Monthly Spotlight on Fraud, Waste, and Abuse:
BC Advantage
by
1M ago
The following cases highlight fraud, waste, and abuse (FWA) and serve as a reminder to uphold high ethical standards when providing patient care and services ..read more
Visit website
How to Improve Your Accounts Receivable (AR) in Healthcare:
BC Advantage
by
1M ago
Managing accounts receivable (AR) is crucial for healthcare providers to ensure steady cash flow and financial stability. However, navigating the complexities of AR can be challenging, especially with insurance claim denials, delayed reimbursements, and other roadblocks. This article discusses practical strategies and best practices to improve your accounts receivable in the healthcare industry, helping you optimize revenue cycles and enhance overall financial performance ..read more
Visit website
Outsourcing Medical Billing Can Minimize Claim Denials and Maximize Reimbursement:
BC Advantage
by
1M ago
For any kind of practice, an efficient medical billing process is essential to ensure smooth submission and follow up on medical claims. When it comes to receiving timely payments, accurate billing and coding are key. Accuracy also ensures that patients are billed correctly and fairly. A growing number of practices now rely on medical billing outsourcing to ease the cumbersome billing process, avoiding claim denials and maximizing reimbursement ..read more
Visit website
How Are Radiology Practices Impacted by Annual Changes to the Medicare Physician Fee Schedule?:
BC Advantage
by
2M ago
With passage of the Consolidated Appropriations Act, 2024 (CAA 24), we finally learned the rates that physicians will be paid for Medicare services during the remainder of 2024. Effective when it was signed by the president on March 9, 2024, the CAA 24 contained several provisions that benefitted physician reimbursement ..read more
Visit website
Navigating Regulatory Compliance in ENT Practices:
BC Advantage
by
2M ago
In our first installment of the series, "Navigating Change in Otolaryngology: Strategies for Growth and Success," we explored the evolving landscape of otolaryngology and highlighted key strategies for adapting to change. Building on that foundation, this second installment delves into the critical aspect of regulatory compliance within ENT practices. From navigating the complexities of the Office of Inspector General (OIG) to ensuring adherence to the Health Insurance Portability and Accountability Act (HIPAA) and Medicare guidelines, ENT clinics face a myriad of compliance challenges unique ..read more
Visit website
Top Five Ways Medical Practices Can Combat Inflation:
BC Advantage
by
2M ago
Inflation is affecting many businesses, but medical practices tend to see the brunt of its effects because of the way payment structures are dictated by insurance payers. Even more worrisome, practices have had to increase wages significantly and the current job market tends to favor employees. In some instances, employees are asking for wages 20-30% higher than previous, and understandably can command these wages as there is fierce competition for skilled employees. While these issues are affecting many businesses, there are things medical practices can do to help ease the squeezing margins ..read more
Visit website
Coding for Zika: Unraveling the Threat of a Silent Predator:
BC Advantage
by
2M ago
When we consider treacherous animals, our thoughts may drift to lions, bears, and sharks. Yet, the true menace is a far less conspicuous creature: the mosquito. This seemingly harmless insect can spread many deadly diseases, including Zika, dengue fever, yellow fever, and West Nile virus. In this article, our focus is on the Zika virus, exploring its means of transmission, presenting symptoms, diagnostic methods, and available treatments. Furthermore, we shed light on medical coding for Zika, providing nine detailed examples to simplify the accurate assignment of ICD-10-CM codes in accordance ..read more
Visit website
Regulatory Issues Facing Radiology Groups in 2024:
BC Advantage
by
2M ago
We pay a lot of attention to government regulation in healthcare, especially the Medicare Physician Fee Schedule (MPFS) that influences reimbursement not only from Medicare but also from other payors since many commercial contracts are tied to the MPFS. Although it is the object of most focus, the Centers for Medicare and Medicaid Services (CMS) is not the only agency that regulates healthcare ..read more
Visit website
How Lab Benefits Management Can Smooth the Transition to Value-Based Care:
BC Advantage
by
2M ago
Switching the U.S. healthcare system from the traditional fee-for-service model to value-based care is an enormous undertaking. It requires no less than changing how healthcare is thought of, delivered, measured, and paid for ..read more
Visit website
Understanding the Changes in the CMS-HCC Model V28:
BC Advantage
by
2M ago
The New Year brought with it a long-overdue overhaul of the Centers for Medicare and Medicaid Services (CMS) hierarchical condition categories (HCC), ushering in the 28th version of the model used to assign risk adjustment factor (RAF) scores and estimate future healthcare costs for Medicare Advantage patients ..read more
Visit website

Follow BC Advantage on FeedSpot

Continue with Google
Continue with Apple
OR