Around 14% of patients discharged from hospitals are readmitted within 30 days, and it costs U.S. taxpayers more than $52.4 billion per year to care for the readmitted patients. The U.S. Centers for Medicare and Medicaid Service (CMS) has implemented several programs to reduce the readmission rate of Medicare beneficiaries. Transitional Care Management (TCM) is […]
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Have you ever wondered how other practices achieved their current revenue growth? Well, they all have one thing in common – an efficient billing process. As the fourth most populated state in the country, New York has over 261 active hospitals. However, complex insurance regulations, high workload, increased scrutiny from payers, and, most importantly, a
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Mental health conditions like depression, anxiety, personality disorders, PTSD, and ADHD are among the most common health conditions in the USA. Nearly every 1 in 4 U.S. adults, or 58.7 million people in the country, are living with a mental health condition or disorder. While patients can access mental health services in person, online, or
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Terminally ill patients often rely on hospices to manage their pain and symptoms. However, a day or two in such facilities can cost hundreds of dollars. Therefore, around 1.7 million US citizens are enrolled in Medicare’s hospice program each year to receive affordable end-of-life care. So, how do hospices receive reimbursements? Hospice care specialists use
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A report published by the American Academy of Home Care Medicine revealed that nearly 6.5 million people in the USA are affected by chronic wounds each year, and a vast majority of them are senior citizens aged 65 and above. Chronic wounds are caused by conditions like diabetes, pressure ulcers, and foot ulcers and require
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Are you tired of dealing with DME’s insurance coverage complications? Outsourcing might be your best bet for tackling billing problems! Durable medical equipment (DME) is listed under the products or supplies category and has different billing requirements, including coding and insurance coverage, than other medical services. Unfortunately, DME billing is a primary target for fraud,
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How confident are you about using the right DME codes? We all know that proper coding can save you from payment delays. But did you know that durable medical equipment (DME) is usually covered by the Healthcare Common Procedure Coding System (HCPCS) instead of CPT codes? DMEs are primarily covered by HCPCS’ level II codes
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The U.S. Centers for Disease Control and Prevention (CDC) reports that 11 million Americans over the age of 12 need vision correction. In another report, the CDC found that cataract is the leading cause of blindness in the USA, and around 20.5 million Americans aged 40 and above have cataracts in one or both eyes.
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California is the second-best state in the USA for medical billing businesses. According to IBISWorld, around 347 medical billing companies are operating in The Golden State. Hence, it makes sense for Los Angeles, the most populous city in California, to be the chosen destination for medical billing companies. To add more context, California is also
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Are you overwhelmed with the complexities of cardiology billing? Pittsburgh, known for its strong cardiology sector, houses some of the best facilities and professionals, such as UPMC Heart and Vascular Institute. According to Healthline FindCare, over half of Pittsburgh’s 331 cardiologists have four-star or higher ratings, highlighting the city’s high-quality cardiovascular care. However, the important
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