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The BPCI Advanced Clinical Episodes, Prices

CMS is going to make key changes to Bundled Payments for Care Improvement (BPCI) Advanced next year to stop the model from generating financial losses of close to $2 billion over the model’s ten...

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Optimize Patient Payment Collections during Pandemic

Improving your patient payment collection during a pandemic should be your top priority in your financial plan this year. You may think why to focus on patient collection, because with half of the...

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The Evolution of Interoperability in Healthcare

The evolution of technology has helped it maintain and simplify interoperability and patient data sharing over the last 40 years. The increased number of multiple, implemented IT systems since the...

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Strategies to Advance Value-Based Care

Health insurers are struggling to get success in a value-based care reimbursement model. This may benefit from population health management, patient engagement, and healthcare delivery reform. When...

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How to keep your independent practice strong during COVID-19?

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...

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Are you billing for Telemedicine?

Due to a surge in patients due to COVID-19, billing for telemedicine can be complicated. Telemedicine is changing almost every day due to the coronavirus pandemic, which makes your team hard to keep up...

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Pandemic Growth and Retraction of Telehealth Use

We have been hearing about the surge of telehealth use and telehealth adopted by patients during the Coronavirus pandemic. Few sources identified that this increase was 8000 percent from last year....

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Value-Based Reimbursement in Behavioral Health

Value-based care is also known as accountable care. A value-based care system is focused on getting value from quality services. Value-based healthcare is a payment system that rewards healthcare...

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Telehealth is the future of Healthcare in the U.S.?

Before the coronavirus pandemic outbreak, telehealth was a part of the standard delivery of care in the U.S. but used very rarely. By end of April 2020, telehealth visits had hit the roof to nearly one...

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Chiropractic Coding: CPT Codes 98940-98942

Overview of Coverage Requirements The coverage of chiropractic services is precisely limited to treatment by means of manual manipulation (i.e., by use of the hands) of the spine to correct a...

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Effective Cost-of-Care Conversations with Patients

Patients face significant financial side impact from their care when their out-of-pocket cost is high. To release the financial burden of patients, providers have to keep proactive communication and...

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When will elective surgeries resume?

States are starting to release restrictions on elective surgeries for hospitals. Across the U.S. hospitals have begun to plan when and how they will resume elective procedures. Many states from the...

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COVID-19 – CPT Codes for Multi-Virus Tests

Oct 7, 2020, the American Medical Association (AMA) published an update to the Current Procedural Terminology (CPT®) code set that includes new code additions and editorial revisions for reporting...

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Use of Modifiers 54, 55, and 56

Using Modifiers, the service or procedure can be altered by some specific conditions but has not been changed in definition or code. The intention of modifiers is to give more specific information...

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Uninsured COVID-19 Patients with Limited Reimbursement

According to a recent report from the Kaiser Family Foundation (KFF), a program intended to balance the costs of uninsured COVID-19 patients during the coronavirus emergency has paid out limited...

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Importance of Artificial Intelligence in Eye Care (Part 1)

In the near future, eye care providers will have devices that, give a picture of a patient’s retina, can tell us the detailed diagnosis at the touch of a button. AI will play an increasingly...

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Importance of Artificial Intelligence in Eye Care (Part 2)

How AI can change eye care? In the near future, AI will play an increasingly helpful role in many points within the chain of prevention, diagnosis, and treatment of ophthalmic disease. One of the most...

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11 new services to the Medicare telehealth services

CMS updated the Medicare telehealth services list on Oct 14 with 11 new services to qualifying the services for Medicare reimbursement through the coronavirus pandemic emergency. The added new...

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Impact of COVID-19 pandemic on Orthopedics

COVID-19 has impacted the day to day life of people, businesses, manufacturers, and even the healthcare industry. COVID-19 pandemic has also affected the orthopedics field by which doctors are not...

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Use these 3 techniques for effective medical billing process

Medical billing and coding are a vital aspect of your practice operations, but for small and medium-size independent practices, it’s often one of the most overlooked aspects. There can be a situation...

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