Total RCM Solutions

How the Latest CMS Rule Promises to Transform Healthcare Access and Prior Authorization In a significant stride toward enhancing healthcare access and streamlining administrative processes, the Centers for Medicare & Medicaid Services (CMS) has recently finalized a rule aimed at expanding access to health information and improving the prior authorization process. This pivotal move underscores

In the ever-evolving landscape of healthcare, data security is a critical concern. This holds true not only for patient care but also for the administrative processes that support it. Medical billing and coding play a pivotal role in managing financial transactions related to healthcare services. However, the sensitive nature of patient records and billing information demands robust security measures.

Managing accounts receivable is a crucial task that can significantly impact a company’s financial health. However, the traditional methods of collections can be time-consuming, inefficient, and prone to errors. Thankfully, with the advent of cutting-edge technology, businesses now have access to powerful tools and strategies that can streamline their accounts receivable processes. From medical billing

Each new year brings new, revised, and deleted codes and coding guidelines that become effective Jan 1.  CPT 2024 includes 230 new codes, 70 revised codes, and 49 deleted codes.  Most of the changes are in the sections of Evaluation and Management (E/M) Services, the phrenic nerve stimulation system, lab and pathology, COVID-19 and RSV

1 – Make sure we appeal within Appeals Timely Limit. We typically have 120 days from the denial date to request an appeal. Medicare maintains very strict filing deadlines for each level of appeal. To avoid issues, don’t hesitate to request an appeal to your denied claims. There’s no reason to sit on your denials—prioritize

Strategies to make EMR software more efficient There are several strategies that can be implemented to make EMR (Electronic Medical Records) software more efficient: Customization: EMR software should allow for customization to meet the specific needs of the healthcare organization. This can include custom templates, workflows, and reports. Integration: EMR software should integrate with other