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<?xml version="1.0" encoding="UTF-8"?><rss xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:dc="http://purl.org/dc/elements/1.1/" version="2.0"> <channel> <title>Clinical, Financial and Administrative Insights For Physicians</title> <link>https://www.revenuexl.com/blog</link> <description>Insights on EMR (Electronic Medical Records) / EHR Software, Medical Billing Software and Revenue Cycle Services.</description> <language>en-us</language> <pubDate>Sat, 13 Apr 2024 07:09:21 GMT</pubDate> <dc:date>2024-04-13T07:09:21Z</dc:date> <dc:language>en-us</dc:language> <item> <title>Revenue Cycle Solutions for Medical Practices From Billing to Payment</title> <link>https://www.revenuexl.com/blog/best-revenue-cycle-solutions-for-medical-practices</link> <description><p>In healthcare's dynamic and ever-evolving realm, organizations face many challenges when managing their financial health. The intricacies of revenue cycles, encompassing patient interactions, billing processes, and reimbursement procedures, demand a strategic and efficient approach. In this landscape, pursuing revenue cycle excellence has become paramount for healthcare providers aiming to thrive in a complex industry.</p></description> <content:encoded><p>In healthcare's dynamic and ever-evolving realm, organizations face many challenges when managing their financial health. The intricacies of revenue cycles, encompassing patient interactions, billing processes, and reimbursement procedures, demand a strategic and efficient approach. In this landscape, pursuing revenue cycle excellence has become paramount for healthcare providers aiming to thrive in a complex industry.</p> <img src="https://track.hubspot.com/__ptq.gif?a=62006&amp;k=14&amp;r=https%3A%2F%2Fwww.revenuexl.com%2Fblog%2Fbest-revenue-cycle-solutions-for-medical-practices&amp;bu=https%253A%252F%252Fwww.revenuexl.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "></content:encoded> <category>Practice Manager</category> <category>medical biller</category> <category>Revenue Cycle Management</category> <pubDate>Sun, 03 Sep 2023 16:29:05 GMT</pubDate> <author>alok.prasad@revenuexl.com (Alok Prasad)</author> <guid>https://www.revenuexl.com/blog/best-revenue-cycle-solutions-for-medical-practices</guid> <dc:date>2023-09-03T16:29:05Z</dc:date> </item> <item> <title>EHR Platforms: 5 Emerging Trends for the Future</title> <link>https://www.revenuexl.com/blog/the-future-of-ehr-platforms</link> <description><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/the-future-of-ehr-platforms" title="" class="hs-featured-image-link"> <img src="https://www.revenuexl.com/hubfs/EHR%20Platform%20Future.jpg" alt="EHR Platforms: 5 Emerging Trends for the Future" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <h2>What is an EHR Platform?</h2> <p>Electronic Health Record (EHR) Platforms consist of the necessary hardware, software, network, and infrastructure required to facilitate the management and exchange of patient health information. By digitizing patient data and streamlining workflows, healthcare providers can access complete patient information in real-time, leading to more accurate diagnoses, coordinated care delivery, improved patient safety, and better treatment outcomes.&nbsp;</p> <p><a href="https://www.revenuexl.com/resources/what-is-ehr-how-to-choose-best-ehr"></a>As technology continues to advance at an unprecedented pace, the landscape of EHR platforms is rapidly evolving. In this article, we will explore five emerging trends that are shaping the future of EHR platforms and revolutionizing the way healthcare providers manage and interact with patient data.</p></description> <content:encoded><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/the-future-of-ehr-platforms" title="" class="hs-featured-image-link"> <img src="https://www.revenuexl.com/hubfs/EHR%20Platform%20Future.jpg" alt="EHR Platforms: 5 Emerging Trends for the Future" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <h2>What is an EHR Platform?</h2> <p>Electronic Health Record (EHR) Platforms consist of the necessary hardware, software, network, and infrastructure required to facilitate the management and exchange of patient health information. By digitizing patient data and streamlining workflows, healthcare providers can access complete patient information in real-time, leading to more accurate diagnoses, coordinated care delivery, improved patient safety, and better treatment outcomes.&nbsp;</p> <p><a href="https://www.revenuexl.com/resources/what-is-ehr-how-to-choose-best-ehr"></a>As technology continues to advance at an unprecedented pace, the landscape of EHR platforms is rapidly evolving. In this article, we will explore five emerging trends that are shaping the future of EHR platforms and revolutionizing the way healthcare providers manage and interact with patient data.</p> <img src="https://track.hubspot.com/__ptq.gif?a=62006&amp;k=14&amp;r=https%3A%2F%2Fwww.revenuexl.com%2Fblog%2Fthe-future-of-ehr-platforms&amp;bu=https%253A%252F%252Fwww.revenuexl.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "></content:encoded> <category>Provider/Physician</category> <category>Consultant</category> <pubDate>Sun, 02 Jul 2023 06:01:57 GMT</pubDate> <author>alok.prasad@revenuexl.com (Alok Prasad)</author> <guid>https://www.revenuexl.com/blog/the-future-of-ehr-platforms</guid> <dc:date>2023-07-02T06:01:57Z</dc:date> </item> <item> <title>Health IT Policy and Legislation in 2023: What to Expect</title> <link>https://www.revenuexl.com/blog/health-it-policy-and-legislation-in-2023-what-to-expect</link> <description><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/health-it-policy-and-legislation-in-2023-what-to-expect" title="" class="hs-featured-image-link"> <img src="https://www.revenuexl.com/hubfs/Healthcare%20Legislation.jpg" alt="Health IT Policy and Legislation in 2023: What to Expect" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <h2>What will shape the future of healthcare?