What is a Value-Based Healthcare: Complete Guide

The healthcare industry has undergone a prominent transformation in recent years, shifting its focus from quantity to quality. This major shift has given rise to value-based healthcare (VBHC), one of healthcare professionals’ most important traits. In value-based healthcare, there are two crucial elements known as electronic health records and revenue cycle management. This comprehensive guide

How does Clearinghouse for Medical Claims Work

In this complex world of healthcare revenue cycle management, one important aspect that often goes unnoticed is medical claims processing. Behind every medical procedure or service offered, a complex and detailed system ensures that healthcare providers receive proper compensation.   A clearinghouse for medical claims is a central part of this process and an important component

Change Healthcare Cyberattack – From Crisis to Recovery

The healthcare domain is in a state of flux due to the recent cyberattack targeting Change Healthcare, a prominent health technology firm managing an immense volume of healthcare transactions each year, leading to significant disruptions in the sector. In an industry where data accuracy and security are crucial, these outages have been more than just

A Guide to Understanding Urgent Care Billing and Coding

Urgent care centers have become integral in providing efficient and timely healthcare services, handling millions of patient visits annually. However, the backbone of these centers – medical billing and coding – often faces challenges that can impact the overall efficiency and profitability of the practice. This guide will explore the crucial aspects of urgent care

Cracking the Code: ICD-10 and CPT Codes on Superbills Explained

In healthcare billing and medical records, two codes are crucial in ensuring that healthcare providers are accurately compensated for their services. These codes are ICD-10 (International Classification of Disease, 10th Edition) and CPT (Current Procedural Terminology).  To improve the billing process, patients and medical professionals should understand how these codes work on superbills. This blog

CCM VS PCM: How to Choose

In the ever-evolving landscape of healthcare, value-based care has taken center stage. As chronic conditions arise worldwide, there is a need for comprehensive strategies for delivering high-quality healthcare. There was already a care model for patients with multiple chronic conditions and chronic care management, but none for those with only one chronic condition.   In 2020,

What Is a J-Code in Medical Billing?

The healthcare landscape is an intricate web of regulations, procedures, and codes, with accurate medical billing as a crucial component for healthcare providers to navigate reimbursement processes efficiently. J-codes hold a significant place among the myriad codes utilized in medical billing. In this article, we will delve into the realm of J-codes, shedding light on

The Role of Automation and AI in Modern RCM

  The financial stability of any healthcare organization largely depends on revenue cycle management (RCM), which encompasses the processes involved in managing claims, payments, and revenue generation. Over the years, the healthcare industry has undergone a considerable transformation thanks to the adoption of automation and artificial intelligence (AI). These technological advancements have revolutionized modern RCM,

What is a Value-Based Healthcare: Complete Guide

The healthcare industry has undergone a prominent transformation in recent years, shifting its focus from quantity to quality. This major shift has given rise to value-based healthcare (VBHC), one of healthcare professionals’ most important traits. In value-based healthcare, there are two crucial elements known as electronic health records and revenue cycle management. This comprehensive guide

How does Clearinghouse for Medical Claims Work

In this complex world of healthcare revenue cycle management, one important aspect that often goes unnoticed is medical claims processing. Behind every medical procedure or service offered, a complex and detailed system ensures that healthcare providers receive proper compensation.   A clearinghouse for medical claims is a central part of this process and an important component

Change Healthcare Cyberattack – From Crisis to Recovery

The healthcare domain is in a state of flux due to the recent cyberattack targeting Change Healthcare, a prominent health technology firm managing an immense volume of healthcare transactions each year, leading to significant disruptions in the sector. In an industry where data accuracy and security are crucial, these outages have been more than just

A Guide to Understanding Urgent Care Billing and Coding

Urgent care centers have become integral in providing efficient and timely healthcare services, handling millions of patient visits annually. However, the backbone of these centers – medical billing and coding – often faces challenges that can impact the overall efficiency and profitability of the practice. This guide will explore the crucial aspects of urgent care

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