As of early October, the Centers for Medicare & Medicaid Services (CMS) began to implement the Bundled Payments for Care Improvement - Advanced Model. This model builds upon the BPCI that ended on September 30th, and will run until the end of 2023. CMS has stated that...

Do you know what your practice’s clean-claims submission rate is? Because if it’s not currently 95% or above, you’ve got work to do. Claim rejections are costly. Anything lower than a 95% clean claims ratio means you’re definitely losing revenue and furthering your expenses by having to rework those rejected claims. In reality, most practices have a rate...

Payers don’t accept deleted CPT® codes, so your claims can’t succeed if your medical procedure codes are out of date. But do you know how often you need to update your CPT® code set? It may be more often than you think. Here are some pointers to keep in mind to give your claims their best chance at accurate payment.

It’s a compelling question; Are EHRs responsible for low provider productivity compared to when they were using paper based records in 2009. Providers often hold the complicated EHR systems responsible for the business loss. They argue, EHR systems increase practice cost, waste valuable time and overall...

The "early release" of the Category I vaccine product codes prior to publication of CPT® 2006 was approved by the CPT Editorial Panel. In recognition of the public health interest in vaccine products, the Panel has agreed that new vaccine product codes should be published prior to FDA approval.

A longtime problem in workplaces around the world received international attention earlier this week, as the World Health Organization (WHO) announced it would be updating its definition of "burnout" to align with other syndromes.

Revealed as part of the latest version of its International Classification of Diseases (ICD-11)...