As we move deeper into 2025, the healthcare landscape continues to shift toward collaboration and consolidation, making group practice billing more critical than ever. Group practices—whether multi-specialty or single-specialty—are on the rise, and with that growth comes a need for smarter, scalable revenue cycle strategies. Group practice billing isn’t just about managing a higher claim […]
The economic fallout of COVID-19 may accelerate acquisitions of independent practices unless practice leaders consider new, but not necessarily novel, ways of doing business. “The jury is out, but COVID is probably going to exacerbate larger systems buying up independent practices because a lot of folks just aren’t going to be able to weather the […]
Federal Register announced in their notice that a 1-year extension of the Medicare Prior Authorization Model for Repetitive Scheduled Non-Emergent Ambulance Transport. The extension of this model is applicable in certain states only. Earlier in those states, ambulance suppliers must obtain prior authorization from Medicare before providing scheduled, non-emergency ambulance transportation. These states are: Delaware […]
According to some sources, patients are now the third-largest payer group in the US behind Medicare and Medicaid. So, now is not the time to let those amounts due slide! One of the best ways to capture those amounts due is by avoiding surprises on the part of the patient by letting them know right […]
Quantifying Cognitive Labor This is the most important of the three key components because the Medical Decision-Making (MDM) reflects the intensity of the cognitive labor performed by the physician. There are four levels of MDM of incrementally increasing complexity Straightforward; Low Complexity; Moderate Complexity; and High Complexity. Physicians must stratify the MDM into one of […]
A patient over Paperwork (POP) Initiative Through ‘Patients over Paperwork,’ CMS established an internal process to evaluate and streamline regulations with a goal to reduce unnecessary burden, increase efficiencies, and to improve the beneficiary experience. As part of the Patients over Paperwork Initiative, Medicare is simplifying documentation requirements so that providers spend less time on […]
A vital undertaking of any medical facility large or small – independent or outpatient is to track or check the claim status of a patient’s health cover. With having the knowledge of the claim status many healthcare units face revenue leakages, which in turn pushes them towards winding up their businesses (healthcare facility). How can […]
Providing people with health insurance improves access to care by reducing financial barriers, which are most evident at the point of care — that is when people try to get health care services. For decades, government plans such as Medicare and Medicaid have typically paid doctors and hospitals less than private plans, and even less […]
Patient Engagement is an invitation for participation with shared decision-making and to create a take on aspects of communication-channels which will provide the patients the benefit of managing their own health under the care of physicians or with the member of the healthcare team. An activated or engaged patient will provide the healthcare system with […]
Accurate medical billing is important to achieve sustainable success for your medical practice. When centers lack in training their in-house coders, compliance is threatened. Below mentioned are the facts that you should know: According to several reports, up to 85 percent of medical bills contain coding mistakes resulting in $70 billion in estimated losses. 45 […]
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