 52

Regulations Healthcare Providers Healthcare Accountability 52

Etactics

JULY 1, 2021

One of the careers that I’m referring to, of course, is medical coding. But I’ll answer that question the long way for the rest of this blog post. Don't Panic: What's Changing There’s no way to ignore the upcoming changes to medical coding brought forth by technology and AI. Medical coding is different.

Regulations 52

Regulations Healthcare Accountability Doctors 52

HIT Consultant

AUGUST 2, 2022

Cheryl Cruver, Chief Revenue Officer, AGS Health. According to the American Hospital Association (AHA), medical records, billing, and compliance are the fastest growing healthcare white-collar administrative professions, expected to grow 13% by 2026 2.

Hospitals 97

Hospitals Accountability Healthcare Regulations 97

Etactics

SEPTEMBER 7, 2023

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. But, in our 20+ years of business as a medical claims clearinghouse with a focus on denial management, we’ve noticed a pattern.

Healthcare 52

Healthcare Doctors Prevention Medical Services 52

Etactics

JUNE 2, 2023

To ensure healthcare data is accurate, thus resulting in faster and more consistent revenue collection , a standardized coding system is essential. In this blog, we will discover what a CPT code is, different kinds of CPT codes, why they exist, and how they help you collect revenue. Evaluation and Management Services.

Medicaid 52

Medicaid Medicare Healthcare Accountability 52

Etactics

MAY 19, 2023

Medical billing and coding is an important piece of the revenue cycle puzzle. Proper training for your staff, staying up to date with industry standards and reforms, and utilizing third-party clearinghouse systems are just a few essential tools you should have in your medical billing tool belt.

Healthcare Providers 52

Healthcare Providers Medicaid Healthcare Prevention 52