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Templates that enhance your SOAP Notes SOAP is something that you’re probably very familiar with if you’re in the medical field, but are you familiar with SOAP notes? This concept may be one that’s entirely foreign to you or one
Navigating the world of health insurance can feel like you’re playing a game of Alphabet Soup. There are several healthcare plan options available. Let’s discuss Health Maintenance Organizations. What is a Health Maintenance Organization (HMO)? An HMO is a type
Procedure Coding: When to Use the Modifier 26 This is part of the Modifier Series, the articles include: Modifers 59, 25, and 91 Modifier 59 Modifier 25 Modifier 26 The 26 modifier is a particularly unique coding tool in the
The Ins & Outs of Chronic Care Management By Meghan Franklin In 2015, Centers for Medicare and Medicaid Services (CMS) began paying separately under the Medicare physician fee schedule for chronic care management (CCM) provided to Medicare patients with two
WHAT IS A PROSPECTIVE PAYMENT SYSTEM? A prospective payment system (PPS) is a constant healthcare payment system that relies on a medical diagnosis’s operating and capital costs. It sets up reimbursement for those who provide care to beneficiaries of Medicare
PROCEDURE CODING: WHEN TO USE THE MODIFIER 25 Modifiers provide payers detailed information about what a doctor did while working with their patient. Modifiers play a crucial role in demonstrating the required medical decision-making (MDM) that a physician must show
By Meghan Franklin The Institute for Healthcare Improvement (IHI) developed the Triple Aim in 2007 to guide health policy. As it stands today, the Triple Aim’s goals are to: Improve the Health of Populations, Enhance the Patient Experience and Patient
The Centers for Medicare & Medicaid Services (CMS) have posted the 2019 eCQMs updates including the 2019 reporting period for Eligible Hospitals and Critical Access Hospitals (CAH), and the 2019 performance period for Eligible Professionals and Eligible Clinicians. According to
The term “prior authorization” on its own elicits feelings about security and privacy, as it should. When dealing with various technologies, authorization — authentication is a modern form of it — might require someone to get approval before accessing accounts
Bringing new patients into a practice used to consist of simply waiting for them to walk through the door or pick up the phone, but it’s not that simple anymore. Health care costs are continuing to climb, and more people
