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Preventing healthcare fraud and abuse is critical to maintaining the integrity of healthcare systems, protecting patients and protected health information (PHI), and ensuring resources are used efficiently and appropriately. Health care fraud is intentional deception or misrepresentation for the purpose…
The pay-for-performance incentive payment system “MIPS” is a program developed by the Centers for Medicare and Medicaid Services (CMS) in the United States. The goal is to create incentives for physicians to provide high-quality, value-driven care. Although each MIPS participating…
Improving medical billing and coding processes can significantly increase medical claims rates and provider revenue, which is a primary goal for any business. Here are some suggestions to help physicians and medical practices achieve greater financial returns. Accurate Documentation and…
Overcoming cardiac billing challenges requires a comprehensive and strategic approach to ensure accurate and timely reimbursement for services provided. The field of medical billing is complex, and regulations and coding guidelines can change frequently. Here are some proven strategies to…
The U.S. healthcare industry and revenue cycle management (RCM) sector is rapidly evolving as incredible technological advances require continuous change and introduce new trends in process efficiency. These upgrades and further developments will only come into effect after the coronavirus…
Healthcare practices and physicians are placing greater emphasis on patient care and satisfaction, thereby improving and growing their businesses. Because these priorities are a large part of daily operations, quality issues can cause medical billing and claim processing to be…
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