Evaluation and management (E/M) coding and billing are crucial to maintaining the efficiency and productivity of a medical practice today. E&M coding involves use of CPT codes ranging from 99202 to 99499. These represent services by a physician (or other health care professional) in which the provider is either evaluating or managing a patient's health. Procedures such as diagnostic tests, radiology, surgeries and other particular therapies are not considered evaluation and management services.

An emergency department (ED) is a unique environment in the healthcare system that bridges the worlds of inpatient and outpatient care. The ED is a pivotal arena for the provision of acute care services.

Hierarchical condition category (HCC) coding is a risk-adjustment model originally designed to estimate future health care costs for patients. The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 and is becoming increasingly prevalent as the environment shifts to value-based payment models.

In the dynamic landscape of healthcare, a critical aspect of Revenue Cycle Management (RCM) lies in effectively managing hospital claims. Hospital claims play a pivotal role in ensuring proper reimbursement for the services rendered and maintaining the financial stability of healthcare institutions. With Guha Solutions and its experienced staff, you can be assured of working closely with healthcare providers, clinical staff, and billing departments to ensure that all relevant information is captured, coded, and documented appropriately. Our expertise and strong communication skills enable them to navigate claim disputes, resolving issues in a timely manner and optimizing revenue.

You've got a business to run, decisions to make, and patients to treat. Instead of worry about medical billing turnover or how to upskill your existing US-based team, you deserve a whole team of medical billing experts behind you at a fraction of the US cost. Sound too good to be true? Not with Guha Solutions.

Stress and receiving payment for your services should not go hand in hand. Let's get a whole team of medical billing experts behind you to make your VOB, Billing Claims, Coding, CPT & HBAI codes, and more - all while you sleep.

There are unique challenges for cardiology practices, in particular the decrease in eimbursements that are making you feel frustrated; you simply aren't being paid what you used to for the same procedures. Relief is within reach when you work with Guha Solutions. Route the financial details to use , so you can focus on what you do best - providing excellent patient care

Medical necessity is a crucial aspect of any procedures Dermatologists perform. Makesure that your procedures meet the necessary criteria for medical necessity, so you can get reimbursed for the services you provide with an entire team that stays up-to-date with the latest codes. Plus, you'll ensure that your billing is accurate and compliant.

With a high volume of patients and services, you need a significant cost savings in order to make the most of your billing percentage. You need a partner who is business savvy and cost-effective.

Taking care of your patients' musculoskeletal health is your top priority. Navigating the world of medical billing can be a challenge, especially when you deal with complex ases that require specialized billing expertise, patient pre-authorization or patient eligibility verification. But it doesn't have to be.

Good communication with a biller is essential to helping you make the most of the Physical Therapists' time in your larger PT practice. You need a partner in the complex world of medical billing so that you can helping patients improve their quality of life.

In the complex landscape of healthcare, a crucial element in ensuring seamless operations and financial stability is effective Revenue Cycle Management (RCM). Within the realm of RCM, one specialty stands out as an integral part of the revenue capture process: Anesthesia. Anesthesia, often referred to as the backbone of surgical procedures, plays a pivotal role in both patient care and financial management. The scope of work for anesthesia within RCM encompasses a wide range of responsibilities aimed at optimizing revenue streams while maintaining patient safety and satisfaction. Learn more with Guha, how we can help and improve your cash flows.

Obstetrics and Gynecology (OB-GYN). With a focus on women's reproductive health, OB-GYN practitioners play a pivotal role in both patient care and financial management. Let's explore the scope of work for OB-GYN with Guha and its significant contributions to revenue optimization. Guha Solutions can help in effective resource utilization, streamlined workflows, and cost containment within healthcare facilities, further enhancing the overall revenue cycle. By working together, both teams maximize revenue capture while minimizing denials or rejections.

Internal Medicine physicians are often considered the primary care providers for adults, specializing in the prevention, diagnosis, and treatment of various medical conditions. Their scope of work within RCM includes comprehensive patient care, accurate documentation, and appropriate coding for services provided. With Guha, Accurate coding, billing, and documentation, coupled with comprehensive patient care, enable these specialties to maximize revenue capture while complying with insurance regulations.

Podiatrists, on the other hand, specialize in diagnosing and treating conditions related to the feet, ankles, and lower extremities. Their scope of work within RCM involves accurate documentation, coding, and billing for podiatric services. Learn with Guha how it can help with precise coding and billing for specialized podiatric services that contribute to efficient revenue capture and appropriate reimbursement.

The scope of work for rural health within RCM encompasses a range of responsibilities tailored to the specific needs of rural communities. Guha professionals working in rural health settings collaborate closely with healthcare providers, clinical staff, and administrative teams to ensure accurate documentation and coding of services rendered. One key aspect of rural health RCM is navigating the intricacies of reimbursement from government programs such as Medicare and Medicaid. Guha will help you reduce barriers to care and ensure that rural communities receive the services they need while optimizing revenue for healthcare providers.

Guha Solutions works with a number of specialties beyond those listed above including home health, gynecology and more. If you're in the healthcare space and are looking for medical billing expertise, you're in the right place.