What is Principal Care Management?  Principal care management (PCM) is a care management model set for patients with a single chronic disease for three months or more. The patient must have had a recent hospitalization, an acute risk of death, exacerbation, or functional decline, or require management that’s “unusually complex due to comorbidities.”  With PCM,

Providers are exceptional at providing care. If there is one area that they find challenging, it is medical billing. With so many regulations and codes, a myriad of jargon and rules could confuse anyone. Coordination of Benefits (COB) is another terminology used in healthcare. In this article, we will walk you through the meaning of

In today’s complex healthcare landscape, there are certain medications and procedures that need an extra step. This is called pre-authorization. But what is pre-authorization, and why do certain medical procedures and medications need it? In this article, we will cover the ins and outs of prior authorization and why it is important in healthcare.    What

A sunset can be a beautiful sight. Unless, of course, it’s your old EHR sunsetting. That is a cause for concern. When your EHR is sunsetting, your vendor discontinues its active development, support, or maintenance. It means it’s time for it to be replaced or phased out. This can happen for various reasons:   Newer or

Physical therapy is one of the most rewarding professions. But, physical therapists are also undoubtedly aware of the intricate nature of therapeutic interventions. These providers spend so much time and energy ensuring their patients recover to the best of their abilities. Medical billing and physical therapy modifiers can be even more challenging here, than other

Medical billing is complex in any area of medicine. In anesthesiology, the challenges remain the same. Medical billing is responsible for much more than the finances of your practice. If your practice is generating healthy revenue, you can hire more staff, ultimately improving the quality of the services you provide. Errors in your medical billing

Denied claims hurt the financial health of a practice. According to research, the average claim denial rate has increased by 23% as compared to four years ago. This is concerning. Denied claims incur a loss in revenue, affecting the practice’s finances. This is mostly due to incorrect submission of claims or denial management. Providers need

A few years ago, being able to see another person who lives miles away on a screen seemed like a futuristic thing. As technological advancements have sped up, this is not just a dream but a reality we live in. Video calls, text messages, and virtual reality used to be mere fiction. Healthcare is not

Healthcare is an ever-changing industry. With evolving regulatory requirements and regulations, it can be hard to deal with these changes without a system in place. This is why audits are important in medical billing. Medical billing audits help providers stay up-to-date with regulations and requirements and deliver quality care effectively while improving the practice’s financial

What is Principal Care Management?  Principal care management (PCM) is a care management model set for patients with a single chronic disease for three months or more. The patient must have had a recent hospitalization, an acute risk of death,

Providers are exceptional at providing care. If there is one area that they find challenging, it is medical billing. With so many regulations and codes, a myriad of jargon and rules could confuse anyone. Coordination of Benefits (COB) is another

In today’s complex healthcare landscape, there are certain medications and procedures that need an extra step. This is called pre-authorization. But what is pre-authorization, and why do certain medical procedures and medications need it? In