AdvantEdge

How Precision Medicine is Evolving the Radiology Field

Radiology has undergone a significant transformation in recent years thanks to the rise of precision medicine. This exciting healthcare field is changing the game by tailoring treatment plans to each patient’s needs. Radiology uses advanced imaging to identify unique patient characteristics and develop targeted treatment plans. From early cancer detection to diagnosing rare genetic disorders,…

Four Steps to Protect your Practice from a Data Breach

A data breach is when an unauthorized party breaks into a company, individual, or organization’s system to disrupt, control, steal, or manipulate private, protected, or sensitive information. Therefore, these breaches happen when someone is looking to exploit your software or personnel internally to gain access to private data. However, it can also occur unintentionally when someone…

Get Ready for the CPT E/M Codes Changes in 2023

The New Year means medical practices must be ready for new code and guideline changes regarding CPT Evaluation and Management (E/M). The American Medical Association (AMA) released the guidelines regarding these medical codes effective January 1, 2023. Practices must be aware of them to prevent payment delays and run their businesses smoothly. These changes include 225 new…

ASA Stated that The No Surprises Act Has Created Financial Challenges for Anesthesiologists

According to the American Society of Anesthesiologists (ASA), the No Surprises Act (NSA) is harming anesthesiologists financially. The ASA sent a letter to the CMSs Center for Consumer Information and Insurance Oversight (CCIIO) to address an imbalance in the implementation of the Act. The letter includes nine challenges faced by anesthesiologists and specific recommendations to…

Why Should you Outsource your Authorization Process?

Prior authorization (PA) in medical billing consists of the process where providers determine the coverage of a rendered service, and the payer is authorized to pay for the service or treatment. Without authorization, the insurance payer is free to refuse the payment of a patient’s medical service as part of the health care insurance plan.…

Three Takeaways to Choose the Right Business Intelligence Platform for your Practice

In the healthcare industry, there are plenty of business intelligence platforms that can help you keep the pulse of your medical practice, identify areas of improvement, and provide you with insights to make data-driven decisions. However, a good BI platform can be sometimes hard to find. With typical BI platforms, the process to see your…

CMS Released the Proposed Outpatient Prospective Payment Rule for 2023

CMS proposed changes to determine payment rates for Medicare services paid under the OPPS and ASC payment system for CY by 2.7%. CMS estimates that total payments to OPPS and ASC providers for CY 2023 will be approximately $86.2B and $5.4B, respectively. Formal comments on the rule are accepted until September 13, 2022.…

Four Tips to Reduce the Most Common Pathology Billing Errors

There are many complex regulations and steps involved when it comes to pathology billing and coding. Mistakes can occur at many points of your “front-end” and “back-end” processes. This can reduce collections and increase days in A/R, delay reimbursement and lead to compliance violations or fines. In today´s era of ongoing pressures on pathology reimbursement,…

5 Tips to Optimize your Telemedicine Appointments

The healthcare industry is clearly evolving, making telehealth, telemedicine, and remote patient care more significant components of care delivery. Telemedicine in particular has advanced from a curious form of clinical communication to a mainstay in the way providers and consumers interact. It has gone from being a side feature of the healthcare system to an…