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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.

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 and Management (E&M) guidelines was an additional disruption in the middle of the existing disruption.

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.

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.

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.

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?

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 platforms typically employ these different approaches.