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What are ‘Provider Enrollment Services’ (PES)?

What are ‘Provider Enrollment Services’ (PES)?

Provider Enrollment Services (PES), also known as Payer Enrollment, are a specific set of services offered that include contract negotiations, Medicare/Medicaid enrollment and more. Provider Enrollment Service also includes cost effective solutions regarding...
The Benefits of Medical Coding Audits

The Benefits of Medical Coding Audits

Accurate medical coding plays a significant role in managing healthcare information and patient care quality. That’s why routine medical coding audits are strongly encouraged to ensure that facilities and organizations (like yours) have the proper procedures and...
Navigating the 2021 Challenges of MIPS/MACRA

Navigating the 2021 Challenges of MIPS/MACRA

On December 1, 2020, the Centers for Medicare and Medicaid Services (CMS) released its 2021 Final Rule for the Quality Payment Program (QPP) that included changes to the merit-based Incentive Payment System (MIPS). The following changes could affect your...
What You Should Know About Coding & Billing For COVID-19

What You Should Know About Coding & Billing For COVID-19

While hospitals face another surge in COVID-19 cases, the healthcare system is yet again experiencing a significant strain on hospital resources. According to The Covid Tracking Project, as of December 5, there are over 100,000 COVID-19-related hospitalizations...
A Surge in Telehealth Credentialing

A Surge in Telehealth Credentialing

With COVID-19, we’ve seen struggling hospitals, physician deficiencies, and insufficient access to healthcare providers. Many healthcare facilities invest more time, money, and resources into upgrading their telehealth offerings to neutralize these shortages. While...

How Medical Billing Upholds RCM

What Is Medical Billing? Medical billing is the process of creating insurance claims & bills for patients using medical codes extracted from the medical coding process. Medical billing claims are precisely generated & collected through accurate patient...