Feb 11, 2020 | MACRA Solutions
In April 2015, Congress eliminated the SGR (Sustainable Growth Rate) — the formula used to calculate Medicare payments to healthcare providers. In its vacancy came the newly proposed Quality Payment Program and MACRA (Medicare Access and CHIP Reauthorization Act of...
Jan 29, 2020 | Revenue Cycle Management Solutions
One of the most common errors in medical billing and denied claims is an incorrect or missing NPI number. Insurance claims submitted to Medicare, Medicaid or any health plan are not paid without an accurate NPI. An NPI number, known as a National Provider Identifier,...
Jan 24, 2020 | Revenue Cycle Management Solutions
Healthcare is a challenging and constantly changing field, and for those who work in upper management, such as hospital administrators, CEO’s, CFO’s, or CTO’s, navigating this complex arena is part and parcel of the job. One of the most challenging aspects of being in...
Aug 14, 2018 | Revenue Cycle Management Solutions
Prior authorization of healthcare procedures is critical to payer efforts to control costs and ensure patient safety and compliance. From the provider perspective, however, prior approval is often viewed as a necessary evil fraught with administrative burden. In a...
Jun 26, 2018 | Revenue Cycle Management Solutions, Solution Brochures
Medical Coding Audits Stay compliant with Advantum Health Coding Audits. Download the brochure here.