News Blog posts

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 […]

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 […]

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 […]

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 […]

By Allison Bloom, Director of Coding Operations, and Lisa Messina, Corporate Compliance Officer, FQHC Division of Coronis Health The COVID pandemic has had tremendous emergent impact upon medical care, testing, and supplies. In response, the AMA’s CPT Editorial Panel has had to rapidly create and establish new CPT codes for COVID reporting, tracking, and analysis […]

The American Hospital Association (AHA) surveyed more than 200 hospitals and health systems in 2019 to explore how commercial health plans employed utilization management practices for patients and providers. AHA found that 89% of the respondents have experienced an increase in claims denials over the past three years. 51% of them even described such increase […]

For decades, healthcare providers have voiced their issues with the growing amount of data entry required for Evaluation and Management (E/M) visits. Some have even complained about spending twice as much time on the documentation process related to caring for patients. For the first time in almost 30 years, the Centers for Medicare & Medicaid […]

Now that we have approved and recommended COVID-19 vaccines (Pfizer-BioNTech and Moderna), it’s time to execute the correct medical billing and coding strategy to sustain the country’s vaccination efforts properly. These medical codes were nonexistent a year ago. Still, since we face a global pandemic, healthcare practitioners must quickly adapt to these new guidelines to […]

The Centers for Medicare & Medicaid Services (CMS) aims to reduce the burden placed on physicians required to adhere to the current coding system and reward them accordingly for their time spent managing and evaluating patients. In the final rule, the CMS makes several changes to streamline reporting processes. This rule affects office and patient […]

Expanding your services to include telehealth may seem like a challenging endeavor, but this new provision and management of medical care provides a sound solution to improving the rural communities’ access to quality healthcare. Using telehealth in rural areas can help reduce the difficulties patients usually encounter, such as distance, travel time, and transportation issues. […]