This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
If medical claims management is such a vital part of the healthcare ecosystem, why is it so frustrating? The answer often boils down to a process riddled with administrative burdens, a complex coding system, and predisposed to errors due to outdated technology and frequent rule changes.
Embarking on a career in medical assisting is a fantastic choice for those looking to make a positive impact in the healthcare field. Medical assistants play essential roles in both clinical and administrative settings, providing valuable support to doctors and caring for patients. Why Choose Medical Assisting?
From medical assistants looking to specialize in phlebotomy to nurses seeking advanced roles in mental health, there is an online certification to suit every career stage. Healthcare Technicians: Certifications in medicalcoding or electronic health records (EHR) management can boost career prospects in administrative roles.
Accurate documentation is essential for medical billing and coding, but many beginners struggle to understand the technical terms and guidelines. Without accurate medical documentation, insurance claims can be delayed or denied, frustrating patients and physicians. What is Medical Documentation?
Medical billing audits are a great tool for achieving compliance and safeguarding revenue. Regular audits help medical practices stay on top of these changes and comply with coding and billing rules defined by the CMS (Centers for Medicare & Medicaid Services) and private payers. Why do these audits matter?
The AI-driven patient journey transforms reality in medical practice. After all, the medical industry is developing rapidly, and competition is increasing. Store lab reports, medical records, and all the necessary data about past visits, discharge summaries, and more. billion by 2030. No information will be lost.
Pursuing a role as a medical assistant is a wonderful way to begin a satisfying career in the healthcare field, as they work in a variety of settings and specialties. However, the length of time required to complete a medical assistant training program depends on the schedule, school, and modality of the courses taught.
Medical assistants utilize a wide range of technologies, which may vary depending on their work location and specific role. Aspiring medical assistants should know about the technologies used, so they can decide if this career path is right for them and figure out the specialization they wish to concentrate on.
For example, someone with a humanities graduation could explore programs in public health or medical ethics. This practice-oriented learning enables students to interact not only with medical equipment but also with patients. Frequently Asked Questions Do I need a medical degree to work in healthcare?
Medical billing audits are a great tool for achieving compliance and safeguarding revenue. How to perform effective medical billing audits Establish Clear Objectives: Clearly spell out the objectives that define the audit’s scope and focus. Check for upcoding, unbundling, or misuse of codes.
Back-End Revenue Cycle The push for autonomous medicalcoding has gained traction as a way to speed up claim submissions and reduce AR days. While these solutions support — rather than replace — medical coders, CIOs are also moving forward with agentic AI to streamline operations and drive greater efficiency across the board.
Practical nurses are a crucial part of the healthcare industry, especially in medical and clinical settings. These healthcare professionals are often tasked with helping patients and providers with daily responsibilities, such as preparing for medical procedures, monitoring vital signs, and reporting health status to physicians.
For providers, these guidelines involve adhering to specific rules in key areas, including medical necessity, coding accuracy, timely filing, and proper documentation. With so much at stake, medical billing guidelines are also designed to safeguard your practice from these potential legal ramifications and costly errors.
Healthcare practices are often plagued with medical billing compliance questions like: “Am I upcoding?” ” With all of these concerns, it’s vital that providers and billing departments understand and follow the key elements of proper medical billing compliance to run a successful practice.
From electronic health records and clinical research papers to medical imaging reports and patient communications, the sheer volume of healthcare information grows exponentially each year. Yet accessing the right information at the right time remains one of the biggest challenges facing medical professionals today.
Charge capture and coding modules represent the technical heart of billing systems, translating clinical activities into billable charges using appropriate medicalcoding standards. These components must support ICD-10, CPT, and HCPCS coding systems while applying complex billing rules and fee schedules.
Most people dream about careers in the medical profession but dread the many years spent studying. Great news: you can start with your dream career while pursuing the medical assistant profession! If you want to learn more about the Medical Assistant Program in Nevada, this blog is perfect for you to get started!
Benefits analysis capabilities include verification of specialist referral requirements, prior authorization needs for specific procedures or medications, and coverage limitations for particular services or providers.
million medical devices across 6,000 locations. Daily Dive M-F Payer Weekly Every Wednesday IT Weekly Every Thursday By signing up to receive our newsletter, you agree to our Terms of Use and Privacy Policy. You can unsubscribe at anytime. This helps reduce operational costs and capital spend while providing top-notch patient care.
Biggest Healthcare Data Breaches in June 2025 The biggest data breach of the month was reported by Episource, an Optum subsidiary that provides medicalcoding, risk adjustment services, and software solutions for healthcare providers and health plans. Episource reported the data breach to OCR as affecting 5,418,866 individuals.
A medical billing and coding professional plays a big part in ensuring that this health information is handled as it should be. The following article will explain why HIPAA compliance is significant in medical billing and coding and how it helps protect patients and providers.
Responsible AI developers recognize that these tools cannot (and more importantly, should not ) replace humans in a medical setting. 2: AI Can Help You Make Better Clinical Decisions Medical doctors rank among the most trusted professions in the world (and nurses top that list). You can unsubscribe at anytime.
