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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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How to Discover Better Insurance Coverage, Together

Healthcare IT Today

Streamline the billing process The right RCM partner will help providers optimize revenue by creating faster, easier processes to identify insurance coverage. As Medicare Beneficiary Identifiers (MBIs) only relate to Medicare coverage, providers need tools that will go beyond MBIs and caps from payer searches.

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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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What is Provider Credentialing in Healthcare?

Medisys Compliance

These terminologies are briefly discussed below for better understanding: Provider enrollment: This refers to the process of enrolling a healthcare provider with an insurance plan or government program, such as Medicare or Medicaid. 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.