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Healthcare IT Blog

Healthcare Blog

The latest in all things RCM, Electronic Health Records, Radiology Information Systems, Practice Management, Medical Billing, Value-Based Care, & Healthcare IT.

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Medical Billing / RCM | RCM

By: Stephen O'Connor
April 2nd, 2024

Pain is a ubiquitous symptom stemming from a diverse array of disorders, conditions, diseases, and injuries, affecting virtually everyone at some point in their lives—whether enduring it briefly (acute pain) or persisting for extended periods (chronic pain). Consequently, effective pain management billing services stand as a crucial pillar of Revenue Cycle Management (RCM). However, navigating the realm of medical billing for pain management presents notable challenges due to prevalent errors. Accurate medical billing not only streamlines administrative processes but also significantly contributes to the success of healthcare practices.

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Medical Billing / RCM

By: Stephen O'Connor
March 26th, 2024

Pain management encompasses a diverse array of treatments tailored to the specific disease or disorder, the type and location of pain, and the individual patient's needs. Coding these procedures accurately requires a solid understanding of medical terminology, coding guidelines, and familiarity with the nuances of pain management CPT codes. In this guide, we'll explore various aspects of pain management coding, including category codes, updates for 2024, common CPT codes, chronic care management, complex care management, and best practices for accurate coding.

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The Importance of Patient Engagement: Why They - And You - Need It

Learn why patient engagement is a necessity and how you can master it within your practice.

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Medical Billing / RCM

By: Stephen O'Connor
March 19th, 2024

Efficient billing and coding practices are imperative for healthcare providers specializing in pain management procedures. Complementing the Local Coverage Determination (LCD) for Pain Management, adherence to coding information, documentation requirements, and utilization guidelines is essential for ensuring optimal reimbursement and regulatory compliance.

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Medical Billing / RCM

By: Stephen O'Connor
March 13th, 2024

Billing and coding for medical procedures can be a complex maze to navigate, especially when it comes to complying with specific coverage determinations.

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Medical Billing / RCM

By: Marc Klar
February 27th, 2024

Choosing the right healthcare revenue cycle management (RCM) software is a critical decision that can significantly impact the financial health and operational efficiency of your organization. To ensure you make an informed choice, we've compiled a comprehensive checklist to guide you through the process of finding the best RCM software, with a special focus on the advanced solutions offered by Advanced Data Systems Corp (ADSC).

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Medical Billing / RCM

By: Gene Spirito, MBA
February 20th, 2024

In the intricate world of healthcare administration, revenue cycle management (RCM) stands as a critical process that ensures financial stability and operational efficiency for healthcare providers. As the landscape evolves, many healthcare organizations are considering outsourcing RCM services to streamline operations and enhance profitability. However, like any strategic decision, outsourcing RCM comes with its own set of pros and cons that necessitate careful consideration.

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Medical Billing / RCM

By: Gene Spirito, MBA
May 18th, 2023

Healthcare practice owners and managers are reviewing their budgets and projections amid signs of emerging financial challenges they expect to endure during a slumping economy. Medical organizations that have been taking their billing software and services for granted will be paying closer attention to changes they can make to maintain their bottom line.

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Medical Billing / RCM

By: Christina Rosario
April 26th, 2023

While medical professionals such as nurses and doctors are typically focused on the physical health of their patients, they also need to take into account people’s mental state as part of their overall well-being.

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Medical Billing / RCM

By: Gene Spirito, MBA
April 13th, 2023

When your medical office was just starting up, it made sense to handle all billing internally. But as your enterprise grows in size and perhaps in scope, too, you might find that inefficiencies are creeping into the workflow. Or, perhaps your staff is finding it difficult to stay on top of code changes and updates to billing protocols.

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Medical Billing / RCM

By: Marc Klar
March 23rd, 2023

The Feel Good Nostalgia: MIPS is the Merit-based Incentive Payment System, a CMS initiative that determines Medicare payment adjustments to eligible providers based on the provider’s overall MIPS performance score. The provider’s MIPS score determines the provider’s reimbursement bonus, reimbursement penalty, or if the provider remains neutral (no bonus or penalty).