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  • Blogs

Understanding FQHC Medical Coding: A Guide for Federally Qualified Health Centers

Federally Qualified Health Centers (FQHCs) provide vital healthcare services, often to underserved communities. Due to their unique structure, FQHCs follow specific coding and billing guidelines that differ from typical medical practices. Let’s explore how FQHC medical coding is different and why it matters for healthcare professionals navigating this landscape. Key ...Read More
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  • Blogs

Navigating New CMS Rule Changes: Implications for Healthcare Providers

The Centers for Medicare & Medicaid Services (CMS) continually updates its regulations and payment models to improve healthcare quality and lower costs. Healthcare providers must stay informed about these changes to ensure compliance and improve patient care. CMS's recent proposed changes, such as new bundled payment models, have important implications ...Read More
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Medical Coding Quality Assurance: Stop Denials in Their Tracks

Accurate medical coding is the lifeblood of financial viability for health systems and physician groups. Yet, nearly 15% of all claims submitted to private payers are initially denied, including many that were preapproved during the prior authorization process. 15.7% of Medicare Advantage and 13.9% of commercial claims were initially denied. ...Read More
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E/M Calculator

Home EM Calculator E/M Calculator E/M coding is complex which supports the need for a tool of this nature to ensure healthcare providers and physicians are reimbursed appropriately and reduce the risk of compliance audits.The tool is secure, HIPAA-compliant and follows the Centers for Medicare and Medicaid (CMS) accepted coding ...Read More
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