Billing and coding has never been a simple process, but adding COVID-19 and rapidly changing CMS guidelines related to telehealth and you have the recipe for confusion – particularly for many busy practices and providers who are managing newly implemented telehealth technology, and the staffing and safety concerns that come with balancing daily operations and …
Reducing Administrative Burden – Hospitals’ Wish List for CMS
Posted in Health Information Management (HIM)U.S. hospitals have a long list of requests for CMS in helping to reduce administrative burdens that make it difficult for healthcare organizations to maintain profitability during a time of healthcare reform. Earlier this summer, CMS issued a request for information from stakeholders as part of its Patients Over Paperwork project. Looking for input on …
Why ‘Audit’ Isn’t a Four-Letter Word When It Comes to Medical Coding
Posted in Health Information Management (HIM)Just the sound of the word “audit” may leave some leaders feeling uneasy, but the value of an effective medical coding audit strategy can’t be underestimated for healthcare organizations of all sizes and specialties. It not only provides an opportunity to ensure your practice or healthcare organization is following important regulations and guidelines, but it …
AI – Enhancing the Future of Medical Billing & Coding
Posted in Health Information Management (HIM), Healthcare TechnologyThe State of US Hospitals Shrinking profit margins, reducing reimbursement rates and the uncertainties of healthcare reform have made operating a hospital a very risky business. Consolidation of small, rural hospitals into larger system has helped save many struggling hospitals, but others continue to lose money despite their best efforts to cut costs. In fact, …
Strategies for Mastering Two-Sided Risk
Posted in Payer SolutionsPopulation health and the transition to two-sided risk is no easy feat – it’s a monumental shift in the way providers, payers and hospitals think about the delivery of health care. And, while, we all know it’s coming – knowing how to get there and doing it successfully is the real challenge. While most accountable …
Five-Year Growth Explosion Anticipated for Medical Billing Outsourcing
Posted in Health Information Management (HIM), Value-Based CareThe administrative costs associated with medical billing outsourcing within a physician practice are becoming unmanageable for independent and major health system affiliated practices alike. A 2018 research study was conducted by experts at Duke University and Harvard designed to examine the administrative costs specific to large academic medical centers using electronic health record (EHR) technology …