</h2> <p>The healthcare industry continues to evolve, driven by advances in technology and changing patient expectations. As a result, there is growing attention on the role of policy and legislation in shaping the future of healthcare. In 2023, we can expect to see a continued focus on Health IT policy and legislation aimed at improving the use of technology in healthcare and delivering high-quality care to patients.<br><br>From promoting <a href="https://www.revenuexl.com/resources/electronic-health-and-medical-records/interoperability-healthcare">interoperability</a> and <a href="https://www.revenuexl.com/resources/what-is-telemedicine">telehealth</a> to addressing data privacy and security, and reducing healthcare fraud, there are many areas where policy and legislative changes are expected in 2023. These changes have the potential to transform the way healthcare is delivered, making it more efficient, effective, and patient-centered.</p></description> <content:encoded><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/health-it-policy-and-legislation-in-2023-what-to-expect" title="" class="hs-featured-image-link"> <img src="https://www.revenuexl.com/hubfs/Healthcare%20Legislation.jpg" alt="Health IT Policy and Legislation in 2023: What to Expect" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <h2>What will shape the future of healthcare?</h2> <p>The healthcare industry continues to evolve, driven by advances in technology and changing patient expectations. As a result, there is growing attention on the role of policy and legislation in shaping the future of healthcare. In 2023, we can expect to see a continued focus on Health IT policy and legislation aimed at improving the use of technology in healthcare and delivering high-quality care to patients.<br><br>From promoting <a href="https://www.revenuexl.com/resources/electronic-health-and-medical-records/interoperability-healthcare">interoperability</a> and <a href="https://www.revenuexl.com/resources/what-is-telemedicine">telehealth</a> to addressing data privacy and security, and reducing healthcare fraud, there are many areas where policy and legislative changes are expected in 2023. These changes have the potential to transform the way healthcare is delivered, making it more efficient, effective, and patient-centered.</p> <img src="https://track.hubspot.com/__ptq.gif?a=62006&amp;k=14&amp;r=https%3A%2F%2Fwww.revenuexl.com%2Fblog%2Fhealth-it-policy-and-legislation-in-2023-what-to-expect&amp;bu=https%253A%252F%252Fwww.revenuexl.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "></content:encoded> <category>Provider/Physician</category> <category>Consultant</category> <pubDate>Thu, 09 Feb 2023 06:11:01 GMT</pubDate> <author>alok.prasad@revenuexl.com (Alok Prasad)</author> <guid>https://www.revenuexl.com/blog/health-it-policy-and-legislation-in-2023-what-to-expect</guid> <dc:date>2023-02-09T06:11:01Z</dc:date> </item> <item> <title>15 Prominent Types of Healthcare Software [Updated 2023]</title> <link>https://www.revenuexl.com/blog/healthcare-software-types</link> <description><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/healthcare-software-types" title="" class="hs-featured-image-link"> <img src="https://62006.fs1.hubspotusercontent-na1.net/hub/62006/file-2118756851.jpg" alt="15 Prominent Types of Healthcare Software [Updated 2023]" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Welcome to our latest blog, where we're about to dive into digital health, showcasing the top 15 types of healthcare software transforming the medical field. As the world becomes increasingly digital, it is no surprise that the healthcare sector, too, is riding this wave of innovation. From patient record management to remote patient monitoring and virtual care platforms to AI diagnostic tools, healthcare software is revolutionizing how care is delivered. </p> <p>The global healthcare software market was valued at around USD 44.80 billion in 2021, with an expected annual growth rate of approximately 12% from 2020 to 2027. The market is driven by rising demand for electronic health records and telemedicine solutions. However, challenges include high implementation costs, privacy concerns, and a lack of standardization.</p></description> <content:encoded><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/healthcare-software-types" title="" class="hs-featured-image-link"> <img src="https://62006.fs1.hubspotusercontent-na1.net/hub/62006/file-2118756851.jpg" alt="15 Prominent Types of Healthcare Software [Updated 2023]" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Welcome to our latest blog, where we're about to dive into digital health, showcasing the top 15 types of healthcare software transforming the medical field. As the world becomes increasingly digital, it is no surprise that the healthcare sector, too, is riding this wave of innovation. From patient record management to remote patient monitoring and virtual care platforms to AI diagnostic tools, healthcare software is revolutionizing how care is delivered. </p> <p>The global healthcare software market was valued at around USD 44.80 billion in 2021, with an expected annual growth rate of approximately 12% from 2020 to 2027. The market is driven by rising demand for electronic health records and telemedicine solutions. However, challenges include high implementation costs, privacy concerns, and a lack of standardization.