By Rebecca Pifer • May 14, 2025 Anna Moneymaker/Getty Images via Getty Images CMS expands audits to crack down on Medicare Advantage overpayments The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medicalcoding workforce. TechTarget, Inc.s
There are a variety of examples of Just Culture algorithms that you can use when developing a Just Culture at your hospital or health system, such as University of California, Irvine’s algorithm or University of Maryland Medical System’s tool. Very few medical errors are the result of reckless behavior that should require disciplinary action.
By Rebecca Pifer • May 14, 2025 Anna Moneymaker/Getty Images via Getty Images CMS expands audits to crack down on Medicare Advantage overpayments The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medicalcoding workforce. TechTarget, Inc.s
An Interview with David Womack, Jan Hailey, and Audrey Coaxum Building a Strong Foundation for Success in Healthcare In todays complex healthcare landscape, having a solid foundation is key.
Rethink your hospital lighting strategy Lighting design can enhance clinical workflows throughout medical centers many different purpose-built spaces. Daily Dive M-F Payer Weekly Every Wednesday IT Weekly Every Thursday By signing up to receive our newsletter, you agree to our Terms of Use and Privacy Policy. You can unsubscribe at anytime.
Despite high enrollment, medication adherence is at 52% and emergency department visits related to diabetes are rising, contributing to millions of dollars in overutilization. more likely to skip medications and 2.8X You can unsubscribe at anytime. more likely to visit the emergency department. Follow the changes here.
Editors picks Anna Moneymaker/Getty Images via Getty Images CMS expands audits to crack down on Medicare Advantage overpayments The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medicalcoding workforce. You can unsubscribe at anytime.
Jared Pelo, MD, Microsofts Chief Medical Information Officer, expects further growth in these numbers as AI continues to evolve and healthcare leaders experience the benefits. Daily Dive M-F Payer Weekly Every Wednesday IT Weekly Every Thursday By signing up to receive our newsletter, you agree to our Terms of Use and Privacy Policy.
The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medicalcoding workforce.
By Rebecca Pifer • May 14, 2025 Anna Moneymaker/Getty Images via Getty Images CMS expands audits to crack down on Medicare Advantage overpayments The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medicalcoding workforce. TechTarget, Inc.s
Deep Dive Opinion Library Events Press Releases Topics Sign up Search Sign up Search Hospitals Payer Health IT Government Finances Medical Groups Telehealth COVID-19 An article from Deep Dive The Trump administration wants to onshore drug manufacturing. You can unsubscribe at anytime. Technologists are answering the call.
Delayed meals may interfere with patients’ medication schedules, while cold or poorly prepared food can lead to decreased intake, potentially hindering recovery. Daily Dive M-F Payer Weekly Every Wednesday IT Weekly Every Thursday By signing up to receive our newsletter, you agree to our Terms of Use and Privacy Policy. TechTarget, Inc.s
Medicalcoding consists of transforming healthcare diagnoses, procedures, medical services, and equipment into universal alphanumeric codes. According to Grand View Research , the medicalcoding market is expected to grow at a compound annual growth rate (CAGR) of 9.85% from 2023 to 2030.
Selecting the right coding partner is crucial for your practice’s success, efficiency, and compliance. The accuracy of medicalcoding is paramount for efficient revenue cycle management and ensuring adherence to the regulations governing the healthcare industry.
While doctors, practical nurses , medical assistants , and other healthcare professionals have significant encounters with patients, they aren’t the only ones who have an impact on the process. Those who have chosen medicalcoding and billing career paths are relied upon to help facilities manage patient visits and procedures.
PMI’s New MedicalCoding Bundle – a conversation with PMI President/CEO David T. Womack and PMI PMI’s MedicalCoding Bundle Instructor and Lead Creator Jan Hailey, MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M David: Jan, first of all, thank you for doing this and second talk to us about the medicalcoding bundle and why it exists.
In the intricate world of medical billing, accuracy is paramount. Your practice should consider the importance of the medicalcoding process when ensuring healthcare providers collect all money due to services rendered. Here’s how medical billing professionals can mitigate common mistakes: 1.
If you’re looking to take the next steps in your medicalcoding and billing career after finishing your training, you’re probably thinking about which certifications you should get to maximize your potential in the job market. The CPC certification is considered the gold standard for medicalcoding and billing professionals.
As we enter Alzheimer’s and Brain Awareness Month 2024 , it’s imperative to underscore the importance of effective medical billing practices in providing quality care for individuals affected by Alzheimer’s disease and other forms of dementia. In 2023, Alzheimer’s and other dementias cost the nation $345 billion.
This guide gives insight into the different online medical training programs available to get you on a convenient road to success. What are medical training programs and how do they impact your job or career? The first thing to do is nail down what part of the medical field you want to pursue and what your career goals are.
We organize all of the trending information in your field so you don't have to. Join 5,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content