If you've ever worked with healthcare costs and insurance, you're likely familiar with the term "risk adjustment coding." But what does it entail, and why is it a critical component for both healthcare organizations and insurance companies? In essence, this serves as...

In a groundbreaking move, the Centers for Medicare & Medicaid Services (CMS) has recently implemented a final rule, led by Administrator Chiquita Brooks-LaSure, that promises to revolutionize the prior authorization process. These reforms, aimed at cutting patient...

California Assemblyman Jim Wood has championed a groundbreaking bill, AB-815, aimed at simplifying the often cumbersome process of credentialing practitioners seeking to join healthcare plans. The bill proposes the establishment of a state board tasked with certifying...

The practice of value-based care has gained significant momentum, driven in part by the COVID-19 pandemic, which highlighted the limitations of fee-for-service reimbursement. Healthcare providers now face increasing pressure to stay up-to-date with emerging trends in...

The Healthcare Code Landscape Is About To Witness A Significant Transformation The Centers for Medicare & Medicaid Services (CMS) have recently unveiled the ICD-10-CM 2024 codes. These updates, slated for use by all provider types, encompass both Inpatient and...

Specialty Healthcare in the US Many doctor visits involve seeing a specialist at some point in the process. The specialty healthcare system in the United States needs to be improved in order to help patients and doctors alike. Specialists are important in American...

Physician Compensation And Medicare: When it comes to physician compensation within the Medicare system, it often feels like we're applying quick fixes rather than addressing the underlying issues. Instead of constantly maneuvering to avoid these pay cuts, it's...

In The Rapidly Evolving Landscape of Healthcare Patients are no longer tethered to a singular provider network. They are now opting instead to distribute their care across a multitude of platforms. As the industry adapts to this shifting paradigm, healthcare providers...

Patients & The Billing Process Here at Welter Healthcare Partners, we acknowledge and applaud the dedication of revenue cycle leaders who tirelessly work to benefit patients, including financially. A critical aspect of ensuring a positive patient experience is...