</p> <img src="https://track.hubspot.com/__ptq.gif?a=62006&amp;k=14&amp;r=https%3A%2F%2Fwww.revenuexl.com%2Fblog%2Fhealthcare-software-types&amp;bu=https%253A%252F%252Fwww.revenuexl.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "></content:encoded> <category>EHR System</category> <category>Provider/Physician</category> <category>Consultant</category> <category>Practice Manager</category> <pubDate>Mon, 06 Feb 2023 06:00:59 GMT</pubDate> <author>alok.prasad@revenuexl.com (Alok Prasad)</author> <guid>https://www.revenuexl.com/blog/healthcare-software-types</guid> <dc:date>2023-02-06T06:00:59Z</dc:date> </item> <item> <title>Don't Deny It! Avoiding the Top 5 Denial Issues in Ob/Gyn Practice</title> <link>https://www.revenuexl.com/blog/bid/206898/don-t-deny-it-avoiding-the-top-5-denial-issues-in-ob-gyn-practice</link> <description><div class="hs-migrated-cms-post"> <div style="border: 1px solid #ddd; width: 633px; padding: 5px; xmax-height: 400px; overflow: auto;"> <h2>Ob/GYN Billing Denial Codes</h2> <p>Compared to more commonly processed claims in pediatrics, rheumatology and other branches of medicine, OB/GYN practitioners find themselves facing an alarming percentage of insurance denials often nearly double that of other practitioners. In this post, we'll discuss which CDT codes are most often denied according to a report from RemitDATA, what reason is most commonly given for them and how to avoid having claims with those codes denied.</p> <p>It should be noted that <a href="http://www.slideshare.net/revenuexl/8-tip-for-implementing-obgyn-emr-software">implementing medical records systems</a> that help reduce errors or make it easier to view claims with a problematic code help reduce denials. Recent articles on <a href="https://www.revenuexl.com/ob-gyn-emr-software">electronic health records</a> systems by both <a href="http://www.informationweek.com/healthcare/patient-tools/despite-flaws-personal-health-records-are-smart-medicine/d/d-id/1103881">Information Week</a> and <a href="http://medcitynews.com/2013/08/why-adopt-electronic-medical-records/">Med City News</a> pointed to reduced errors, ease of searching and discovering patterns in denials and increased patient interaction.</p> <h3>99000 - Specimen Handling Office/Lab</h3> <p>Whether the lab is across the street or across the country, code 99000 refers to expenses that are incurred in transporting a specimen to a lab, such as time, fuel, mileage, postage or using a courier service, this would be an appropriate code. If it doesn't incur significant costs, you'll see denial code 97: The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.</p> <h3>99213 - Outpatient Doctor Visit, Level 3</h3> <p>You have a routine office visit with your patient and use a routine code, 99213, to bill it. Unfortunately, too many practitioners use this code as a one-size-fits-all generic code, causing it to be the most commonly denied code with a reason code of 18, duplicate claim or service. By definition, a level three visit has to be in depth enough to make medical decisions of low complexity. If you're doing more than that, you should brush up on other codes for common issues.</p> <h3>81002 - Urinalysis Non-Automated W/O Scope</h3> <p>Code 81002 tends to be a catch-all for basic urinalysis procedures whether for ketones, biliruben or glucose. Whatever the test was for, adding a modifier code often helps you avoid denial code 16: Claim lacks information or has errors.</p> <h3>36415 - Routine Blood Capture</h3> <p>You would think that billing a procedure that involves sticking a needle in someone's arm and collecting the blood from it would be pretty commonplace, right? Yet routine blood capture is the third-highest denied code, often due to not being paid separately, reason code 234.</p> <h3>99214 - Outpatient Doctor Visit, Level 4</h3> <p>By comparison, 99214 requires decision making that is moderately complex and often requires testing to decide the best possible treatment for your patient. If you had to talk to your patient about their new medication in depth because they don't understand the difference, it's a level 3 visit. If you're prescribing a new medication based on an in-depth interview, testing and above-average research, it's level 4. This is why reason code 96, non-covered charge(s), is the most common denial.</p> <p>In addition to the above suggestions, putting appropriate coding and documentation procedures into place in your practice also help lower denials significantly. A recent <a href="http://www.umc.edu/uploadedFiles/UMCedu/Content/Education/Academic_Affairs/Continuing_Health_Professional_Education/Confidence%20in%20Coding%20Handout%2002%2008%2013.pdf">University of Mississippi Medical Center</a> slide show presents a number of excellent suggestions for lowering denials through better office procedures, including suggestions on the upcoming changeover from ICD-9 to ICD-10.</p> <p>At RevenueXL, our commitment is to help you provide the best possible care to your patients through electronic medical records designed specifically for OB/GYN practitioners, strategies to <a href="https://www.youtube.com/watch?v=Orw7NBiXWBA&amp;list=UUqJDPGh6ryB0O21WsrZG-bg&amp;index=8">avoid insurance denials</a> and professional <a href="https://www.revenuexl.com/blog/bid/206544/Seven-Ways-Outsourcing-Medical-Billing-Boosts-Your-Bottom-Line">outsourced medical billing</a>, keeping you taking care of people instead of <a href="https://www.revenuexl.com/medical-billing-services">chasing insurance companies</a>.