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Understanding Outpatient Billing for Primary Care

Medisys Compliance

office, hospital outpatient department). Common POS codes for primary care include 11: Office; 20: Outpatient hospital. Essential Considerations for Accurate Outpatient Billing Accurate Documentation: Detailed and clear physician documentation is vital for accurate coding.

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5 Trends to Look for in Healthcare Cost Transparency

HIT Consultant

Paul Ketchel, CEO of MDsave Over two years have passed since the hospital price transparency rule was enacted. Unfortunately, America still struggles with high, painfully opaque pricing across healthcare that hurts employers, workers, patients, and taxpayers. At the same time, 100 million Americans find themselves in healthcare debt.

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A Detailed Guide On Prior Authorization Process In RCM

Medisys Compliance

Before a certain treatment, service, gadget, or drug is given to the patient in order to qualify for coverage, doctors and other healthcare professionals must acquire in advance approval from a health insurance plan (known as a “prior authorization” or “PA”) process. Boost general practice output. Wrapping Up.

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What is Provider Credentialing in Healthcare?

Medisys Compliance

Medical staff credentialing: This is the process of verifying the qualifications, training, and experience of physicians, nurses, and other healthcare professionals who work in a hospital or healthcare organization. This trust can lead to increased patient satisfaction and retention.

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The Devil may be in the Details of the Part II No Surprises Act IFR

Health Care Law Brief

By way of background, the No Surprises Act and its implementing regulations provide new federal protections against surprise medical billing. The “thumb on the scale” QPA presumption may have less of an impact on providers that are “must-haves” for a plan based on clinical importance, or high patient-satisfaction scores.

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Utilizing Tech to Improve Patient Experience Amid the No Surprises Act

HIT Consultant

With the No Surprises Act taking effect in less than four months, it is critical that hospitals and providers leverage technology to ensure patients are informed about their expected care costs prior to receiving services. Leverage existing patient cost estimation tools to enhance transparency.