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Essential Guide to Implementing Chronic Care Management
Running a private medical practice can be challenging. Many physicians are stretched thin, balancing the desire to provide high-quality, personalized care with the financial realities of running a small to medium size business. Most physicians feel the pressure to see more patients just to keep up with rising costs, but that can lead to burnout…
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New Codes for Social Determinates of Health for 2024
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Navigating Financial Challenges & Staffing Shortages in Healthcare
As a healthcare provider, you’re well aware of the financial challenges that come with providing quality care to your patients. In recent years, higher costs associated with treatment, increased demand, and staffing shortages have caused many healthcare organizations to look for alternative ways to reduce costs and optimize services.
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How to Get Started With Outsourcing Your Revenue Cycle Processes
Ready to get started with outsourcing your revenue cycle processes? Here’s a step-by-step overview: By taking these steps before beginning work with an outsourcing partner, you can ensure that all expectations are met—and ultimately help streamline the billing process while boosting patient satisfaction in your practice! Want to learn more? Check out our website or…
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Streamline Billing & Improve Patient Satisfaction
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Selecting the Principal Diagnosis
The circumstances of an inpatient’s admission always govern the selection of the principal diagnosis, as defined in the Uniform Hospital Discharge Data Set (UHDDS). The UHDDS defines the principal diagnosis as “the condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.” This definition has…
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Get Ready for these 2023 Procedure Coding Updates
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Use this Handy Chart to Help with Coding Prolonged Services
If you’re confused about which code to use for your Medicare and private payer patients — as well as how best to calculate at what point the service will require a prolonged services add-on code — check out the following chart. Remember: Per the 2023 Medicare Physician Fee Schedule (MPFS) final rule, the Centers for Medicare…
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2022 Ends With a Flurry of HIPAA Policy Activity
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Know Payer Preferences for 2023 New Prolonged Service Codes
CMS, CPT® still split on when you can code for extra time. In the last few years, the Centers for Medicare & Medicaid Services (CMS) has changed how you’ll code prolonged services in more than one way. Things are getting tricky for prolonged service coding. CMS implemented more changes to prolonged service coding with the 2023…