Current Procedural Terminology (CPT) codes and diagnosis codes impact how insurance companies adjudicate claims and determine patient responsibility amounts. Healthcare providers can greatly impact the amount that the patient is liable for based on how services are coded and reported to the insurance company. Hospital and physician office staff who collect money from patients need to understand the basics regarding these procedure codes in order to minimize collection errors up front and reduce the likelihood of credit balances and claim re-work. So how can you help your front desk understand the impact of coding?
Hayes' Healthcare Blog
Hayes is pleased to introduce our Healthcare Leaders blog series. In this series, we ask some of healthcare’s most prominent leaders to comment on the current state of healthcare as well as discuss what they think the future holds. Our first Healthcare Leader blog is authored by John Halamka, MD, CIO, Beth Israel Deaconess Medical Center and co-chair of the national Healthcare IT Standards Committee.
Advice for the Modern IT Leader
Recently I gave a keynote address about the characteristics of the modern IT leader - call it my top 10 list of behaviors and tactics. As a pre-amble, I offered an environmental scan of the regulatory and business challenges we’re likely to face over the next five years.
All IT leaders have weathered the impact of the Meaningful Use program, ICD-10 implementation, HIPAA Omnibus Rule and Affordable Care Act. Over the past few weeks, the Sustainable Growth Rate fix, the 21st Century Cures Act, and the Burgess Bill have added even more complexity to IT tactical planning. Here’s my advice.