Tackling Rising Denial Rates in 2023

Americans spend close to $10,000 annually on healthcare, and in the business of medicine, providers must find ways to recover treatment expenses quickly and effectively from insurance carriers to be successful. Because healthcare providers rely on these insurance claims as a primary revenue source, they are additionally tasked with the issues of delayed payments and…

DEA Extension of Telemedicine Prescribing Rule: An Overview

The Drug Enforcement Agency (DEA) issued a new regulation on May 10, 2023, entitled “Temporary Extension of COVID-19 Telemedicine Flexibility for Prescription of Controlled Medications”. This temporary extension applies to the full set of DEA COVID-19 waivers for telemedicine prescribing of controlled substances. These waivers, in effect since March 2020, have now been extended through…

Raising the Bar on the Patient Experience

A patient’s experience is defined by their interactions with the healthcare system, including their communication with all medical providers and insurers. Several aspects of healthcare delivery that patients value highly when seeking and receiving care are included in the patient experience and are an integral component of healthcare quality. Patient opinion is important in healthcare.…

The Value-Based Care Movement: What’s Working, What’s Not

Value-based care is the emerging alternative to Fee-for-Service reimbursement–based on quality rather than quantity. Value-Based Care basics Value-based care (VBC) is a reimbursement system that rewards providers for efficiency and effectiveness in providing care. Compared to fee-for-service models, this form of reimbursement allows providers retrospective compensation for services delivered based on bill charges or annual…

Quality Care Measurement: Understanding Statistical Significance

The amount of healthcare data is growing at an astounding rate. Statistical significance is used by quality improvement administrators to determine whether differences in quality are likely to occur by chance. This data presents a valuable opportunity for healthcare organizations. Using healthcare data to build better quality improvement programs Health care organizations use data to…