As we enter the fourth quarter of the year and approach 2025, the medical billing industry must stay updated on upcoming policy changes. The Centers for Medicare & Medicaid...
The Centers for Medicare and Medicaid Services (CMS) has released a comprehensive report detailing its enforcement efforts under the No Surprises Act (NSA). Since its implementation, the NSA has...
As a medical billing company, you’re aware of the pressures and complexities of efficiently managing your revenue cycle. The challenges of maintaining cost-effective operations while adapting to regulatory changes...
Clearinghouses, entities that act as intermediaries in the healthcare system, play a crucial role in streamlining the data exchange between healthcare providers and insurance companies. They manage and process...
Medical claim denials are not just a challenge but a significant threat to the financial health of medical practices in the healthcare industry. Understanding and addressing these denials is...
Revenue cycle management (RCM) is a complex system with many moving parts, and expertly managing them all is crucial for any healthcare practice aiming to maintain financial stability and...
Value-based care is transforming how healthcare prioritizes patient outcomes by focusing on the quality rather than the quantity of care delivered. Understanding this shift is crucial for medical billing...
Integrating Artificial Intelligence (AI) into healthcare is not just a trend; it’s a profound shift transforming every facet of the industry. A recent hearing before the U.S. Congress’s Joint...
The proposed American Privacy Rights Act of 2024 could significantly change the healthcare field as we know it. As medical billing professionals, it’s crucial to understand how this legislation,...
The state of independent medical practices is changing rapidly, with challenges intensified by stringent Washington policies, escalating inflation, and constant regulatory updates. During a recent Ways and Means Health...
The healthcare sector is experiencing a significant shift towards outsourcing medical billing and revenue cycle management (RCM). Several pressing challenges and the potential for improved efficiency and profitability drive...
The efficacy of your OB-GYN billing system plays a pivotal role in the financial health and operational efficiency of your practice. In an era where technology evolves rapidly, clinging...
The U.S. Department of Health and Human Services (HHS) has recently enhanced civil rights protections within healthcare, focusing particularly on Artificial Intelligence (AI) and telehealth through the finalization of...
The No Surprises Act (NSA), a crucial piece of legislation aimed at protecting patients from unexpected medical bills, has seen important updates that healthcare providers and insurers must navigate....
In today’s fast-paced healthcare environment, managing the financial aspects of a medical practice can be as demanding as providing patient care itself. Efficient medical billing is not just a necessity—it’s...
Current Procedural Terminology (CPT) codes have been around since 1966, continue to be set by the specialized panel with the American Medical Association, and they aren’t going anywhere. Each...
If you’ve been keeping up with our content on how to effectively tackle the minimum wage problem as a business owner, then you’ve already learned quite a bit. In...
Surprise billing has been a bipartisan focus for the United States government for a couple years. Most Americans support legislation to protect patients from these costly yet often unexpected...
Methods used in the United States to measure quality vary by industry. The country’s food supply, human and veterinary drugs and multiple other products are regulated by the Food...
Nearly 6 months into their work from home experiment, many billing companies are debating whether they ever want to go back to the office.