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One of the most unique and challenging aspects of the American healthcare delivery system is the process of billing and collecting for medical services.  Becker’s Hospital Review reported on one study by Health Affairs that revealed the amount of time practices spend interacting with health plans equates to more than $68,000 per physician each year. What’s more, practices also incur additional costs, such as billing software, to get reimbursed.  To minimize these costs, successful practices must continuously evaluate their billing and coding processes to keep pace with the ever-changing landscape of third-party reimbursement.   Read more

Earlier this year, the Centers for Medicare and Medicaid Services (CMS) issued a price transparency mandate to hospitals across the nation. This new regulation requires that hospitals make their charge masters publicly available. In theory, this information will allow patients to gain a better understanding of their costs – before care is consumed. It remains to be seen if the reality will match the intention.   Read more