p3care

SEPTEMBER 5, 2023

Now what does the law do? In this blog, we’ll discuss the profound impact of the ACA on healthcare billing services. The Intricate World of Medical Codes Healthcare billing was a maze of complex medical codes before the ACA. These codes were frequently complex and obscure.

Healthcare 130

Healthcare Medicaid Healthcare Providers Accountability 130

Etactics

APRIL 26, 2024

There’s no right answer, but understanding what a payer agreement is will show the significance of that average number. Now, I’m no lawyer, hearsay, but this blog is about what a payer agreement is. Let’s discuss what it is. On average, a healthcare provider has between 16 and 20 payer contracts. Or too little?

Healthcare Providers 52

Healthcare Providers Quality of Care Medical Services Healthcare 52

Etactics

OCTOBER 11, 2023

That doesn’t sound great, but if you flipped the script you’re still receiving 66% of your claim revenue. In 2021 hospitals lost an average of $5 million to their total revenue due to denied claims. But, if they’re an issue across the entire healthcare industry that even giant hospital systems struggle with…what can you do?

Hospitals 52

Hospitals Healthcare Accountability Medicare 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. So what can we do to combat this? Have no fear, revenue cycle management is here!

Healthcare 52

Healthcare Doctors Healthcare Providers Hospitals 52

Etactics

FEBRUARY 23, 2024

So making sure your medical billing and coding team is on top of their game should be one of your practice’s top priorities. Current Procedural Terminology (CPT) codes are so important to understand when it comes to having a better-streamlined revenue cycle for your company. Table of Contents What is Dry Needling?

Physical Therapy 52

Physical Therapy Medicare Rehabilitation Medicaid 52

Etactics

DECEMBER 1, 2023

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. We are here to help you avoid unnecessary billing and coding mistakes so you can collect your revenue promptly. So why would it be any easier on the backend? Don’t panic!

Medicare 52

Medicare Medicaid Medical Services Prevention 52

Etactics

FEBRUARY 15, 2024

So what is the secret to regulating your claim denial rate? Like anything, there are going to be some denial codes that will pop up more often than others. We have addressed a few of these denial codes in previous blogs such as CO 97 , CO 151 , and PR 204 just to name a few. Table of Contents What is Denial Code CO 29?

Prevention 52

Prevention Regulations Medicare Healthcare 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. So we are here to help you with this blog! Table of Contents What is a Revenue Code?

Physical Therapy 52

Physical Therapy Urgent Care Quality Assurance Hospitals 52

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.

Healthcare 52

Healthcare Primary Care Medicare Healthcare Providers 52

Etactics

JANUARY 18, 2023

There are ways you can avoid claim rejections and thus keep your revenue flowing. Knowing the different denial codes and what they stand for is just part of the equation. Let’s take a closer look at CO-45 including what it is, how to correct it and how to collect on it. What is a denial code? Conclusion.

Healthcare 52

Healthcare Healthcare Providers 52

Healthcare Success

JUNE 12, 2023

By implementing local seo for multiple locations, healthcare businesses can boost their visibility in search results, attract more qualified leads, drive more patient acquisitions, and grow their revenue. But first… What Is Local SEO for Multiple Locations? Let’s begin with key on-page SEO tactics, then cover off-page SEO.

Healthcare 249

Healthcare Process improvement 249

Etactics

APRIL 13, 2023

So what exactly are some of the top issues that lead to these administrative challenges, which in turn increase the rate of claim denials ? It’s probably due to the hundreds of denial codes that aren’t technically standardized across all payers. If you look back at our previous blogs, you can even find a few of them.

Regulations 52

Regulations Nursing Prevention Healthcare 52

Etactics

APRIL 6, 2023

So if you get a claim denial back, say a common claim such as PR 31, you might be wondering, “How do I know what the denial reason is?” Let’s start by going over what a denial code even is. Table of Contents Denial Codes and Clearinghouses What is Denial Code PR 31? But let’s get a little more specific here.

Prevention 52

Prevention Healthcare 52

NASHP

OCTOBER 5, 2023

What is palliative care? Nearly half of the states have a palliative care taskforce or advisory council through state legislation. Throughout the past five years, NASHP, with generous funding from The John A. Hartford Foundation, has worked closely with state policymakers on palliative care.

Medicaid 74

Medicaid Regulations Hospitals Medicare 74

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

Etactics

SEPTEMBER 28, 2022

A denial rate that high is what’s considered to be the “danger zone” when it comes to denials. But, why would healthcare organizations be OK with leaving so much of their revenue on the table only to write it all off as losses at the end of the year? Denial code CO 18 is one such common denial code. Table of Contents.

Hospitals 52

Hospitals Healthcare Medicare 52

Etactics

SEPTEMBER 20, 2022

A lot of the revenue loss that healthcare organizations experience is preventable. I mean, if you told any business that 86% of the revenue that they’re losing on an annual basis could be re-obtained they would instantly implement the workflows necessary to do so. One of those common denial codes is CO-16. Why is this the case?

Medicare 52

Medicare Healthcare Prevention 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. Managing your revenue cycle alone can be overwhelming. Here’s our ultimate guide to outsourcing revenue cycle management. Advantages of Revenue Cycle Management.