</p> </div> </div></description> <content:encoded><div class="hs-migrated-cms-post"> <div style="border: 1px solid #ddd; width: 633px; padding: 5px; xmax-height: 400px; overflow: auto;"> <h2>Ob/GYN Billing Denial Codes</h2> <p>Compared to more commonly processed claims in pediatrics, rheumatology and other branches of medicine, OB/GYN practitioners find themselves facing an alarming percentage of insurance denials often nearly double that of other practitioners. In this post, we'll discuss which CDT codes are most often denied according to a report from RemitDATA, what reason is most commonly given for them and how to avoid having claims with those codes denied.</p> <p>It should be noted that <a href="http://www.slideshare.net/revenuexl/8-tip-for-implementing-obgyn-emr-software">implementing medical records systems</a> that help reduce errors or make it easier to view claims with a problematic code help reduce denials. Recent articles on <a href="https://www.revenuexl.com/ob-gyn-emr-software">electronic health records</a> systems by both <a href="http://www.informationweek.com/healthcare/patient-tools/despite-flaws-personal-health-records-are-smart-medicine/d/d-id/1103881">Information Week</a> and <a href="http://medcitynews.com/2013/08/why-adopt-electronic-medical-records/">Med City News</a> pointed to reduced errors, ease of searching and discovering patterns in denials and increased patient interaction.</p> <h3>99000 - Specimen Handling Office/Lab</h3> <p>Whether the lab is across the street or across the country, code 99000 refers to expenses that are incurred in transporting a specimen to a lab, such as time, fuel, mileage, postage or using a courier service, this would be an appropriate code. If it doesn't incur significant costs, you'll see denial code 97: The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.</p> <h3>99213 - Outpatient Doctor Visit, Level 3</h3> <p>You have a routine office visit with your patient and use a routine code, 99213, to bill it. Unfortunately, too many practitioners use this code as a one-size-fits-all generic code, causing it to be the most commonly denied code with a reason code of 18, duplicate claim or service. By definition, a level three visit has to be in depth enough to make medical decisions of low complexity. If you're doing more than that, you should brush up on other codes for common issues.</p> <h3>81002 - Urinalysis Non-Automated W/O Scope</h3> <p>Code 81002 tends to be a catch-all for basic urinalysis procedures whether for ketones, biliruben or glucose. Whatever the test was for, adding a modifier code often helps you avoid denial code 16: Claim lacks information or has errors.</p> <h3>36415 - Routine Blood Capture</h3> <p>You would think that billing a procedure that involves sticking a needle in someone's arm and collecting the blood from it would be pretty commonplace, right? Yet routine blood capture is the third-highest denied code, often due to not being paid separately, reason code 234.</p> <h3>99214 - Outpatient Doctor Visit, Level 4</h3> <p>By comparison, 99214 requires decision making that is moderately complex and often requires testing to decide the best possible treatment for your patient. If you had to talk to your patient about their new medication in depth because they don't understand the difference, it's a level 3 visit. If you're prescribing a new medication based on an in-depth interview, testing and above-average research, it's level 4. This is why reason code 96, non-covered charge(s), is the most common denial.</p> <p>In addition to the above suggestions, putting appropriate coding and documentation procedures into place in your practice also help lower denials significantly. A recent <a href="http://www.umc.edu/uploadedFiles/UMCedu/Content/Education/Academic_Affairs/Continuing_Health_Professional_Education/Confidence%20in%20Coding%20Handout%2002%2008%2013.pdf">University of Mississippi Medical Center</a> slide show presents a number of excellent suggestions for lowering denials through better office procedures, including suggestions on the upcoming changeover from ICD-9 to ICD-10.</p> <p>At RevenueXL, our commitment is to help you provide the best possible care to your patients through electronic medical records designed specifically for OB/GYN practitioners, strategies to <a href="https://www.youtube.com/watch?v=Orw7NBiXWBA&amp;list=UUqJDPGh6ryB0O21WsrZG-bg&amp;index=8">avoid insurance denials</a> and professional <a href="https://www.revenuexl.com/blog/bid/206544/Seven-Ways-Outsourcing-Medical-Billing-Boosts-Your-Bottom-Line">outsourced medical billing</a>, keeping you taking care of people instead of <a href="https://www.revenuexl.com/medical-billing-services">chasing insurance companies</a>.</p> </div> </div> <img src="https://track.hubspot.com/__ptq.gif?a=62006&amp;k=14&amp;r=https%3A%2F%2Fwww.revenuexl.com%2Fblog%2Fbid%2F206898%2Fdon-t-deny-it-avoiding-the-top-5-denial-issues-in-ob-gyn-practice&amp;bu=https%253A%252F%252Fwww.revenuexl.