Life is unpredictable, you never know when you will come across a sudden illness or physical damage that will leave you in a puddle of debt. In fact, according to Forbes, in 2021, 50% of Americans carried a medical debt, and 57% owed a minimum of $1000. The percentage now has risen to 58% as … Read more
A risk adjustment factor score (RAF score) is the score that is assigned to every patient in a risk adjustment payment model. RAF score can be calculated by taking multiple factors into account which can be a combination of disease risk score and demographic risk score that are normally called Hierarchical Condition Category HCC. This … Read more
When it is all about the financial health of your revenue management cycle and practice, clinical documentation might not be a compelling topic to care about. But when it comes to optimal patient care, it is the heart of practices for generating revenues from registered payers. However, clinical documentation does not limit itself just to … Read more
August 1st is the day when the world observes World Lung Cancer Day with an aim of taking part in the prevention of this fatal disease. People around the world with lung cancer celebrate the day with a profound belief that they will be cured one day. World Lung Cancer Day 2022 is an important … Read more
Medical history has been dealing with ICD- 9 until gradual changes in coding and catering to health issues using specific codes. Since ICD-10 has been introduced, medical billers and coders need to meet a range of new concepts and guidelines to deal with the difference between initial sequela vs subsequent encounter classification of codes for … Read more
In the healthcare sector, there are many ways to apply compliance for the patient. Most of the healthcare providers and organizations think that compliance with the guidelines and the policies provided by the government, and in the case of private providers, compliance with the payers is necessary. Another significant area in terms of concern is … Read more
Accurate billing has been one of the essential parts of optimized practice management. The importance of using standard codes cannot be overstated. Oftentimes when your practice is performing at its best, you don’t want to get stuck in the billing ventures that may delay the RCM. Particularly, one of the coding and billing sides in … Read more
Correct coding for any practice is necessary for everything. No matter what you are coding for, using the standard procedure of adding CPT codes designated for the specific health condition is necessary for on-time reimbursement. When you are coding for multiple services you rendered after an accident, how and when coding multiple wound repairs in … Read more
Who doesn’t know the purpose of ambulances? Ambulance service providers are covered with the ambulance service in cases where the patient could not access any other means of transportation and waiting for the availability of a personal vehicle can put the life or health of the patient in danger. As it is said that the … Read more
Credentialing is one of the essential processes for providers to get the permit to work and serve the patients of their practice. It is a systematic approach by which providers are authorized and verified. Providers are credentialed just not for their qualifications but for licensing, certification, training, and registration. But what is CAQH credentialing and … Read more