Medicare and insurer payments to healthcare providers are determined by the value they contribute to patient care, rather than the number of patients they treat.
The clinical notes and charts created by healthcare providers form the basis of the medical coding process. Our skilled team reviews this documentation to confirm the medical necessity of procedures, ensuring legitimate reimbursement. This review not only improves payer reimbursements but also helps prevent recoupments, penalties, and sanctions from Recovery Audit Contractors (RAC) and Zone Program Integrity Contractors (ZPIC).
We assist with mandates for star ratings and quality data submission, including Physician Quality Reporting System (PQRS), Meaningful Use (MU) - Electronic Health Records (EHR) Stage-II, Value-Based Modifier, and Medicare Access and CHIP Reauthorization Act (MACRA) - Merit-Based Incentive Payment System (MIPS). These are essential standards for providers to maintain compliance in the industry, and we guide providers through these critical areas to ensure compliance and prompt payment.
Dynamic IT Healthcare recognizes that Revenue Cycle Management (RCM) in medical billing is a vital process for healthcare organizations to effectively manage the financial aspects of patient care.
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