Medical malpractice occurs when a medical practitioner causes harm to a patient in their care due to negligence, which can result in serious health repercussions for the patient. Apart from negligence, malpractice can also be attributed to incorrect diagnoses, treatment and aftercare as well as general health management of the patient. The cost for a …
With the rise of technological developments, the patient experience has transformed. Now, it is possible to pay medical bills online and receive medical updates and appointment confirmations via email and text among other features. All in all, this indicates that patient engagement with their doctors and treatment processes in general are at an all-time high. …
The healthcare industry is now coming to terms with the role played by its ‘middlemen.’ This term refers to insurance companies and pharmacy benefit managers or PBMs. At first, these intermediaries were responsible for contacting pharmaceutical manufacturers, collecting medicines and distributing them to hospitals and pharmacies. But now, they have used the advantage of being …
The general rhetoric that surrounds mega-mergers of hospitals and related services is that it will bring many benefits to the patients who utilize these services. The benefits include lower costs for procedures, tests and medication, a significant improvement in customer service, usage of more technologically advanced methods and equipment for treatment, and an overall efficiency. …
From 2018 onwards, the approach to tackle issues within the healthcare industry has become more complex. Up until 2017, all health reform goals were repealed, but this has since changed. Experts at the PricewaterhouseCoopers’ (PwC) Health Research Institute foresee indecisiveness as well as possible risks that are coming for the healthcare industry in 2018. With …
Artificial Intelligence or AI with reference to healthcare systems means calculating and predicting the human condition using various software and algorithms, removing the need for human interaction. The goal for AI in healthcare is mostly to prevent and treat various conditions while keeping track of the patient’s response. There are various AI programs that have …
If you are witnessing revenue losses due to coding mistakes, SybridMD might just have a solution for you. At SybridMD, you will be able to find world-class coding solutions designed for small physician offices to large multi-specialty hospitals. Only recently, SybridMD has launched its medical coding service which works to ensure a rapid workflow with …
An MUE or a Medically Unlikely Edit is applied to medical claims as procedure dictates a limit on the number of medical services that can be availed by a person during a specific time. Upon exceeding the limit, an MUE is automatically generated. The limit is placed on service units per current procedural terminology or …
Prior authorization or pre-authorization is a process that involves a patient’s physician performing a check on whether their health care plan is covering a particular service that they are asking for. This procedure is usually undertaken when dealing with expensive treatments to verify insurance services. Unfortunately, the verification process can sometimes take very long and …
Blockchains refer to an expanding system of data collection guarded with cryptography. Resistant to modification, they contain various sets of information or blocks, each of which has a link to its predecessor. This method of recording data is usually done to store transaction details. The interesting thing to note about blockchains is that although it …