EZClaim’s blog is an up-to-date source of information about the company and the medical billing industry.
Do you know how much it really costs to manage credentialing processes in house? It’s not always as clear as you may think. This article from TriZetto Provider Solutions (TPS) details why experienced credentialing experts are needed to mitigate the unknown expense of managing a practice’s credentialing. Learn how to save your practice money and try out the TPS Credentialing ROI calculator to see how much you could save!
EZClaim works to bring powerful tools to, and make it easy for, small and mid-sized practices and RCM companies to submit clean claims every time easily and efficiently.
When it comes to optimizing operations, automation is key. According to the CAQH Index report, the healthcare industry can save more than $16 billion by transitioning to fully electronic transactions. Discover the opportunities for healthcare providers to enhance operational processes and grow their business.
Insights from Waystar: how to reduce back-office denials with a better patient access solution
A thorough and accurate risk assessment can unearth a host of crucial insights from even the deepest and darkest alleys of your IT environment to ultimately empower your decision making.
With the right reporting tool in place, you can avoid lost revenue, keep reimbursements high, and decrease denials.
MIPS is a point-based program and understanding how to earn MIPS points is critical to avoid a 9% penalty. The MIPS program continues to change and evolve each year as it meets the goals laid out in the MACRA law and carried out by CMS. Since the program was implemented in 2017 the points threshold to avoid a penalty has grown from 3 to 60 out of a possible 100 MIPS points; the penalty has increased from 3% to 9% of annual Medicare reimbursements; and, the number of patients required to be reported on has increased from 20 patients to all patients for all payors. With the rules changing every year, the strategy you previously used to score MIPS points and report may no longer be optimal. If you want to avoid the 9% penalty in 2021 and beyond, you must think differently and evolve your strategy for MIPS.
Your organization’s annual HIPAA Security Risk Assessment and Analysis are only one element of the compliance process, and whether you’re a Business Associate or Covered Entity, your organization must also “implement security updates as necessary and correct identified security deficiencies”. In other words, you must act via a Corrective Action Plan (CAP) following the required risk assessment process.
Reduce repetitive tasks and create cleaner claims by using EZClaim’s template and custom input validation features.
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