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "></content:encoded> <pubDate>Sat, 01 Jan 2022 14:20:00 GMT</pubDate> <author>alok.prasad@revenuexl.com (Alok Prasad)</author> <guid>https://www.revenuexl.com/blog/bid/206898/don-t-deny-it-avoiding-the-top-5-denial-issues-in-ob-gyn-practice</guid> <dc:date>2022-01-01T14:20:00Z</dc:date> </item> <item> <title>10 Key Benefits of EHR Systems</title> <link>https://www.revenuexl.com/blog/benefits-of-ehr-systems</link> <description><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/benefits-of-ehr-systems" title="" class="hs-featured-image-link"> <img src="https://62006.fs1.hubspotusercontent-na1.net/hub/62006/file-2118756851.jpg" alt="10 Key Benefits of EHR Systems" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p><span>In our rapidly changing healthcare environment, technology isn't just about innovative treatment methods; it's also reshaping how health records are documented and retrieved. </span></p> <p><span><span>The Electronic Health Records (EHR) market has grown significantly due to technological advancements and regulatory mandates. While regions like North America and parts of Europe have high adoption rates, emerging markets and rural areas face challenges hindering widespread EHR implementation. Even in saturated markets, opportunities exist for innovation, such as interoperability and data analytics, indicating potential growth despite basic adoption saturation.</span></span></p> <p><span><span>The <a href="https://www.prnewswire.com/news-releases/electronic-health-records-market-size-to-grow-by-usd-32-27-billion-from-2023-to-2027--north-america-to-occupy-41-market-share-technavio-302100677.html">forecast </a>for the Electronic Health Records (EHR) Market predicts a significant increase of USD 32.27 billion, with a Compound Annual Growth Rate (CAGR) of 12.91% from 2022 to 2027. North America is expected to drive 41% of this global market growth, primarily due to its robust healthcare IT infrastructure and widespread adoption of EHR.&nbsp;</span></span></p> <p><span><span><span>Electronic Health Records are driving the digital transformation in healthcare. They have revolutionized the landscape of modern healthcare, offering a myriad of benefits that transform the way patient information is captured, managed, and utilized across the medical spectrum.</span></span></span></p></description> <content:encoded><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/benefits-of-ehr-systems" title="" class="hs-featured-image-link"> <img src="https://62006.fs1.hubspotusercontent-na1.net/hub/62006/file-2118756851.jpg" alt="10 Key Benefits of EHR Systems" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p><span>In our rapidly changing healthcare environment, technology isn't just about innovative treatment methods; it's also reshaping how health records are documented and retrieved. </span></p> <p><span><span>The Electronic Health Records (EHR) market has grown significantly due to technological advancements and regulatory mandates. While regions like North America and parts of Europe have high adoption rates, emerging markets and rural areas face challenges hindering widespread EHR implementation. Even in saturated markets, opportunities exist for innovation, such as interoperability and data analytics, indicating potential growth despite basic adoption saturation.</span></span></p> <p><span><span>The <a href="https://www.prnewswire.com/news-releases/electronic-health-records-market-size-to-grow-by-usd-32-27-billion-from-2023-to-2027--north-america-to-occupy-41-market-share-technavio-302100677.html">forecast </a>for the Electronic Health Records (EHR) Market predicts a significant increase of USD 32.27 billion, with a Compound Annual Growth Rate (CAGR) of 12.91% from 2022 to 2027. North America is expected to drive 41% of this global market growth, primarily due to its robust healthcare IT infrastructure and widespread adoption of EHR.&nbsp;</span></span></p> <p><span><span><span>Electronic Health Records are driving the digital transformation in healthcare. They have revolutionized the landscape of modern healthcare, offering a myriad of benefits that transform the way patient information is captured, managed, and utilized across the medical spectrum.</span></span></span></p> <img src="https://track.hubspot.com/__ptq.gif?a=62006&amp;k=14&amp;r=https%3A%2F%2Fwww.revenuexl.com%2Fblog%2Fbenefits-of-ehr-systems&amp;bu=https%253A%252F%252Fwww.revenuexl.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "></content:encoded> <category>EHR System</category> <category>Provider/Physician</category> <category>Consultant</category> <category>Practice Manager</category> <pubDate>Wed, 27 Oct 2021 23:54:48 GMT</pubDate> <author>alok.prasad@revenuexl.com (Alok Prasad)</author> <guid>https://www.revenuexl.com/blog/benefits-of-ehr-systems</guid> <dc:date>2021-10-27T23:54:48Z</dc:date> </item> <item> <title>Telemedicine Benefits : 20 Advantages for Doctors and Patients</title> <link>https://www.revenuexl.com/blog/benefits-of-telemedicine</link> <description><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/benefits-of-telemedicine" title="" class="hs-featured-image-link"> <img src="https://www.revenuexl.com/hubfs/Telemedicine%20Benefits.jpg" alt="Telemedicine Benefits : 20 Advantages for Doctors and Patients" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Telehealth, also known as <a href="https://www.revenuexl.com/resources/what-is-telemedicine">telemedicine</a>, has become an integral part of modern healthcare. It has transformed healthcare delivery by improving accessibility, efficiency, and patient outcomes. With its potential to serve more patients, reduce costs, and enhance patient engagement, telehealth has proven to be a valuable asset in the healthcare industry. As technology advances and the demand for remote healthcare services grows, telehealth is set to play an even more significant role in the future of healthcare.