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How to Design An Effective Patient Scheduling Workflow for Complex Specialties

Designing patient scheduling workflows for complex specialties starts with one thing: putting the right structure in place from the very first interaction. Healthcare teams need a system that captures the right details, routes patients correctly, and supports scheduling decisions without guesswork. When that structure exists, scheduling becomes faster, more accurate, ...Read More

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

Blogs

How to Engage with At-Risk Medical Groups for Chart Retrieval: A Comprehensive Guide

Engaging with at-risk medical groups to receive charts for chart retrieval can be a sensitive yet crucial task. Proper engagement ensures that health plans and provider groups meet compliance, quality measures, and accurate risk adjustment scoring. In this guide, we’ll cover the essential steps to effectively engage with at-risk medical ...Read More

Blogs

Best Practices for Coding Guideline Creation and Maintenance: A GeBBS Perspective

Healthcare providers are finding themselves navigating a complex maze of evolving standards, where the precision of medical coding can make or break their financial health. The art of maintaining cutting-edge, efficacious coding protocols has emerged as a linchpin in the quest for complete accuracy, unwavering compliance, and maximized reimbursement potential. ...Read More

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

Blogs

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

Webinars

RISE Health Association – Risk Adjustment Strategies Between Payers and Providers: Real Life Tactical Examples from Industry Leaders

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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 ...Read More

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