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Ask front desk staff, billers, or providers which part of the revenue cycle frustrates them most, and prior authorization comes ...
For decades, fee-for-service (FFS) has been the dominant reimbursement model in U.S. healthcare: providers bill for each service they perform, ...
Most discussions about revenue cycle management focus on claims, denials, and collections, the parts of the process that happen after ...
Telehealth use has settled well above pre-pandemic levels, but the billing rules have not settled at all. Between changing federal ...
Claim denials are still one of the most expensive and time-consuming problems in U.S. healthcare. Industry estimates put the cost ...
Most practices do not lose revenue because of one bad decision. They lose it a little at a time: a ...
Every year, the American Medical Association (AMA) updates the Current Procedural Terminology (CPT) code set with new codes, revised descriptors, ...
Anyone who worked in medical billing during the ICD-9 to ICD-10 transition remembers the disruption. The number of diagnosis codes ...
Not long ago, insurance covered most of a typical claim and patients paid a modest copay. High-deductible health plans have ...
When practices think about HIPAA compliance, they usually think of clinical systems first: EHRs, patient portals, and conversations in the ...
