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Consumer Financial Protection Bureau examines pitfalls in US medical billing

The U.S. medical billing system allows room for common mistakes and has barriers to them getting resolved, a new report by the Consumer Financial Protection Bureau (CFPB) has revealed.

How Did the 2021 E&M Guidelines Impact your Coding?

Validating the shift to higher office visit levels and the impact of the 2021 E&M guidelines. Between 2019 and the end of 2021, a lot changed. Not only did the COVID-19 pandemic impact the way in which physicians and hospitals saw patients, but the introduction of the new 2021 Evaluation…

Primary care physician turnover costs payers almost $1B every year, study finds

Turnover among primary care physicians cost public and private payers $979 million annually, according to a new American Medical Association-backed study published in Mayo Clinic Proceedings.

Exploring the Fundamentals of Medical Billing and Coding

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

MGMA: Practices still struggling with staffing challenges

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.

Only 14% of Hospitals Met Price Transparency Rule Compliance

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.

Anthem Relies on Flexible Partner-Not-Build Strategy in Shift to Value

It's a capital-efficient way to achieve growth without being pigeonholed into one strategy, and differs from the value-based blueprints of peers UnitedHealth and Humana.

PAMA Regulations IMPORTANT UPDATE

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…

VSP: Strategies for Enrolling with the Nation’s Largest Vision Payer

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?

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