Blogs

Why the Change Attack Is a Reason to Consider Refreshing Medical Billing Strategies

The Change Healthcare cyber attack has left providers dealing with delayed payments and increased ...

Revisiting Payer Contract Review for Success in 2024

Healthcare providers should constantly be reviewing and assessing the performance of their payer ...

Hospital Billing Is Changing – And Hospital Revenue Cycle Outsourcing Is the Popular Answer

Hospital billing has been through a whirlwind of change in recent years, leaving hospital revenue ...

Denial Management Just Got Even Harder – And it Might Be Time to Rethink Your Revenue Cycle Management Services

Denial management – the full process of identifying denied claims, reviewing, resolving them, and ...

Home Health Billing Alert: CMS Calls for Comments on Home Health Aide Utilization

Home health aide visits have been plummeting in recent years, and the Centers for Medicare & ...

Why Self Audits Are One of the Most Valuable Medical Coding Audits

Medical coding audits are critical to a healthy revenue cycle, but with all the options, it is ...

Risk Adjustment Reviews are Your Key to Success in Value Based Contracts

Retrospective reviews of risk adjustment coding are foundational to the financial health and ...

5 Signs Your Organization is Struggling with OASIS Coding

OASIS-E went into effect January 1, 2023, putting providers under pressure to keep up. While many ...

4 Ways to Refresh Your Hospital Accounts Receivable Processes

If you’re planning on going into 2024 with the same medical billing accounts receivable processes ...

8 Signs You Should Invest in a Medical Coding Audit before 2024

All the change in healthcare over the recent years has unfortunately meant new opportunities for ...

Why Medicare Advantage Plans and ACOs Need Experienced Vendors to Prepare for CMS-HCC Version 28

Medicare Advantage (MA) plans and Accountable Care Organizations (ACOs) should be reevaluating ...

The Helping Kids Cope Act Means a Fresh Look at Pediatric Billing and Working with Pediatric Medical Billing Companies

Finding new opportunities for pediatric billing is critical to maintaining the health of pediatric ...

What the Texas Itemized Bill Law Means for Physician Billing Services

“As goes Texas, so goes the nation”. This saying is something anyone responsible for physician ...
Home Health Billing Fraud Study

Home Health Billing Fraud Study Sheds Light on Growing Problem

Providers who outsource home health billing see multiple benefits, but one of the most important ...
Hospital Billing Outsource Strategy

Changed Your Service Lines? It’s Time to Rethink Your Hospital Billing Outsource Strategy

In the wake of COVID, budget crunches, and labor shortages, many hospitals and health systems have ...
Physician Medical Billing Is Critical to Practice Health

Why A New Look at Physician Medical Billing Is Critical to Practice Health

Challenges in physician medical billing have changed.  From the impact of a pandemic, to shifts in ...
CFPB Medical Billing

CFPB Medical Billing Changes Mean a Need to Focus on Insurance

Government actions often mean that providers need to adjust how they address medical billing – ...
Medical Billing Denials and Appeals of Marketplace Plans

Medical Billing Denials and Appeals of Marketplace Plans: A Summary of Recent Data

Medical billing denials have been more challenging ever since the launch of the Affordable Care ...
Revenue Cycle management Services

Medicaid Disenrollment Means Providers Should Rethink Revenue Cycle Management Services

Medicaid unwinding has been a critical topic around revenue cycle management services for months ...
Home Health Coding Changes under the Home Health Final Rule

Home Health Coding Changes under the Home Health Final Rule

After much speculation, CMS has released the 2023 Home Health Final Rule (HHFR). It includes ...
Pediatric Medicine’s Struggle with Labor Shortages and Other Limitations

Pediatric Medicine’s Struggle with Labor Shortages and Other Limitations

Pediatric medicine supports some of the most vulnerable members of society. This makes shortages ...
Medical Billing and Coding

Patients are Tired of Errors in Medical Billing and Coding

As patient consumerization takes further hold, the impact of decisions in medical billing is ...
2023 Revenue Cycle KPIs to Address Challenges from Denials in Medical Billing and Beyond

2023 Revenue Cycle KPIs to Address Challenges from Denials in Medical Billing and Beyond

Healthcare provider finance is moving into an entirely new era. As margins continue to be, ...
What the End of the Public Health Emergency Means for Home Health Billing

What the End of the Public Health Emergency Means for Home Health Billing

The COVID-19 Public Health Emergency (PHE) is ending as of May 11, 2023, and home health billing ...
Hospitals Are Shifting to Outpatient Services What This Means for the Hospital Revenue Cycle

Hospitals Are Shifting to Outpatient Services: What This Means for the Hospital Revenue Cycle

You can expect major changes to hospital billing this year thanks to the pandemic and shifts in ...
Biggest Risks in Physician Billing in 2023

Biggest Risks in Physician Billing in 2023

Physician billing companies know a secret – keeping on top of risks in physician billing services ...
News in Medical Billing and Coding Services: Surprise Billing Ruled Illegal Again

News in Medical Billing and Coding Services: Surprise Billing Ruled Illegal Again

The No Surprises Act is in the news yet again to start off 2023, promising more disruption for ...
Tips for Pediatric Billing and Coding in 2023

Tips for Pediatric Billing and Coding in 2023

As 2023 kicks off, now is a great time for pediatric revenue cycle leaders to take a step back and ...
2023 Trends in Home Health Billing

2023 Trends in Home Health Billing

2023 is shaping up to be a year of change for home health billing and home health coding. This ...
Are You Moving Too Early on AI in Medical Coding Services?

