A must-have for insurance reimbursement, medical coding has been around for over fifty years and has only grown in importance. It’s the way orthopedists define and justify a patient’s level […]

As of January 1, 2021, there will be coding changes taking place across the board. From CPT codes in telehealth to ICD-10-CM codes for COVID-19-related issues to MS-DRGs, changes are […]

As a standard insurance payer requirement, medical coding has been around for over fifty years. It has grown in importance as the way radiologists define and justify a patient’s level […]

Today, like many specialties, sleep medicine is faced with falling revenue as insurance company guidelines chip away at the reimbursement you earn when treating patients. To complicate things further, sleep […]

While electronic prior authorization standards are a great idea, in theory, they have been much more illusory in practice. Insurance payers have developed their processes independently and have been reluctant […]

One question that comes up a lot is how to fill out prior authorization forms for the various insurance payers. Until there is one standardized process that is, hopefully, mandated […]

A large orthopedic group on the east coast with over 70 providers at 11 locations provides orthopedic, imaging, rehabilitative, pain management, and primary care services. They offer various studies at […]

In healthcare reimbursement, the first and most critical step is collecting patient demographic and insurance information and verifying that those benefits are indeed available to the patient. Whether care is […]

When you use your local ATM or the self-checkout at the grocery, you realize that automation has been a part of our existence for many years, and deploying its use […]

Industry-wide, hospitals are impacted by an onslaught of changing governmental regulations, insurance payer modifications, and transitioning patient expectations. Our evaluation of the revenue cycle management (RCM) process points to four […]