Blog

Preparing for the Enhancing Oncology Model: What Practices Need to Do Now

July 14, 2022

Preparing for the Enhancing Oncology Model: What Practices Need to Do Now

The Enhancing Oncology Model (EOM) will begin in July of 2023, giving practices a 12-month runway to prepare for the new value-based care program.  Here’s what prospective participants need to do to…

Read more
Revenue Cycle Management: How to Make Your Front-End Office More Efficient

July 11, 2022

Revenue Cycle Management: How to Make Your “Front-End” Office More Efficient with Automation

Healthcare staffing challenges continue to prevail in 2022. The COVID-19 pandemic has impacted how healthcare organizations manage their revenue cycle. Staffing shortages mean that providers are forced to hire inexperienced…

Read more
rapid genetic testing

June 03, 2022

From ASCO: Early, rapid genetic testing can improve survival rates among late-stage lung cancer patients

Byline: Jeffrey A. Scott, MD, Chief Medical Officer, Integra Connect Advances in genetic testing have made it possible to determine, at a molecular level, which treatment options will best target…

Read more

January 11, 2022

Best EMS Field Practices to Aid Billing

Claim submission that results in payment begins before a medical record is ever received at the billing office. EMT and Paramedic Documentation is vital in ensuring sufficient details are recorded…

Read more

January 11, 2022

How the crew documentation drives medical necessity?

In this post, we will define medical necessity and how the determination of medical necessity is driven by the crew documentation. CMS (Centers for Medicare & Medicaid Services) defines medical…

Read more

December 19, 2021

Good practices that ambulance service providers can adopt to help ensure EMS billing is effective and successful

There are several good practices that ambulance service providers can adopt to help ensure EMS billing is effective and successful. Effective EMS billing is defined as billing that produces timely…

Read more
Hospital to Hospital transports from an RCM perspective

December 13, 2021

Hospital to Hospital transports from an RCM perspective

Revenue Cycle Management(RCM) in the ambulance industry has a lot of moving parts to monitor to ensure the bottom line is met.  Lower DSO, maintain a steady cash flow, keep…

Read more
Factors that contribute towards patient centric billing approach

December 05, 2021

Factors that contribute towards patient centric billing approach

As recent as ten years ago, healthcare expense was straightforward from the patient perspective.  You paid your employer a premium, then paid the physician $25 for an office visit, the…

Read more
Compliance from a health care perspective – Are you covered?

November 20, 2021

Compliance from a health care perspective – Are you covered?

Are you aware that payer enrollment is the Gatekeeper of your revenue cycle? Enrollment, along with credentialing, prevents fraud by validating all your company information. The CMS program utilizes the…

Read more
Know your rights – The 5 levels of Medicare Appeals

November 14, 2021

How to handle Medicare Appeals (The Process of Appeals)

Every provider’s goal is to submit a claim to Medicare and receive payment for medical services provided. If Medicare denies the claim, do you know your appeal rights as a…

Read more