What Is a Healthcare Clearinghouse?...
What Is a Healthcare Clearinghouse?
A medical billing clearinghouse simplifies and streamlines the healthcare billing process by acting as an intermediary between providers and insurance companies....
A medical billing clearinghouse simplifies and streamlines the healthcare billing process by acting as an intermediary between providers and insurance companies....
The transition to ICD-10 forced many healthcare organizations to take a long, hard look at their claim processing practices. While that...
Value-Based Care (VBC) is a healthcare delivery model that prioritizes patient health outcomes and rewards providers for improving quality and reducing costs rather than the...
Although the EHR adoption rate has more than doubled over the past decade, significantly bolstered by passage of the HITECH...
EHRs provide physicians with many benefits; however, there are also compliance risks inherent in the technology. Physicians must be aware of these risks and take steps to address them, said Sandy...
If you find an overpayment, don’t expect to keep it. That’s because physicians must report and repay Medicare overpayments within 60 days of identifying them, according to a final rule that took...
Modifier 25 is a critical component in medical billing, allowing providers to report significant, separately identifiable Evaluation and Management (E/M) services performed on the same day as another...
Many practices are struggling to do more with less revenue, due in part to changes in the Affordable Care Act, shifts in reimbursement models, and an increase in consumerism in the health care...
‘Denial’ and ‘rejection’ are two words that no physician wants to hear. Yet, the unfortunate reality is that many physician practices lose money every day to claims that fail to meet payer...
MIPS or Merit-Based Incentive Payment System is a program that falls under the Quality Payment Program (QPP) and incentivizes eligible...
After years of physician payment cuts based on a flawed Medicare sustainable growth rate, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) establishes two payment tracks...
It’s a fact: Without an effective—and efficient—revenue cycle, physician practices cannot weather the storm of ongoing reimbursement changes in today’s healthcare environment. ICD-10, for example,...