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Why HIPAA Training Doesn’t Work. And How To Fix It

HIPAA, for better or worse, is a part of every healthcare business. It does not matter if your company is a traditional clinic or a cutting-edge AI platform powered by PHI (protected health information). There are different approaches to comply with HIPAA, and organizations as varied as clinics and AI…

Out-of-Network Services: How Will The No Surprises Act Impact Payments?

The No Surprises Act will affect patients and providers alike when it goes into effect. While the outcome is still unknown, the hope is that patients will be relieved of surprise medical bills without a change to providers’ revenue.

Split/Shared Time-Based Billing for the Emergency Department

In split/shared billing, the physician should contribute substantively to taking care of the patient and be permitted to bill for it, even if an NPP participates, too.

Remote Work Propels Electronic Claims Management Adoption

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

CMS physician fee schedule rule cuts payments, expands telehealth reimbursement past 2023

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

9 New Introduction Codes Added to ICD-10-PCS

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.

2022 Claims Reimbursement Updates in Emergency Medicine

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.

Sen. Casey: UnitedHealth has reprocessed more than 1.6M claims for COVID-19 vaccines

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

The Clearinghouse Goldmine

Is your clearinghouse a goldmine? In other words, does your clearinghouse provide the tools and the tech to dig into the revenue cycle, accelerate cash and make your business office more efficient? Well, it should. This is a bold statement indeed but in the following series of blogs I will…

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