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Executive SummaryToday’s healthcare landscape is more complex and demanding than ever. Providers must navigate intricate coding systems, stay compliant with ever-changing CMS regulations, and adapt to advancements in technology like AI and telemedicine—all while managing growing patient volumes and maintaining quality care. It’s an overwhelming challenge. Which is why accurate ...Read More
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
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
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