Medical Billing Outsourcing Market Continues to Grow

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Medical Billing Outsourcing Market Continues to Grow

Globally, healthcare spending is expected to drastically increase in the next few years. Developed countries can attribute their increase in spending to an aging population and lower fertility rate. Meanwhile, emerging countries can attribute their increase in healthcare spending to the lack of infrastructure, increase in chronic diseases, and the inequality in the availability of patient care. Technology is also becoming a salient part of healthcare.

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How to Prevent Revenue Loss in Financial and Clinical Workflows

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How to Prevent Revenue Loss in Financial and Clinical Workflows

Despite the chaos of ICD-10 conversion, there are many ways that providers can minimize claims errors and denials. Clinical and financial workflows have the greatest impact on revenue cycles due to outdated processes, inadequate communication and lack of follow through. Therefore, it is important to anticipate the most probable mistakes and optimize internal workflows in order to avoid revenue losses. 

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ICD-10 FAQ List Revised to Clarify Billable Code

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ICD-10 FAQ List Revised to Clarify Billable Code

The ICD-10 FAQ list helps healthcare providers understand the transition to ICD-10 and apprises them of the flexible policies CMS will be practicing in the first year following implementation. CMS recently updated the FAQ list to clarify misunderstandings regarding family codes and what qualifies as a billable or valid code. Along with the FAQ list, there is also a free coding book featuring all ICD-10 claim codes, which can benefit providers during the transition. 

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Kansas Doctor Moves to Direct Care Model

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Kansas Doctor Moves to Direct Care Model

Beginning September 1st, Dr. Andrea Herrera will begin practicing under a direct primary care model that she hopes will make healthcare more affordable and personal. The main difference with Herrera’s model from traditional family practices is that insurance companies will not be involved. Patients pay a monthly fee from $10 to $100 per month depending on their age to receive all the office care they need.

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RelayHealth Launches ICD10Central.com to Assist in Final ICD-10 Prep

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RelayHealth Launches ICD10Central.com to Assist in Final ICD-10 Prep

RelayHealth just released ICD10Central.com, a web tool that tracks how well healthcare providers are managing their claims under ICD-10 coding. The site features key performance indicators including days to final bill, days to payment, denial rates, reimbursement rates, and real-time national trends. The portal also reveals indicators for cardiology, OB/GYN, radiology and orthopedics, which have the most problematic codes, resulting in delayed reimbursements and denials.  

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