</p></description> <content:encoded><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/benefits-of-telemedicine" title="" class="hs-featured-image-link"> <img src="https://www.revenuexl.com/hubfs/Telemedicine%20Benefits.jpg" alt="Telemedicine Benefits : 20 Advantages for Doctors and Patients" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>Telehealth, also known as <a href="https://www.revenuexl.com/resources/what-is-telemedicine">telemedicine</a>, has become an integral part of modern healthcare. It has transformed healthcare delivery by improving accessibility, efficiency, and patient outcomes. With its potential to serve more patients, reduce costs, and enhance patient engagement, telehealth has proven to be a valuable asset in the healthcare industry. As technology advances and the demand for remote healthcare services grows, telehealth is set to play an even more significant role in the future of healthcare.</p> <img src="https://track.hubspot.com/__ptq.gif?a=62006&amp;k=14&amp;r=https%3A%2F%2Fwww.revenuexl.com%2Fblog%2Fbenefits-of-telemedicine&amp;bu=https%253A%252F%252Fwww.revenuexl.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "></content:encoded> <category>Health IT</category> <category>Telemedicine</category> <category>Provider/Physician</category> <category>Consultant</category> <pubDate>Sun, 19 Jul 2020 07:58:36 GMT</pubDate> <author>alok.prasad@revenuexl.com (Alok Prasad)</author> <guid>https://www.revenuexl.com/blog/benefits-of-telemedicine</guid> <dc:date>2020-07-19T07:58:36Z</dc:date> </item> <item> <title>Value-Based Care vs. Fee-For-Service: What’s the Difference?</title> <link>https://www.revenuexl.com/blog/fee-for-service</link> <description><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/fee-for-service" title="" class="hs-featured-image-link"> <img src="https://www.revenuexl.com/hubfs/Fee%20For%20Service%20-%201.png" alt="Value-Based Care vs. Fee-For-Service: What’s the Difference?" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <h2><span>How Value-Based Care is Replacing Fee-for-Service as the Future of Healthcare Reimbursement</span></h2> <p>In the ever-evolving healthcare landscape, two distinct approaches have emerged as front runners: Fee-for-Service and Value-Based Care. These contrasting models shape how healthcare is delivered and have far-reaching implications for patients, providers, and the healthcare system. In this blog post, we'll dive into the fundamental differences between Fee-for-Service and Value-Based Care, exploring their strengths, weaknesses, and impact on the quality and cost of healthcare. Join us on this journey to better understand these pivotal healthcare paradigms.</p> <a></a> <h3 style="font-weight: normal;">What is Fee for Service in Healthcare?</h3> <p>Fee-for-service in healthcare is a payment model in which medical providers receive compensation for each service rendered to a patient. This arrangement typically involves patients paying out-of-pocket or through insurance for each individual medical procedure, consultation, or treatment received rather than a bundled or capitated payment structure. This means the more services a physician provides, the more they get paid, regardless of whether those services lead to better health outcomes for the patient.</p> <p><strong>Example:</strong> Imagine a patient visiting a doctor with flu-like symptoms. </p> <ol> <li>The doctor charges a fee for the office visit.</li> <li>If a blood test is recommended, there's a separate fee.</li> <li>Suppose an X-ray is deemed necessary; yet another fee is billed.</li> <li>Prescription medications or further referrals to specialists generate additional costs.</li> </ol> <p>The bill reflects the sum of all these individual services, even if the patient's condition didn't improve or some tests were unnecessary. This model can lead to overuse of services and unnecessary treatments, which can drive up healthcare costs.</p> <p>Many healthcare systems and insurance companies are moving away from fee-for-service models and toward <a href="https://www.revenuexl.com/blog/value-based-care">value-based care</a>, which focuses on providing high-quality, cost-effective care rather than simply providing more services. This shift incentivizes healthcare providers to focus on their patients' overall health and well-being rather than simply providing more services.</p></description> <content:encoded><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/fee-for-service" title="" class="hs-featured-image-link"> <img src="https://www.revenuexl.com/hubfs/Fee%20For%20Service%20-%201.png" alt="Value-Based Care vs. Fee-For-Service: What’s the Difference?" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <h2><span>How Value-Based Care is Replacing Fee-for-Service as the Future of Healthcare Reimbursement</span></h2> <p>In the ever-evolving healthcare landscape, two distinct approaches have emerged as front runners: Fee-for-Service and Value-Based Care. These contrasting models shape how healthcare is delivered and have far-reaching implications for patients, providers, and the healthcare system. In this blog post, we'll dive into the fundamental differences between Fee-for-Service and Value-Based Care, exploring their strengths, weaknesses, and impact on the quality and cost of healthcare. Join us on this journey to better understand these pivotal healthcare paradigms.</p> <a></a> <h3 style="font-weight: normal;">What is Fee for Service in Healthcare?</h3> <p>Fee-for-service in healthcare is a payment model in which medical providers receive compensation for each service rendered to a patient. This arrangement typically involves patients paying out-of-pocket or through insurance for each individual medical procedure, consultation, or treatment received rather than a bundled or capitated payment structure. This means the more services a physician provides, the more they get paid, regardless of whether those services lead to better health outcomes for the patient.