Chris Reese

Medical billing and coding are the backbone of the healthcare revenue cycle, ensuring payers and patients reimburse providers for services delivered.

The COVID-19 pandemic has caused a host of problems for medical practices, with staffing challenges being the latest one. Like many businesses, practices have struggled to find qualified staff as people have left the workforce or found higher paying positions.

One year after the hospital price transparency rule went into effect, 85 percent of hospitals are still not complying with the federal requirements to publicly post prices for services.

Next CLFS Data Reporting Period for Clinical Diagnostic Laboratory Tests – DELAYED.

On December 10, 2021, the “Protecting Medicare and American Farmers from Sequester Cuts Act” (S. 610) was passed and delayed the reporting requirement under Section 1834A of the Act and also delayed the application of the 15% phase-in reduction.

One in four Americans hold vision coverage with VSP. With so many patients using the program, it’s critical to have credentials in place. How can vision providers ensure they are properly enrolled with the nation’s largest payer?

Electronic claims management adoption increased by an average of 2.3 percentage points as healthcare providers shifted to remote work environments, CAQH reports.

The Biden administration will extend Medicare reimbursement to physicians for certain telehealth services through the end of 2023.

Effective April 1, 2022, hospitals will have nine new procedure codes to describe the introduction or infusion of therapeutics, including the additional COVID-19 vaccines.

Emergency medicine is facing a host of claims reimbursement updates this year, from looming Medicare payment cuts to new rules about split and critical care visits.

UnitedHealthcare has reprocessed more than 1.6 million claims for COVID-19 vaccines, reimbursing providers for underpayments that stirred controversy late last year.