All Articles Written by Melissa Clark, CCS-P, RT

All Articles Written by Melissa Clark, CCS-P, RT - President and CEO

Welcome to the archived list of all medical billing articles written and posted to the site by our Chief Executive Officer, Melissa Clark, CCS-P, RT.

All articles are listed below and categorized by date, newest to oldest. Click any article link below to read the entire article.

7 strategies to prevent claims denials

Claims denials pose a serious issue for hospitals amid an already complicated reimbursement landscape. “Denials are a huge obstacle to timely and complete reimbursement,” said Carmen Sessoms, associate vice president of the revenue cycle management advisory services program at Nashville, Tenn.-based Change Healthcare. In 2016, Change Healthcare managed 1.8 billion transactions with a value of more than $3 trillion. Leveraging this data, analysts determined approximately 9 percent of claims with a value of $262 billion were denied. These denials impacted about 3.3 percent of net patient revenue, translating to an average of $4.9 million per hospital. Denials are not only highly prevalent in the healthcare environment, but also very costly

Authored By: Melissa on November 13th, 2017 | No Comments

Hypertension Coding in the Age of Quality

The hypertension “epidemic” hearkens back to boxer Joe Louis’ words regarding a smaller, quicker opponent — light heavyweight Billy Conn, “You can run, but you can’t hide!” No matter what specialty of medicine or surgery you practice, or whether you are a primary-care provider, elevated blood pressure represents a recurring problem that will not go away. Furthermore, hypertension is often accompanied by comorbid conditions such as diabetes mellitus, obesity, CKD-3, and systolic dysfunction which complicates blood pressure treatment, according to researchers at University of Miami Miller School of Medicine. The downside of this epidemic is clear, untreated blood pressure is fraught with multiple target organ complications. In fact, approximately 80

Authored By: Melissa on November 3rd, 2017 | No Comments

Most Providers Report Lack of Health IT Interoperability

A new eHealth Initiative survey found 68 percent of providers believe current interoperability solutions fail to help meet the goals of value-based care. Researchers in 2017 Survey on Access to Patient Information gathered responses from 107 respondents including CEOs and other executive leadership, IT leadership, clinical staff, and administrative leadership from hospitals, health systems, medical groups, physician practices, HIEs, and other organizations. The survey addressed issues including health data exchange, interoperability, federal regulations, patient access to information, and patient engagement. Researchers found that most providers believe technology has improved healthcare quality since 2008, but certain areas—including interoperability—are still in need of significant improvements. “Sixty-three percent agree that technology has helped

Authored By: Melissa on October 27th, 2017 | No Comments

Healthcare security compliance in the cloud

The “cloud” has almost become a buzzword in health IT, with many hospitals considering a shift to remote servers to reduce costs and improve scalability. However, some executives have hesitated, given the cyber-security implications of accessing protected health information through the internet. “It’s like online shopping,” Shaung Liu, chief technology officer of the provider division at Teladoc, said during a Microsoft-sponsored workshop at the Becker’s Hospital Review 3rd Annual Health IT + Revenue Cycle Conference Sept. 21 in Chicago. “When you first did online shopping nobody wanted to put their credit card in the cloud … you didn’t trust it,” he explained. “Now, everybody does.” Teladoc, a telehealth company that

Authored By: Melissa on October 20th, 2017 | No Comments

The Cloud Protects Practices from Mother Nature

Late last week, as Irma devastated Florida’s Atlantic and Gulf coasts, I had the opportunity to speak with one of our medical practices in the area. As I shared my concerns and best wishes with them, they quickly reminded me how valuable it is to have their entire practice’s data securely stored in the cloud—far away from the rain, devastating winds, and storm surge. With the destruction left in the wake of hurricanes Irma and Harvey, it is wonderful to know that cloud technology is helping people worry less and avoid further damage. Here are four disasters modern medical practices across the southern U.S. will sidestep in the storm aftermath:

Authored By: Melissa on October 2nd, 2017 | No Comments

7 strategies to prevent claims denials

Claims denials pose a serious issue for hospitals amid an already complicated reimbursement landscape. “Denials are a huge obstacle to timely and complete reimbursement,” said Carmen Sessoms, associate vice president of the revenue cycle management advisory services program at Nashville, Tenn.-based Change Healthcare. In 2016, Change Healthcare managed 1.8 billion transactions with a value of more than $3 trillion. Leveraging this data, analysts determined approximately 9 percent of claims with a value of $262 billion were denied. These denials impacted about 3.3 percent of net patient revenue, translating to an average of $4.9 million per hospital. Denials are not only highly prevalent in the healthcare environment, but also very costly

Mentioned By: Melissa on November 13th, 2017 | No Comments

Hypertension Coding in the Age of Quality

The hypertension “epidemic” hearkens back to boxer Joe Louis’ words regarding a smaller, quicker opponent — light heavyweight Billy Conn, “You can run, but you can’t hide!” No matter what specialty of medicine or surgery you practice, or whether you are a primary-care provider, elevated blood pressure represents a recurring problem that will not go away. Furthermore, hypertension is often accompanied by comorbid conditions such as diabetes mellitus, obesity, CKD-3, and systolic dysfunction which complicates blood pressure treatment, according to researchers at University of Miami Miller School of Medicine. The downside of this epidemic is clear, untreated blood pressure is fraught with multiple target organ complications. In fact, approximately 80

Mentioned By: Melissa on November 3rd, 2017 | No Comments

Most Providers Report Lack of Health IT Interoperability

A new eHealth Initiative survey found 68 percent of providers believe current interoperability solutions fail to help meet the goals of value-based care. Researchers in 2017 Survey on Access to Patient Information gathered responses from 107 respondents including CEOs and other executive leadership, IT leadership, clinical staff, and administrative leadership from hospitals, health systems, medical groups, physician practices, HIEs, and other organizations. The survey addressed issues including health data exchange, interoperability, federal regulations, patient access to information, and patient engagement. Researchers found that most providers believe technology has improved healthcare quality since 2008, but certain areas—including interoperability—are still in need of significant improvements. “Sixty-three percent agree that technology has helped

Mentioned By: Melissa on October 27th, 2017 | No Comments

Healthcare security compliance in the cloud

The “cloud” has almost become a buzzword in health IT, with many hospitals considering a shift to remote servers to reduce costs and improve scalability. However, some executives have hesitated, given the cyber-security implications of accessing protected health information through the internet. “It’s like online shopping,” Shaung Liu, chief technology officer of the provider division at Teladoc, said during a Microsoft-sponsored workshop at the Becker’s Hospital Review 3rd Annual Health IT + Revenue Cycle Conference Sept. 21 in Chicago. “When you first did online shopping nobody wanted to put their credit card in the cloud … you didn’t trust it,” he explained. “Now, everybody does.” Teladoc, a telehealth company that

Mentioned By: Melissa on October 20th, 2017 | No Comments

The Cloud Protects Practices from Mother Nature

Late last week, as Irma devastated Florida’s Atlantic and Gulf coasts, I had the opportunity to speak with one of our medical practices in the area. As I shared my concerns and best wishes with them, they quickly reminded me how valuable it is to have their entire practice’s data securely stored in the cloud—far away from the rain, devastating winds, and storm surge. With the destruction left in the wake of hurricanes Irma and Harvey, it is wonderful to know that cloud technology is helping people worry less and avoid further damage. Here are four disasters modern medical practices across the southern U.S. will sidestep in the storm aftermath:

Mentioned By: Melissa on October 2nd, 2017 | No Comments