On October 1 of this year, healthcare organizations including payers and providers around the nation switched over from ICD-9 coding to the new ICD-10 version for diagnostic coding. Along with...
With hospitals, clinics, and health insurers moving fully into the ICD-10 transition over the last several weeks, it becomes imperative for providers and payers to determine whether their systems are...
The bundled payment systems were initially developed in order to curb the rising costs of healthcare including Medicare spending. Providers and hospitals receive a single sum for providing a summary of...
The October 1st ICD-10 transition deadline has passed and the healthcare industry still seems to be holding steady. However, only time will tell whether healthcare payers and providers...
There are a wide variety of different payment models being implemented across the healthcare industry. Providers and payers are deciding which will provide the best quality of care while, at the same...
The health insurance space is about to have a major transformation in medical coding that could potentially cause financial barriers and claims processing issues. If the transition to ICD-10 medical...
Healthcare payers have a wide variety of concerns with regard to the coming ICD-10 implementation deadline and will need to be prepared for any potential issues that may pop up after the October 1,...
The United States Government Accountability Office (GAO) has released a report providing new information about 2014 and 2015 healthcare premium ranges and plan availability. GAO examined levels of...
Are bundled payments the new future of healthcare? The expansion of bundled payments has been actively present within policy activity over the past three decades of healthcare reform, consistently...
Claims management – the art of consolidating, billing, filing, revising, and managing medical claims – is an imperative aspect of the healthcare industry. Medical facilities cannot receive...
Healthcare payers are an imperative facet of the healthcare industry. As the ones paying for the care patients receive – often acting as insurance providers, insurance carriers, or health plan...
