New No Surprise Act Policies Brings Relief from Unexpected Medical Bills
Have you ever: These are some of the nightmare scenarios of Surprise Medical Bills, a problem that has burdened millions of Americans. That’s why the No Surprises Act, which came into effect in 2022 by U.S. federal law, is designed to protect patients’ healthcare costs from unforeseen or unexpected medical bills; particularly in emergency situations […]
7 Benefits of Embedded BI in Healthcare
The healthcare sector is a department with ever-evolving changes with new technologies and methodologies to deliver better patient care and streamline administrative operations. One such advancement is healthcare business intelligence with integrated features of analytic tools to analyze data. Healthcare BI helps to improve the efficiency and effectiveness of healthcare services and systems automatically. Embedded […]
The Role of Advanced Analytics in Value-Based Healthcare Systems
Healthcare systems around the globe have seen a shift from a traditional fee-for-service model to a more patient-centric approach for better patient healthcare outcomes, with the Value-Based Healthcare (VBHC) model. This patient outcome-driven model aims to prioritize healthcare quality, as payers reimburse them based on the value and outcomes of that care provided. Payers establish […]
What is E11.42 Diagnosis Code for Type 2 Diabetes Mellitus?
The E11.42 code is for type 2 diabetes mellitus with diabetic polyneuropathy in ICD-10. This code is key for diagnosis, treatment and documentation. What you will learn here: What is the E11.42 Code? E11.42 code is part of the ICD-10 classification system to identify type 2 diabetes mellitus with diabetic polyneuropathy. This is nerve damage […]
A Guide to the 8-Minute Rule: Get Paid Accurately for Every Therapy Session
The 8 minute rule has been a tried and true way to bill therapy sessions accurately since 1999. Simply put, 8 minutes of treatment equals one unit, and we’ve included everything you need to know about the 8 minute rule in this article to help you get your billing done quickly and efficiently. What is […]
Understanding POS 11: A Key to Faster Payments and Fewer Claim Denials
POS 11 means services provided in a physician’s office. It’s essential for accurate billing and optimal reimbursement. Here’s how to use POS 11 correctly, what services it includes and tips to avoid common mistakes. Quick Facts Understanding POS Codes in Medical Billing The Centers for Medicare & Medicaid Services (CMS) assign specific POS codes to […]
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 […]