NCQA performance measures center around healthcare issues affecting consumers, clinicians, and health care systems. When a new area of health concern is identified, NCQA staff along with an independent panel of experts from various healthcare sectors begin to develop and implement the new HEDIS measure. Read more
Category: Healthcare
NCQA’s new 2020/2021 HEDIS Manual includes changes in telehealth restrictions. Synchronous telehealth visits require real-time interactive audio and video such as a live videoconferencing. Asynchronous telehealth is not real-time but still requires two-way interaction such as secure text messaging or email. Read more
Category: Healthcare
The National Committee for Quality Assurance (NCQA) has released the Healthcare Effectiveness Data and Information Set (HEDIS) manuals for 2020 and 2021 measurement years. HEDIS the most widely used set of health care performance measures in the United States. Read more
Category: Healthcare
The American Association for Professional Coders has a conglomeration of more than 500 Local chapters spread all across USA. Governed by the AAPC chapter association, the members, by and large, belong to a Local chapter who enjoy facilities like obtaining continued online education units, conducting examinations, establish a close connect with the peers in the industry as well as promoting healthcare industry in the local horizon. Read more
Category: Healthcare
The National Committee for Quality Assurance (NCQA) will be releasing new updates on 7/1/2020. Historically, health plans reporting HEDIS data receive guidelines 6-7 months after the start of data collection, unfortunately, half of the reporting year is over before the plans ultimately know what information needs to collected. Read more
Category: Healthcare
A recent research report by MarketsandMarkets, the global market research platform, predicted that North America would account for “the largest share of the healthcare claims management market in 2018”. The report goes on to state that, “the payers segment is expected to command the largest share of the market in 2018”. Read more
Category: Healthcare
Did you know that faulty RCM processes result in losses of millions of dollars in revenue for hospitals and clinics in the US every year? Of course, the other side of the coin is that an RCM process that is streamlined could potentially increase revenue that much more! In an increasingly competitive healthcare environment, with even stricter regulatory and compliance checks in place, a meticulous and error-free RCM process is an asset for any organization, no matter what it’s size or specialization. Read more
Category: Healthcare
Healthcare organizations require a high degree of accuracy in medical coding in order to keep their revenue cycle management systems running smoothly. From ensuring compliance with state and federal regulations, to making sure that reimbursements are paid on time and to the maximum, medical coding is the backbone of every healthcare organization’s financial health, whether it's a small physician group or a large hospital. Read more
Category: Healthcare
Whether you're part of a physician group, a small clinic, or a large hospital, are you sure that coding audits are being conducted regularly? Did you know that coding audits that are conducted monthly can save your practice/clinic/hospital a great amount of money, not to mention time as well? Read more
Category: Healthcare
For a healthcare provider or an RCM stakeholder, the importance of clinical documentation improvement (CDI) cannot be emphasized enough. The different healthcare reforms that have been introduced have only served to highlight how critical it is to ensure the maximum accuracy for all documents at all times. Read more
Category: Healthcare
Medical coding professionals are crucial to the smooth functioning of the healthcare industry. Through accurate coding, healthcare providers get accurate reimbursements which keep revenues flowing smoothly, while healthcare recipients pay only what is fair and required. So it can be said that medical coding professionals keep everyone on both sides of the healthcare spectrum happy! Read more
Category: Healthcare
ACOs (Accountable Care Organizations) work in sync with the Affordable Care Act (colloquially called Obamacare) to redefine the landscape of healthcare in the United States. ACOs aim to reduce healthcare costs for the provider (physician practices/hospitals) and the payer (insurance firms) while also benefiting patients. Read more
Category: Healthcare
Medical coding is an integral part of healthcare administration. Trained medical coders extract information from the documentation created by a healthcare provider. ICD-9-CM has been around since 1979 with a few revisions done to it through the years. However, there will be a drastic change in this scenario as ICD-10-CM and ICD-10-PCS is all set to be implemented shortly. This sure does change the face of the medical coding industry while generating an acute need for outsourcing. Read more
Category: Healthcare
Analysis of large data sets in healthcare analytics can unveil an unheard of opportunities. For vendors and developers this brings galore of opportunities as clients would like to reap the benefits without committing heavily on infrastructure expenditure, so states a Reportstack report. Read more
Category: Healthcare
The Affordable Care is a new healthcare reform in the US which increases the quality, availability, and affordability of private and public health insurance to 44 million uninsured civilians. In civilian terms, it is Medicare for All (proposed by Clinton Administration). Read more
Category: Healthcare
From EHR fraud to the unveiling of healthcare.gov, from dynamics of new payment models to ICD-10 progression, it seems an eventful 2014 waits us as far as healthcare is concerned. Here are four issues to watch in the coming year. Read more
Category: Healthcare
The transition from ICD-9 to ICD-10 is approaching fast. Its deep impact on revenue and clinical efficiency on the healthcare industry will be substantial. Vee Technologies understands the challenges and is committed to helping you maintain correct coding, improve clinical documentation quality, enhance coder productivity, and help physicians acclimatize with the new environment while minimizing interruption. Read more
Category: Healthcare
Medical billing is a process by which hospitals, doctors or other healthcare practitioners bill health insurance companies for claims. A claim starts with a patient’s visit to a hospital. Read more
Category: Healthcare
Every year, a colossal $350 million is spent to submit and process claims in the healthcare industry, stated a Dell report. No wonder, the number is only going to up and further up in the future. Read more
Category: Healthcare
Medical billing outsourcing services are no longer a novel approach. Outsourcing is now as mainstream as you can get. It typically produces greater cost savings and outcomes following its streamlined processes, superior systems, state of the art technologies, economies of scale, and skilled labor laden with specialized knowledge and experience. Read more
Category: Healthcare
For everybody in the healthcare community—the providers, hospitals, health systems, exchanges, payers and technology experts—the need of the hour is analytics. Data is generated in numerous steps and processes in the revenue cycle arena, from the time the patient visits the facility to the time the reimbursements are made. Read more
Category: Healthcare
In healthcare outsourcing, urgent care management is a new playing field with complex regulatory issues, complicated reimbursement systems, and multiple health plans from a gamut of service providers. Amidst ever-changing regulations and overwhelming coding rules, finding the lost income that your urgent care business legitimately owes has become a daunting task. Read more
Category: Healthcare
The Health Insurance Portability and Accountability Act (HIPAA) mandated that all healthcare clearing houses, healthcare providers, and health plans must comply with new electronic transaction standards, which is version 5010. Read more
Category: Healthcare
To survive and sail through the tough times in the US healthcare industry, many organizations have come up with some pretty innovative and out-of-box solutions to reduce costs, increase revenue, enhance turnaround times, and improve processes. Read more
Category: Healthcare