</p> <p><strong>Example:</strong> Imagine a patient visiting a doctor with flu-like symptoms. </p> <ol> <li>The doctor charges a fee for the office visit.</li> <li>If a blood test is recommended, there's a separate fee.</li> <li>Suppose an X-ray is deemed necessary; yet another fee is billed.</li> <li>Prescription medications or further referrals to specialists generate additional costs.</li> </ol> <p>The bill reflects the sum of all these individual services, even if the patient's condition didn't improve or some tests were unnecessary. This model can lead to overuse of services and unnecessary treatments, which can drive up healthcare costs.</p> <p>Many healthcare systems and insurance companies are moving away from fee-for-service models and toward <a href="https://www.revenuexl.com/blog/value-based-care">value-based care</a>, which focuses on providing high-quality, cost-effective care rather than simply providing more services. This shift incentivizes healthcare providers to focus on their patients' overall health and well-being rather than simply providing more services.</p> <img src="https://track.hubspot.com/__ptq.gif?a=62006&amp;k=14&amp;r=https%3A%2F%2Fwww.revenuexl.com%2Fblog%2Ffee-for-service&amp;bu=https%253A%252F%252Fwww.revenuexl.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "></content:encoded> <category>Medical Billing</category> <category>Fee For Service</category> <category>Provider/Physician</category> <pubDate>Thu, 11 Jun 2020 06:50:43 GMT</pubDate> <author>alok.prasad@revenuexl.com (Alok Prasad)</author> <guid>https://www.revenuexl.com/blog/fee-for-service</guid> <dc:date>2020-06-11T06:50:43Z</dc:date> </item> <item> <title>What are Current Procedural Terminology Codes and CPT Modifiers?</title> <link>https://www.revenuexl.com/blog/cpt-modifiers</link> <description><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/cpt-modifiers" title="" class="hs-featured-image-link"> <img src="https://www.revenuexl.com/hubfs/Code%20Modifiers-1.png" alt="Physician_Patient_Loyalty" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <h1></h1> <h2>What is a CPT Code?</h2> <div> <div> <div> <p>The Current Procedural Terminology (CPT®) code is a standardized medical code set designed to provide doctors, healthcare professionals, and administrative entities with a unified language, improve reporting accuracy, streamline processes, and increase efficiency. It is used for documenting and reporting medical, surgical, radiological, laboratory, anesthesiological, genomic sequencing, evaluation, and management (E/M) services.</p> <p>CPT codes serve multiple roles:</p> <ol> <li><strong>Clinical Reporting</strong>: They help healthcare providers accurately report the various procedures, services, and interventions they administer to patients.</li> <li><strong>Administrative and Management</strong>: They are instrumental in administrative tasks, such as medical claims processing and creating guidelines for medical care review.</li> <li><strong>Electronic Medical Billing</strong>: They are used alongside ICD-9-CM or ICD-10-CM diagnostic codes during the electronic medical billing process to communicate information to entities like physicians, health insurance companies, and accreditation bodies.</li> </ol> <h3>Unique features of CPT codes:</h3> <ul> <li><strong>Structure</strong>: Each CPT code consists of a five-digit numerical identifier that corresponds to a specific medical procedure or service.</li> <li><strong>Annual Updates</strong>: Managed by the American Medical Association (AMA) with input from professional specialty societies, including those focusing on pain management, the CPT manual undergoes regular annual updates to reflect the latest in medical practice and innovations.</li> <li><strong>Transparency and Rigor</strong>: The CPT® Editorial Panel, established over 50 years ago and convened by the AMA, oversees the CPT code set's development and management. This panel ensures a transparent, rigorous process that yields clinically valid codes, updating them as needed to mirror contemporary clinical practices and medical innovations.</li> </ul> <p>Providers are tasked with the responsibility of understanding, documenting, and reporting CPT codes accurately for the services they deliver, adhering to the extensive coding requirements outlined in the CPT manual.</p> </div> </div> </div></description> <content:encoded><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/cpt-modifiers" title="" class="hs-featured-image-link"> <img src="https://www.revenuexl.com/hubfs/Code%20Modifiers-1.png" alt="Physician_Patient_Loyalty" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <h1></h1> <h2>What is a CPT Code?</h2> <div> <div> <div> <p>The Current Procedural Terminology (CPT®) code is a standardized medical code set designed to provide doctors, healthcare professionals, and administrative entities with a unified language, improve reporting accuracy, streamline processes, and increase efficiency. It is used for documenting and reporting medical, surgical, radiological, laboratory, anesthesiological, genomic sequencing, evaluation, and management (E/M) services.</p> <p>CPT codes serve multiple roles:</p> <ol> <li><strong>Clinical Reporting</strong>: They help healthcare providers accurately report the various procedures, services, and interventions they administer to patients.