After working with many AdvancedMD clients over the past four years it is painfully apparent that a great deal of time is spent on payment denial resolution (PDR). There has to be a better way to manage your workflow, right? Let me offer a couple of suggestions.
AMA has published updates to Evaluation & Management (E/M) codes for 2023 and this time the focus is primarily on inpatient services. As a recap of changes in recent years, in 2021 we saw a significant change in the way records for office visits are coded.
Things are tough out there for labs and other healthcare organizations. Reimbursements have been declining. The inflation rate and expenses are rising. And finding and keeping staff can be a full-time job. It all adds up to a perfect storm that makes reimbursements – whether from insurers or patients – harder to obtain. The financial … Continued
Healthcare, like any other business, connects directly with its customers to inquire about and collect unpaid amounts. Now that the number of physicians and their services is increasing rapidly with the increase in patient influx, healthcare practices find it really difficult to follow up on huge chunks of unpaid revenue due from both patients and … Continued
The front office staff shortage is here to stay. Learn how to address it by reading this blog. The healthcare industry has a retention problem, and it’s not unique to clinical staff. Between long hours, overloaded schedules, inefficient workflows and the challenges of the pandemic, front-office staff are burned out. In fact, a survey from … Continued
Disclaimer: This blog article was written by an AdvancedMD partner. The views and opinions expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of AdvancedMD. Healthcare prior authorizations, or preauthorizations, are a must-have for all medical organizations and practices. They require physicians to obtain proper … Continued
According to a 2021 U.S. Bank healthcare payments insight report*, 46% of respondents feel healthcare to be the industry with the most difficult process of making a payment. Another jarring statistic cited of consumer perception is 68%* somewhat or strongly feel healthcare payment methods lag in innovation. Payment processing has become frictionless in nearly every … Continued
We have been working on this release for months and are thrilled showcase so many new AdvancedMD features and products.
Healthcare credentialing is a very time consuming process. It constitutes several complex steps that must be done the right way or could result in huge financial losses. Not just that, there could also be other legal complications that could put the entire healthcare organization in jeopardy. Processes like enrollment, compliance, planning, and such must be … Continued
The Founda Health platform empowers providers, digital health solutions, IT teams and payers via a scalable API infrastructure for healthcare. Integrating e-health solutions with practices is complex and takes enormous amounts of time and resources. With Founda, the platform capabilities enable building outside-in, compliant with prevailing healthcare standards and security norms. A single reusable connection: … Continued
With the increasing number of insurance plans, healthcare providers are driven to increasing accuracy in their health insurance eligibility verification process. As it has become a necessity, failing to attain proper eligibility verification can lead to unpaid and delayed claims. This will in turn effect the revenue cycle, thereby impacting the profitability of the healthcare … Continued
With the increasing news of patients failing to pay their medical bills, pressuring them for payment may actually result in fewer dollars and referrals received—as contrary as that may sound. But there is a counter force that demonstrates a higher reimbursement rate and an improved bottom line with start-to-finish patient satisfaction. The news on medical … Continued
Jed Shay, MD
The Pain Care Center
Keith Berkowitz, MD
Center for Balanced Health
Estaban Lavato, MD
La Loma Medical Center
Raju Raval, MD
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