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How to Deal with Disruption Due to Prior Authorization
Revenue Cycle Management
Piyush Kedia

How to Deal with Disruption Due to Prior Authorization  

Prior authorization (PA) is time-consuming and fraught with administrative and financial burdens for physicians and their staff, typically requiring extensive communication and follow-up for disruption due to prior authorization. A recent American Medical Association survey revealed that physicians and their staff spend an average of 13 hours each week completing PA requests. On an annual basis,

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February 27, 2023 No Comments
Six Effective Practices for Coding and Billing Clean Claims 
Claims
Piyush Kedia

Six Best Practices for Coding and Billing Clean Claims 

Increase in the number of denials  Health practices are struggling to manage an increase in the number of denials for coding and billing clean claims and underpaid claims as denial rates have continued to soar. With 33% of hospitals now reporting average claim denial rates of 10% or higher, the provider community is forced to spend nearly $8.6

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February 23, 2023 No Comments
Which CPT Codes are used for billing Ketamine treatment? 
Coding
Piyush Kedia

Which CPT Codes are used for billing Ketamine treatment? 

Although we no longer provide coding services for billing Ketamine Treatment, we are certain that you can enjoy timely reimbursements by accurately coding your services, which is why we have compiled for you, a guide on billing for Ketamine treatments.  The health insurance landscape is ripe for mistakes, misjudgments, and calculations. EMPClaims has always tried

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February 21, 2023 No Comments
The process of Provider Credentialing consists of many moving parts
Revenue Cycle Management
Piyush Kedia

The Process of Provider Credentialing Consists of Many Moving Parts

The primary purpose of provider credentialing is to ensure that healthcare providers have the required training and experience to provide the highest level of care to patients. But often undertaking the entire process in-house can be high-risk and overwhelming to staff. What can providers do to improve verification and validation of professional’s qualifications?  Understanding the

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January 27, 2023 No Comments
Important Revenue Cycle Metrics Your Practice Should Measure
Revenue Cycle Management
Piyush Kedia

Important Revenue Cycle Metrics Your Practice Should Measure

Awareness of the financial health of your practice is the key to reducing leakage and accelerating revenue to make strategic decisions and implement effective changes. Here are quantifiable KPIs that you can utilize to assess the health of your revenue cycle metrics. Make sure to measure and observe them at intervals since improvements in each of

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January 25, 2023 No Comments
How to understand patient responsibility and not lose out of revenue
Revenue Cycle Management
Piyush Kedia

How to Understand Patient Responsibility and Not Lose Revenue

In a recent survey of more than 130 hospital leaders conducted by Becker’s, healthcare providers indicated that their largest challenge to revenue earnings was patient financial responsibility.    “As many patients opt for High Deductible Health Plans (HDHPs) physicians are observing an increase in Patient responsibility balances.”   What is patient responsibility?   Responsibility for paying medical bills

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January 19, 2023 No Comments
7 Quick tips to Optimize Revenue for your Urgent Care
Revenue Cycle Management
Piyush Kedia

7 Quick tips to Optimize Revenue for your Urgent Care

There’s no denying it, revenue for your urgent care centers are popular for owners, practitioners and patients alike. With a typical wait time of 30 minutes or less care is provided not just quickly, but affordably and efficiently – the market is projected to grow to  $26 billion in 2023. But mistakes made in urgent

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January 12, 2023 No Comments
Errata and Technical Corrections – CPT 2023 
Coding
Piyush Kedia

Errata and Technical Corrections – CPT 2023 

Revise guideline by replacing the term “immediate” with the term “intermediate” in the Evaluation and Management Nursing Facility Services subsection for CPT 2023.  1. Surgery Digestive System Intestines (except rectum) other procedures  Original:   44705 Preparation of fecal microbiota for instillation, including assessment of donor specimen.  Revision:   Do not report 44705 in conjunction with 74283, 0780T. 

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January 9, 2023 No Comments
Urgent Care Billing – Complexities and Solutions 
Medical Billing
Piyush Kedia

Urgent Care Billing – Complexities and Solutions 

Urgent care billing is unique and often complicated. Your needs are specific and so is the billing cycle of your center. An urgent care center must provide unparalleled patient experience in order to sustain, which is why billing should be left to those with necessary knowledge, tools, and manpower. There is a lot that you

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January 4, 2023 No Comments
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