28 November 2019
“End-to-end” vendor services are not the end of your RCM challenges
Most outsourcing services list “end to end” services as part of the menu offerings. Dwelling deep we find that it is a just a collection of various processes of revenue cycle management priced separately, and delivered in a discrete manner. Individual services bundled together at the contract level and split at the service level are not the same as partaking in a client's business risk and reflecting a true business partnership, unless fees paid for services reflects the risk and contingent nature of the contract, with the end practice.
21 November 2019
CMS cracks the efficiency code for office & other outpatient E&M coding
Ever since the Office or Other Outpatient visit Evaluation and Management services CPT codes for new and established patient visits (99201 through 99215 and 99211 through 99215 respectively) were introduced by AMA in 1992, the codes have undergone minimal changes in the code description over the years until today.
23 May 2019
Why do reimbursements for anesthesia procedures go numb!
Over 90% of surgeries use anesthesia, as part of the procedure to help the patient manage pain as well for the surgeon to manage the procedure in controlled circumstances. However, reimbursement for the anesthesia procedure often descends into a numbness vortex, as a result of disputes and delays due to improper Anesthesia coding.
