Medicare Reimbursement for Mental Health Drops 14% in 2025
As per recent reports, Medicare reimbursement rates for mental health billing are going to be decreased by approximately 14% in 2025 as compared to 2024. This is applicable in all the states of America. The big news is that the rural areas are going to get a big hit this year. Although Alaska and certain […]
Healthcare Trends to Watch in 2025: Key Opportunities and Challenges Ahead
The new year brings fresh opportunities and challenges for the healthcare industry. To stay competitive in 2025, medical practices and healthcare organizations must understand emerging trends and shifts to avoid falling behind. Being informed can help tackle key issues like provider burnout, administrative overload, patient loss, unmet quality standards for VBC programs, and other common […]
Telehealth in 2025: Key Updates, Medicare Extensions, and Billing Changes You Need to Know
Telehealth is here to stay and will keep growing, providing more opportunities for both healthcare providers and patients. As technology improves, remote care will become even easier, allowing for better management of conditions and communication. The flexibility of telehealth will only increase, making more services available online. For practices, adapting to these changes now means […]
2025 GI Coding Cheat Sheet: Accurate Reporting and Reimbursement for Esophagogastroduodenoscopy (EGD)
The American Society for Gastrointestinal Endoscopy (ASGE) ensures that gastroenterology practices have effective methods for accurate reporting and fair reimbursement for procedures, tests, and visits. To help healthcare providers handle GI-specific coding, ASGE has created coding cheat sheets. These sheets offer a concise overview, supporting practices in accurate coding and reimbursement for 2025. What is […]
2025 Radiology Billing Updates: New CPT Codes & Ordering vs. Rendering Rules
Radiology billing can be complex due to the various roles and rules involved, particularly when it comes to distinguishing between the ‘ordering physician’ and the ‘rendering physician.’ These terms, while frequently used, are often misunderstood, leading to billing errors and missed reimbursements. This blog will clarify the differences between ordering and rendering physicians in radiology […]
The Vital Role of Medical Claim Forms in Healthcare Reimbursements
Medical claim forms are essential in healthcare billing. They are formal requests that healthcare providers send to insurance companies, Medicare, Medicaid, or other entities to get reimbursed for services provided to patients. These forms are legal documents that prove the payment request based on specific insurance rules. They ensure patients’ healthcare costs are covered, providing […]
Medical Billing Errors Statistics: Impact on Patient Trust – A Complete Analysis
Throughout the healthcare journey, from the first appointment to the billing stage, numerous people from different organizations are involved. But do you know it’s during the billing process that mistakes seem to crop up the most often? Medical billing errors. They are something we have all heard about, but do we really understand their impact? […]
Telemedicine in Healthcare: Benefits, Challenges, and What Lies Ahead
Technological advancements have transformed various aspects of our lives in ways we could never have imagined. In healthcare, for instance, these innovations have enabled medical specialties to extend their reach to regions that previously lacked access, making care more accessible to patients in need. Through telemedicine, physicians across different fields can provide treatment to patients […]
Fee-for-Service vs. Value-Based Care: What Healthcare Providers Need to Know
In the healthcare industry, two main payment models have become the focal points of discussion: Fee-for-Service (FFS) and Value-Based Care (VBC). These models impact how healthcare providers are reimbursed, and understanding their differences is crucial for providers to optimize financial sustainability and patient outcomes. So, let’s analyze these two models closely for your better understanding: […]
Is Value-Based Care the Future of Quality and Affordable Healthcare Delivery?
Value-based care (VBC) is a transformative approach to traditional fee-for-service models, which is facing criticism for their inefficiencies and costly packages in the healthcare world. As patient expectation evolves, the demand for a system that prioritizes quality and affordability increases with time. So, VBC focuses on providing better patient outcomes that align with financial incentives […]
