Private Medicare Claims Denials are Common – What Providers Can Do About It
The Problem and Scope A recent headline in USAToday caught our eye: “Watchdog: Private Medicare plans denied nearly 1 in...
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The Business of Billing
When an individual decides to enter the medical profession, there are numerous reasons to do so. Many are obvious ones,...
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Why Advantum Health Excels at Provider Enrollment
We get it: the provider enrollment process is no fun! Paperwork is overwhelming, often challenging, incredibly time-consuming, and costly. The...
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What Are Provider Enrollment Services, and Why Do They Matter?
A healthcare leader’s guide to PES healthcare, payer enrollment services, and medical credentialing services that protect revenue and accelerate provider...
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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...
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COVID-19’s Role in Physician Reimbursement
Following the onset of COVID-19, hospitals, and healthcare systems have endured a significant decline in profits and income. Since the...
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How COVID-19 is affecting Revenue Cycle Management
Revenue cycle management is now of extreme importance due to the immense resource demands of the ongoing COVID-19 pandemic. The...
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COVID-19 Has Affected Healthcare Workers. How much?
How COVID-19 Has Affected Healthcare Workers Since COVID-19 hit the U.S. in March 2020, the most popular topic of conversation...
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CMS Waives Regulations for Healthcare Providers to Combat COVID-19
Medicare is taking aggressive action, including regulatory flexibilities and blanket waivers, to help healthcare providers combat the spread of COVID-19.
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CDC Supplemental ICD-10-CM Medical Coding for COVID-19 Coronavirus Encounters and Telehealth
Centers For Disease Control and Prevention (CDC) has issued supplemental medical coding guidelines for encounters and telehealth related to COVID-19.
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CMS Expands Access to Telehealth Services During COVID-19 Pandemic
For the duration of the COVID-19 pandemic, health care professionals can offer telehealth services to their Medicare patients.
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7 Best Practices for Revenue Cycle Management in 2025
Revenue cycle management (RCM) is the process used to track and collect revenue from patients. Applying best practices to the revenue cycle ensures the maximum reimbursement for services.
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