Regulations 52

Regulations Doctors Healthcare Integration 52

Etactics

AUGUST 31, 2022

In the healthcare space, anything that relates to revenue falls under the industry process formerly known as “the revenue cycle”. In the healthcare space, anything that relates to revenue falls under the industry process formerly known as “the revenue cycle”. That amounts to 1 in 10 adults! You're not wrong!

Healthcare 52

Healthcare 52

Best Medical Billing Company | Physicians Revenue Group, Inc.

MARCH 30, 2023

Orthopedic medical billing and coding involve complex musculoskeletal disorders like fractures, arthritis, and dislocations. We offload the exhaustive revenue stream by handling your billing responsibilities while improving claim acceptance. Admin March 30, 2023 How Orthopedic Medical Billing Works? These surge your denial rate.

Regulations 52

Regulations Quality Assurance Quality Control Accountability 52

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.

Healthcare Providers 52

Healthcare Providers Prevention Healthcare Accountability 52

Icanotes

MARCH 7, 2024

The Therapist's Guide to Passive Income: Exploring Revenue Streams Beyond Therapy Sessions Becoming a therapist or counselor is a rewarding career that enables you to engage in your passion for helping others heal. What Is Passive Income for Therapists? We've created this guide for you to discover how to make more money as a therapist.

Private Practices 52

Private Practices Nursing Doctors Prevention 52

Etactics

OCTOBER 20, 2023

Not many people can confidently say they understand everything about the medical billing and coding system. There are far too many numbers, rules, and codes to remember off of the top of your head. Even so, those numbers and codes are essential for running a streamlined revenue cycle management process.

Prevention 52

Prevention Medicare Regulations Medicaid 52

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.

Accountability 52

Accountability Doctors Healthcare Patient Experience 52

Sheppard Health Law

AUGUST 3, 2023

As we previewed in our blog article in March on the establishment of California’s new Office of Health Care Affordability (OHCA), OHCA has issued proposed regulations available on the OHCA website, that provide anticipated details on OHCA’s advance review authority regarding certain transactions in the healthcare space.

Regulations 52

Regulations Accountable Care Accountability Healthcare 52

Etactics

MARCH 2, 2023

If you can’t see where I am going with this, here’s the bottom line; lost mail equals lost revenue. If you can’t see where I am going with this, here’s the bottom line; lost mail equals lost revenue. So how can you avoid losing revenue and frustrating your clients? Table of Contents What is Postal Address Verification?

Prevention 52

Prevention Healthcare 52

Etactics

AUGUST 30, 2022

What is Claim Adjudication In a nutshell, claim adjudication is the process that every insurance payer goes through to determine how much they owe a provider based on a claim that they received. In some cases, a payer will decide that they’ll only pay a portion of what they owe according to the claim back to the healthcare organization.

Healthcare 52

Healthcare Accountability Nursing 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.

Private Practices 97

Private Practices Accountability Integration Hospitals 97

Etactics

JANUARY 18, 2022

So the solution to what I’m saying is easy then, right? Come up with a process for billing with your staff, implement it and you can sleep well at night assuming that all your organization’s revenue is in good shape. That’s exactly what this blog post covers. It’s not that easy. First, 80% of medical bills contain errors.

Private Practices 52

Private Practices Tricare Accountability Medicaid 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. What does this mean?

Regulations 52

Regulations Healthcare Accountability Doctors 52

Etactics

JULY 14, 2023

Table of Contents What is AI? Machine Learning AI in Healthcare Natural Language Processing Diagnosis and Treatment Applications Administration Application Conclusion What is AI? Let’s see how healthcare workers utilize this technology today, and what the future might hold. This is according to a study by Accenture.

Medical Practitioners 52

Medical Practitioners Clinical Practice Integration Healthcare 52

Etactics

JANUARY 5, 2024

In fact, by 2024, Statista estimates that the global revenue made through medical technology will achieve approximately 691.50 If you are wondering what exactly is new in the medical technology field, wonder no more! This blog will give you a sneak peek into the newest and, dare I say, most interesting developments in MedTech.

Medical Technology 52

Medical Technology Telemedicine Prevention Healthcare 52

Etactics

DECEMBER 15, 2021

However, that piece creeps outside the scope of this particular blog post. Since many professionals view them as an inevitable part of the medical billing landscape, what can you do when your office receives one? The only question, though, is, “What should my appeal letter look like?”. First, the obvious. They have a point.

Doctors 52

Doctors Healthcare Prevention Healthcare Providers 52

Etactics

DECEMBER 1, 2022

Just take a look at the direct mail statistics below describing what’s been going on thus far since 2020, how customers interact with their mail, and why companies use direct mail. Direct mail is one of the oldest forms of communication. You may think that direct mail takes a considerable amount of effort. Table of Contents. billion in 2022.

Integration 52

Integration 52

Etactics

FEBRUARY 8, 2022

It’s a good thing insurance providers include a reason code in the electronic remittance advice that they send back to your clearinghouse provider. Taking a look at the reason codes you receive for your denials will give you a better idea as to what processes you need to change in the name of boosting your revenue.

Medicaid 52

Medicaid Healthcare Healthcare Providers 52

Etactics

SEPTEMBER 29, 2023

I know you can’t just take what people say at face value, though. But what if you could reap the benefits of having your business open all of the time? You’d get more clients, thus making more revenue. That’s what a website can do for you! This is to (hopefully) get more information, leading to a more confident purchase.

Law Firms 52

Law Firms Regulations Accountability 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?

Medicaid 52

Medicaid Integration Medicare Healthcare 52