Etactics

JANUARY 18, 2024

The revenue cycle process is what keeps hospitals, small practices, and larger healthcare systems financially healthy. So what can we do to combat this? In this blog, we’ll explain the importance of revenue cycle management in the healthcare space. In fact, it may not be something you want to think about.

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Etactics

JANUARY 18, 2022

So the solution to what I’m saying is easy then, right? The reason why you joined this industry in the first place was to help treat your clients, not devote yourself to pleading with insurance organizations to pay what they owe. That’s exactly what this blog post covers. It’s not that easy. But there’s still hope.

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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. What does this mean?

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Etactics

JANUARY 26, 2024

In this blog, we focus on unveiling the details surrounding the fee-for-service payment model. In this blog, we focus on unveiling the details surrounding the fee-for-service payment model. Details include what it is, how it works, as well as criticisms that surround the practice. Quality of care.

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Etactics

NOVEMBER 3, 2022

If you aren’t a seasoned medical biller, you are probably asking yourself, “what is claim adjudication?” What is a claim? What does “adjudication” mean? What is claim adjudication? What is a claim? Medical claims have charges and codes to standardize services for faster payer approval and reimbursement.

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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. Of course, what I’m referring to are ICD codes and CPT codes…but if you’re working within the industry, you already knew that. Make sense? The answer is simple, claim scrubbing.

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Etactics

FEBRUARY 10, 2023

The good news is, there is standardization when it comes to the denial codes themselves. But what are denial codes? Table of Contents What are Denial Codes? Table of Contents What are Denial Codes? Denial codes are sort of like the last piece of that puzzle you’ve been working on.

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Healthcare Healthcare Providers Medicaid Prevention 52

Etactics

SEPTEMBER 28, 2022

A denial rate that high is what’s considered to be the “danger zone” when it comes to denials. After all, when an insurance organization denies a claim its reasoning comes back as a code with not much more explanation behind it. Denial code CO 18 is one such common denial code. What is denial code CO 18?

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Hospitals Healthcare Medicare 52

Icanotes

NOVEMBER 18, 2022

Tips to Help You Decide What Rates to Charge for Your Therapy Services. Deciding how much therapy costs can be challenging for even the most seasoned therapists. Counseling is a unique field. You didn't go into the business to haggle or debate your worth, so setting private practice therapy rates might seem daunting.

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Etactics

APRIL 11, 2023

Maybe there was some sort of coding or data entry error. Maybe there was a coding edit made by an insurance company. But what kinds of things can go wrong? Here are 14 claim denial reasons and what you can do about them. The code must have the maximum number of digits to use it.

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Etactics

APRIL 19, 2022

That last sentence hinted at the entire reason why you’re reading this blog post in the first place. I know what you're thinking: "That's a boring topic." I know what you're thinking: "That's a boring topic." So, what’s the trendiest form of patient payment? But what payment option do those Starbucks users prefer?

Regulations 52

Regulations Accountability Healthcare Healthcare Providers 52

Etactics

OCTOBER 27, 2022

After all, you clicked to read this blog post because of those pesky rejection codes, right? So what is a rejection code? In a nutshell, clearinghouse rejection codes are the result of submitting a claim to your clearinghouse. Despite this, all of the rejection codes come with their explanation blurb.

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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. What are some of the main reasons for a claim rejection? But for anyone new here, it can seem like a tangled web of terms, regulations and uncertainty. Table of Contents.

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Regulations Doctors Healthcare Integration 52

Etactics

SEPTEMBER 1, 2023

Of course, what I’m referring to is the revenue cycle industry. Table of Contents Defining Healthcare Claims and Remittances Potential Remittance Issues What is an 837 file? 837 Components Benefits of 837 Claims What is an 835 file? So, what does remittance mean? In fact, that last sentence alone fuels a $49.6

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Healthcare Accountability Healthcare Providers Doctors 52

Etactics

JANUARY 11, 2022

What I’m trying to convey is that you’re not the only healthcare professional who’s faced with the challenge of getting paid by client insurance providers. That’s not to dismiss what you’re going through, misery loves company. That’s great news but what do you do and where should you start?