Are You Moving Too Early on AI in Medical Coding Services?

Artificial Intelligence (AI) solutions have been hyped up in everything from customer service to ...
How to Reduce the Cost to Collect in Hospital Revenue Cycle Management

How to Reduce the Cost to Collect in Hospital Revenue Cycle Management

One of the key elements in hospital revenue cycle management success is getting a handle on cost ...
Home Health Billing Update: The OASIS-E Launch is Coming

Home Health Billing Update: The OASIS-E Launch is Coming

If you’re preparing for home health billing and home health coding strategy updates in 2023, now ...
Accounts Receivable Management Tips for Healthcare: It’s Time to Standardize Your Metrics for Denial Management

Accounts Receivable Management Tips for Healthcare: It’s Time to Standardize Your Metrics for Denial Management

Claim denial rates are still a major concern for accounts receivable management in 2022. For ...
Cybersecurity and Medical Billing and Coding Services: What You Need to Know Today

Cybersecurity and Medical Billing and Coding Services: What You Need to Know Today

Cybersecurity might not be the first thing you think of when you think of medical billing ...
Urgent Care Billing Updates for 2022

Urgent Care Billing Updates for 2022

Urgent care billing and urgent care coding are going through a period of change, and revenue cycle ...
Telehealth Billing Update for Medical Billing Solutions in 2022

Telehealth Billing Update for Medical Billing Solutions in 2022

The COVID-19 pandemic has been a boon for telehealth, pushing much of the industry to move forward ...
What the Potential Cut to Medicare Home Health Payments Means for Home Health Billing

What the Potential Cut to Medicare Home Health Payments Means for Home Health Billing

Home health companies will want to pay attention to recent news coming from the White House. This ...
2022 Hospital Revenue Cycle Outsourcing Update

2022 Hospital Revenue Cycle Outsourcing Update

With the challenges hospital leaders are facing today, hospital revenue cycle outsourcing should ...
Social Determinants of Health and Medical Billing: What Healthcare Leaders Need to Know Today

Social Determinants of Health and Medical Billing: What Healthcare Leaders Need to Know Today

Social determinants of health (SDOH) are an important concept in healthcare and, recently, their ...
Providers Aren’t Happy About the Price Transparency Rule. Here’s What That Means in 2022.

Providers Aren’t Happy About the Price Transparency Rule. Here’s What That Means in 2022.

The CMS hospital price transparency rule is up and running, and hospital revenue cycle management ...
Is GPS Tracking Over for EVV and Home Health Billing?

Is GPS Tracking Over for EVV and Home Health Billing?

Congress is considering changes that could halt the electronic visit verification (EVV) process, ...
A 2022 Healthcare Denial Management Update

A 2022 Healthcare Denial Management Update

Healthcare denial management is always challenging, to the point that many providers work with a ...
How To Run a Remote Hospital Revenue Cycle Management Team

How To Run a Remote Hospital Revenue Cycle Management Team

While many organizations were figuring out how to go remote during the pandemic, healthcare ...
New Developments in the Surprise Billing Rule: Is it Time to Rethink Your Medical Billing Services?

New Developments in the Surprise Billing Rule: Is it Time to Rethink Your Medical Billing Services?

The Surprising Billing Rule is nothing new, but thanks to a judge’s recent ruling, it might be a ...
3Gen's Physician Billing Services

Incident-To Billing Introduction and Update: How it Impacts Physician Billing Services

Anyone considering physician billing services to address challenges with physician assistant “PA ...
5 Signs it’s Time to Consider Working with a Home Health Billing Company

5 Signs it’s Time to Consider Working with a Home Health Billing Company

Home health billing is getting more complex every day. This complexity not only puts a strain on ...
3 Things to Know About Hospital Revenue Cycle Management Labor and Hospital Billing Services in 2022

3 Things to Know About Hospital Revenue Cycle Management Labor and Hospital Billing Services in 2022

Healthcare has been experiencing unprecedented labor challenges since the beginning of the COVID ...
The Hospital at Home Program Is Having Challenges: What Does this Mean for Hospital Billing Services?

The Hospital at Home Program Is Having Challenges: What Does this Mean for Hospital Billing Services?

We’ve discussed the Hospital at Home program and its impact on hospital revenue cycle management ...
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