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Showing posts from June, 2025

Compliance Alert: Key 2025 Regulatory Changes Impacting ED Billing

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  Emergency Department (ED) billing professionals are entering 2025 with new challenges—and opportunities. As healthcare regulations continue to evolve, staying informed is crucial to maintaining compliance, reducing denials, and ensuring timely reimbursements. These changes are especially important for those involved in emergency room billing , where accurate coding and documentation can directly impact revenue cycle performance. In this Compliance Alert, we break down the most significant regulatory changes in 2025 that are directly affecting ED billing operations. From revised CPT code updates and payer-specific documentation rules to changing requirements around telehealth and medical necessity, there’s a lot to watch. What’s New in 2025? Here are a few critical updates ED billing teams need to address:   ✅ ICD-10 & CPT Code Revisions – New codes for trauma care, behavioral health, and expanded telehealth services are now in effect. Incorrect usage can lead to claim r...

Choosing the Right ED Medical Billing Service: A Checklist for Hospital Admins

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  When it comes to emergency department (ED) billing, precision and speed are non-negotiable. For hospital administrators, selecting the right ED medical billing service can significantly impact revenue cycle efficiency, compliance, and overall patient satisfaction. Here's a quick checklist to guide your decision: ✅ 1. Industry Expertise Choose a billing service with proven experience in ED billing. Emergency medicine has unique coding and regulatory requirements—partnering with a provider that understands these complexities ensures fewer claim denials and faster reimbursements. ✅ 2. Compliance-First Approach Ensure the billing company stays up-to-date with HIPAA, CMS, and other regulatory standards. Ask about internal compliance protocols and audit procedures to protect your hospital from costly penalties. ✅ 3. Advanced Technology Look for a billing partner that offers integrated software solutions, real-time reporting, and seamless EMR/EHR integration. Automation and AI-driven t...