Denial Management Process: Introduction Effective denial management is vital for healthcare providers to maintain financial stability and ensure that services rendered to patients are appropriately reimbursed. Denials can occur due to various reasons, such as coding errors, missing documentation, inaccurate patient information, and failure to meet payer-specific guidelines. By establishing a structured denial management process, […]
The Merit-based Incentive Payment System (MIPS) is a program that is designed to incentivize healthcare providers to provide high-quality care to their patients. The MIPS program was established as part of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, which aimed to shift Medicare reimbursement from a fee-for-service model to a value-based care […]
The Merit-Based Incentive Payment System, or MIPS, is a program developed by the Centers for Medicare and Medicaid Services (CMS) that rewards healthcare providers for providing high-quality care to their patients. One of the key aspects of participating in MIPS is submitting data to the program. In this article, we will discuss how to submit […]
The process of billing claims and reimbursement is called “Revenue Cycle”.