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Medicaid Integration Medicare Healthcare 52

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. You should follow him on Twitter: @jkvedar.

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Healthcare Integration Medicare Healthcare Innovation 60

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. You should follow him on Twitter: @jkvedar.

Healthcare 60

Healthcare Integration Medicare Healthcare Innovation 60

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. You should follow him on Twitter: @jkvedar. Join the conversation on Twitter at #HarlowOnHC.

Healthcare 60

Healthcare Integration Medicare Healthcare Innovation 60

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. You should follow him on Twitter: @jkvedar. Join the conversation on Twitter at #HarlowOnHC.

Healthcare 60

Healthcare Integration Medicare Healthcare Innovation 60

Health Blawg

JULY 2, 2018

Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. Joe has a couple of books out, is an active blogger at The cHealth Blog , and chairs the Connected Health conference. You should follow him on Twitter: @jkvedar. Join the conversation on Twitter at #HarlowOnHC.

Healthcare 60

Healthcare Integration Medicare Healthcare Innovation 60

Icanotes

APRIL 13, 2021

What Is a Clearinghouse in Health Care? What to Look For When Choosing a Clearing House. What Is a Clearinghouse in Health Care? Verifies billing codes: The clearinghouse also reviews the codes the provider submitted to make sure they are the correct ones for the services or treatment received. Table of Contents.

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Accountability Healthcare Providers Quality of Care Regulations 59

p3care

OCTOBER 3, 2023

Pursuing a medical billing and coding profession is one way to enter the healthcare industry. So, medical billing and coding teams never run out of work. Do you know what the key is to being an expert in medical coding services? See, after ICD-9-CM, now we use ICD-10-CM codes for doing medical coding services.

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Private Practices Hospitals Regulations Healthcare 264

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. Enter the Current Procedural Terminology (CPT) system for Medicare, Medicaid, and other health programs. Table of Contents What is a CPT Code? Laboratory.

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Medicaid Medicare Healthcare Accountability 52

Etactics

FEBRUARY 10, 2022

But for the sake of this blog, let’s focus on physical therapy. There is a slew of medical codes dedicated to this side of healthcare. The average joe doesn’t even know these codes exist. Maybe you’re a physical therapist yourself, or brushing up on your medical coding knowledge. Table of Contents What are CPT Codes?

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Physical Therapy Safe Practices Healthcare Providers Healthcare 52

Etactics

SEPTEMBER 7, 2023

I know what you’re thinking, “That was back in 2021, right after a pandemic. That’s just one of the key topics we’re going to cover in this blog. That’s just one of the key topics we’re going to cover in this blog. After all, what’s the point of going through and fixing denials if there isn’t much of a payoff?

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Healthcare Doctors Prevention Medical Services 52

Etactics

FEBRUARY 16, 2022

There are so many different rules to properly code for the services you provided so that you can get paid. 32% of hospital reimbursement leaders say that coding is their top concern for denials. Before we go any further, let me explain what a CPT code is. CPT stands for Current Procedural Terminology.

Physical Therapy 52

Physical Therapy Accountability Medicare Medicaid 52

Etactics

FEBRUARY 16, 2022

There are so many different rules to properly code for the services you provided so that you can get paid. 32% of hospital reimbursement leaders say that coding is their top concern for denials. Before we go any further, let me explain what a CPT code is. CPT stands for Current Procedural Terminology.

Physical Therapy 52

Physical Therapy Accountability Medicare Medicaid 52

Health Care Success

MAY 11, 2021

In this blog post, I share how to expand your sales efforts with strategic digital marketing to physicians. But HCPs have always been hard to reach, haven’t they? Everyone is trying to get a hold of them, gatekeepers protect them, and they are less receptive to sales and marketing tactics. Yes, counterparts.

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