In Audit
Feb 20th, 2019
I was recently asked by a medical coder if I thought our professional services would soon become obsolete as more and more computer-assisted coding (CAC) applications are developed. I did not have to think about this for very long because CAC increasingly has been brought on line in many specialties over the past 10-15 years. ...
A Seattle company looks to make primary care as easy as buying something off of Amazon.com. 98point6 is a Seattle start-up brain child of Rob Schwietzer who scaled Amazon Prime from thousands to millions and CEO Robbie Cape from Microsoft.  98point6 is focusing on “Direct Primary Care,” which involves charging the patient a subscription fee ...
In Billing
Feb 8th, 2019
Michigan-based Trinity Health is replacing its current electronic health record (EHR) and revenue cycle management (RCM) platform while centralizing patient billing service centers, affecting hundreds of medical coders, billers, and others. The 22-state health system’s plan is to adopt Epic as a single EHR and RCM to standardize billing, share data, and cut costs. The ...
Feb 5th, 2019
Scribes not only improved physicians’ productivity by 15.9 percent in a recent study but shortened patients’ average stay by 19 minutes. Scribes Introduced to Five EDs The British Medical Journal paper “Impact of Scribes on Emergency Medicine Doctors’ Productivity and Patient Throughput: Multicentre Randomised Trial” outlined an experiment at five Australian emergency ...
In Billing
Feb 1st, 2019
The Eight Circuit Court of Appeals upheld a lower court’s ruling regarding out-of-network payments by UnitedHealthcare (UHC). How Ruling Got Started UHC has a policy of offsetting payments for patients in a different plan when they are trying to recover what they considered an overpayment. These policies were put into effect in 2007 and were ...