</li> <li><strong>Administrative and Management</strong>: They are instrumental in administrative tasks, such as medical claims processing and creating guidelines for medical care review.</li> <li><strong>Electronic Medical Billing</strong>: They are used alongside ICD-9-CM or ICD-10-CM diagnostic codes during the electronic medical billing process to communicate information to entities like physicians, health insurance companies, and accreditation bodies.</li> </ol> <h3>Unique features of CPT codes:</h3> <ul> <li><strong>Structure</strong>: Each CPT code consists of a five-digit numerical identifier that corresponds to a specific medical procedure or service.</li> <li><strong>Annual Updates</strong>: Managed by the American Medical Association (AMA) with input from professional specialty societies, including those focusing on pain management, the CPT manual undergoes regular annual updates to reflect the latest in medical practice and innovations.</li> <li><strong>Transparency and Rigor</strong>: The CPT® Editorial Panel, established over 50 years ago and convened by the AMA, oversees the CPT code set's development and management. This panel ensures a transparent, rigorous process that yields clinically valid codes, updating them as needed to mirror contemporary clinical practices and medical innovations.</li> </ul> <p>Providers are tasked with the responsibility of understanding, documenting, and reporting CPT codes accurately for the services they deliver, adhering to the extensive coding requirements outlined in the CPT manual.</p> </div> </div> </div> <img src="https://track.hubspot.com/__ptq.gif?a=62006&amp;k=14&amp;r=https%3A%2F%2Fwww.revenuexl.com%2Fblog%2Fcpt-modifiers&amp;bu=https%253A%252F%252Fwww.revenuexl.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "></content:encoded> <category>Coding Audit</category> <category>Medical Coding</category> <category>medical biller</category> <pubDate>Sat, 06 Jun 2020 15:00:30 GMT</pubDate> <author>alok.prasad@revenuexl.com (Alok Prasad)</author> <guid>https://www.revenuexl.com/blog/cpt-modifiers</guid> <dc:date>2020-06-06T15:00:30Z</dc:date> </item> <item> <title>Denial Management Best Practices for Small Practices | RevenueXL</title> <link>https://www.revenuexl.com/blog/best-practices-denial-management</link> <description><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/best-practices-denial-management" title="" class="hs-featured-image-link"> <img src="https://www.revenuexl.com/hubfs/BEST%20PRACTICES.png" alt="Denial Management Best Practices for Small Practices | RevenueXL" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>If someone asked you to give away thousands of dollars annually for no reason, would you do it? Probably not, unless you’re a wealthy philanthropist.</p> <p>Physician practices of all sizes that don’t pay attention to denied healthcare claims essentially relinquish revenue. Instead of performing the time-consuming process of figuring out why some claims are denied and how to appeal them, they leave a substantial amount of money untouched. Even though about <a href="https://www.physicianspractice.com/medical-billing-collections/why-getting-claims-right-first-time-cheaper-reworking-them/page/0/1">two-thirds of all denied claims</a> are recoverable, approximately <a href="https://www.hfma.org/topics/hfm/2018/september/61778.html">65% of them are never resubmitted</a>.</p> <br></description> <content:encoded><div class="hs-featured-image-wrapper"> <a href="https://www.revenuexl.com/blog/best-practices-denial-management" title="" class="hs-featured-image-link"> <img src="https://www.revenuexl.com/hubfs/BEST%20PRACTICES.png" alt="Denial Management Best Practices for Small Practices | RevenueXL" class="hs-featured-image" style="width:auto !important; max-width:50%; float:left; margin:0 15px 15px 0;"> </a> </div> <p>If someone asked you to give away thousands of dollars annually for no reason, would you do it? Probably not, unless you’re a wealthy philanthropist.</p> <p>Physician practices of all sizes that don’t pay attention to denied healthcare claims essentially relinquish revenue. Instead of performing the time-consuming process of figuring out why some claims are denied and how to appeal them, they leave a substantial amount of money untouched. Even though about <a href="https://www.physicianspractice.com/medical-billing-collections/why-getting-claims-right-first-time-cheaper-reworking-them/page/0/1">two-thirds of all denied claims</a> are recoverable, approximately <a href="https://www.hfma.org/topics/hfm/2018/september/61778.html">65% of them are never resubmitted</a>.</p> <br> <img src="https://track.hubspot.com/__ptq.gif?a=62006&amp;k=14&amp;r=https%3A%2F%2Fwww.revenuexl.com%2Fblog%2Fbest-practices-denial-management&amp;bu=https%253A%252F%252Fwww.revenuexl.com%252Fblog&amp;bvt=rss" alt="" width="1" height="1" style="min-height:1px!important;width:1px!important;border-width:0!important;margin-top:0!important;margin-bottom:0!important;margin-right:0!important;margin-left:0!important;padding-top:0!important;padding-bottom:0!important;padding-right:0!important;padding-left:0!important; "></content:encoded> <category>Denial Management</category> <category>Practice Manager</category> <category>Practice Management</category> <pubDate>Sun, 31 May 2020 07:12:25 GMT</pubDate> <author>alok.prasad@revenuexl.com (Alok Prasad)</author> <guid>https://www.revenuexl.com/blog/best-practices-denial-management</guid> <dc:date>2020-05-31T07:12:25Z</dc:date> </item> </channel></rss> If you would like to create a banner that links to this page (i.e. this validation result), do the following:
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