Articles


June 14, 2024

Telehealth Expansion: Navigating the New Regulatory and Reimbursement Landscape

The COVID-19 pandemic has fundamentally transformed the healthcare industry, accelerating the adoption of telehealth services at an unprecedented rate. As social distancing measures and lockdowns limited in-person healthcare visits, telehealth emerged as a critical solution for maintaining patient care continuity.
May 31, 2024

Overcoming RCM Staffing Challenges with Staff Augmentation

The healthcare industry is facing an unprecedented staffing crisis, significantly impacting revenue cycle management (RCM) teams. As healthcare organizations grapple with the complexities of billing, coding, and collections, the shortage of skilled RCM professionals has led to increased workloads, staff burnout, errors, and a decline in collected revenue.
August 3, 2023

Enhancing your Patient Experience with a Financial Assistance Program

In 2021, when the Evaluation and Management guidelines were revised, the area with the most confusion was ultimately the amount and/or complexity of data to be reviewed and/or analyzed. Like with other components, misunderstandings with definitions and descriptions were at the root of the problem.
December 26, 2022

Complexity of Documentation and Data

In 2021, when the Evaluation and Management guidelines were revised, the area with the most confusion was ultimately the amount and/or complexity of data to be reviewed and/or analyzed. Like with other components, misunderstandings with definitions and descriptions were at the root of the problem.
November 11, 2022

Oncospark launches SPARK Advisory Network

Expanding options for healthcare administrators to confront dynamic changes in regulations, operations, technology, and staffing challenges. SOUTHLAKE, Texas, Nov. 9, 2022 /PRNewswire/ — Oncospark has announced the launch of SPARK Advisory Network, a comprehensive network of healthcare experts and influencers. The Advisory Network brings together: stakeholders, administrators, thought leaders, clinicians, and subject matter experts.
November 4, 2022

Correctly Apply Subsequent Codes in 2023

In September 2022, the American Medical Association released the revised E/M guidelines for 2023, bringing the 2021 Guidelines in alignment with other code sets for Evaluation and Management Services. This is part of their ongoing effort to reduce physician documentation burdens.
October 27, 2022

Steps to Improve your Prior Authorization Process

The challenges prior authorization presents to healthcare groups and physicians continue to increase. A 2021 American Medical Association (AMA) survey found that 93% of physicians report that prior authorization results in care delays. One-third said that prior auth delays have caused at least one of their patients to experience a serious problem, such as hospitalization, disability, and even death.
October 7, 2022

Breast Cancer Awareness: Diagnosis, Treatment, and Getting Paid

In October we raise awareness for Breast Cancer since it is the second most common cancer that women in the United States face according to the CDC. Every year in the United States, we see cases of about 264,000 in women and 2,400 in men. The mortality rate for women is higher at 42,000 and 500 for men just in the U.S. alone. It is vital that we raise awareness for prevention, early detection, and access to treatment.
September 29, 2022

Radiation Oncology Audit Insights

Are you struggling with your Evaluation and Management reimbursement for Radiation Oncology services? Radiation Oncology has nuances, and you may be leaving money on the table without a good understanding of how the 2021 Evaluation and Management guidelines impact Oncology services.