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We stay up to date on the ever-changing insurance market's impacts on your specialty for you...because it's basically a full time job in and of itself.

July 23, 2021

MIPS Overview & How to Avoid the 9% Payment Adjustment:

What is the Merit-based Incentive Payment System? The Merit-based Incentive Payment System (MIPS) is one way to participate in the Quality Payment Program. Under MIPS, CMS evaluates your performance across multiple categories that lead to improved quality and value in the healthcare system. The performance threshold for 2021 is 60 points, which means: A MIPS […]

June 8, 2021

How Does Medical Billing and Coding Increase Cash Flow?

Accurate medical billing and coding are critical aspects of an optimized revenue cycle system. Proper billing and coding are not only necessary in terms of compliance, but are also crucial in reducing claim denials and rejections. When you take a more proactive approach to your billing and coding process, you not only get to prevent […]

June 7, 2021

5 Benefits of Revenue Cycle Management in Healthcare

The revenue cycle begins with the scheduling of an appointment and ends with the payment collected for services rendered. It sounds simple, but there are crucial steps in between that if not performed accurately, may delay payments. And with coding errors, data duplication, or missing information, you may lose revenue that your facility depends on […]

June 2, 2021

Best Practices When Outsourcing Medical Billing

Whether a rural hospital or a surgical center, any healthcare organization’s primary focus is quality patient care, but for your facility to achieve success, you must prioritize financial health too. A healthy revenue cycle can help your facility grow and better serve patients. Outsourcing medical billing can help you achieve the most accurate and efficient […]

May 25, 2021

How Could President Biden’s Healthcare Plan Affect Your Practice?

By implementing the American Rescue Plan, the Biden administration is delivering its promise to bring down healthcare costs. Believing that the people deserve the peace of mind that comes from knowing they can take care of their health without going into debt is the inspiration behind the strengthening of the Affordable Care Act. The plan […]

May 25, 2021

What Value-Based Care Could Mean for Your Facility

A healthcare facility’s revenue is tied to its patient reimbursement model. Any shift you make in the reimbursement process can have a significant impact on your financial health. Providers are now looking into a new healthcare reimbursement model that can streamline healthcare and cut costs called value-based care. This model is based on the quality […]

May 12, 2021

The Top 5 Pandemic-Related Challenges Facing Primary Care Practices

Even before the pandemic, many primary care providers were struggling with unsustainable practice costs and burnout. COVID-19’s disruption of the healthcare delivery system, however, poses additional challenges to primary care. According to a recent survey, facilities must adapt to shifting workflows, implementing new billing and coding practices, and building platforms for telehealth services—all while dealing […]

April 27, 2021

5 Factors to Watch Out for on Your A/R Reports

A/R aging reports help you gauge your facility’s health. They serve as a barometer for measuring your performance—whether you are making money or not. Specifically, your monthly reports show you whether insurance pays your claims on time and if insurance providers pay you accordingly. Your A/R reports also reveal more than just “payments due to […]

April 13, 2021

How Does the American Rescue Plan Impact Your Facility?

The newly enacted American Rescue Plan centers on the ongoing battle against the COVID-19 pandemic and rebuilding the economy amidst the public health crisis. This means that the $1.9 trillion COVID-19 relief plan will impact hospitals and other primary healthcare providers fighting the virus and have implications for health systems, including new coverage policies.  With […]

April 1, 2021

How to Stay Compliant and Increase Your Revenue with COVID Vaccine Medical Billing

The Centers for Medicare & Medicaid Services (CMS) recently increased Medicare’s reimbursement rates for hospitals, pharmacies, physicians, and others for administering COVID-19 vaccines. These changes by CMS are in support of the administration’s efforts to ensure that all Americans can be vaccinated against COVID-19 as soon as possible. The pandemic has certainly resulted in rapid […]