It’s that time of year once again. We all cringe as we await the new coding updates. One consolation: At least we know that the changes are staggered a bit so they don’t hit us all at once. The new ICD-10 codes are active as of October 1, 2024. The 2025 CPT...
By Bruce Cohen, M.D. Medical Advisor, Calm Waters AI As the former administrative leader of a large provider group, I was continually inundated with meeting requests from prospective vendors eager to present the best and newest technology solutions to my problems. I...
A Healthcare CFO’s financial woes – beneath the surface By Aaron McAdams, Chief Accounting Officer, Calm Waters AI When I read recently, as you may have, about a hospital in Tennessee that missed payroll, I started to feel some of the old anxieties I remember from my...
Based on our experience, there is a good deal of confusion over the CPT codes for mental health and developmental screenings. It’s important to understand them and when to use them, not least because some payors are expanding coverage for these services.[1] So let’s...
Are you sitting on a gold mine? By Aaron McAdams, Chief Accounting Officer, Calm Waters AI The data embedded in your practice group or health system is a veritable gold mine. And now a word about gold-mining: Getting the gold is not easy. In places like...
by Kevin Lewis, Former CFO, Physician Housecalls You may be hearing the terms ( or their acronyms) “value-based care” (VBC), “accountable care organizations” (ACOs), “benchmarks,” “shared savings,” and other new phrases that leave you scratching your head about...
by Kevin Lewis, Former CFO, Physician Housecalls Though it may seem like only a small cloud on the horizon today, value-based care (VBC) will be here sooner than you think. CMS aims to transition all dollars expended for Medicare, Medicare Advantage, and...
by Kevin Lewis, Former CFO, Physician Housecalls During a recent webinar on clinical documentation, healthcare leaders were polled on problems affecting their revenue cycle. The top answer? Eight in ten identified an increase in payor denials. That result may...
