Blog

By Jamie Shoemaker, MD, FACEP Hospital-employed emergency physicians are navigating complex financial pressures while they strive to deliver high-quality patient care. One area ripe for ... Read more

Ventra is reaching out to share important information and upcoming deadlines regarding MIPS Reporting. As the 2024 program year comes to a close, several vital ... Read more

By Jennifer Bash, RHIA, CIRCC, RCCIR, CPC, RCC, CANPCDirector of Coding Education Why does documentation matter? Clinical documentation serves many purposes, and interventional radiology (IR) ... Read more

By Jamie Shoemaker, MD, FACEP A Note From Jamie This is my first blog with Ventra Health, so I’d like to take a moment to ... Read more

By Darshan Patel, President, Emergency Medicine and Hospital Medicine and Jamie Shoemaker, MD, Emergency Medicine Strategic Advisor Ventra Health recently attended ACEP SA 2024 in ... Read more

It’s that time of the year again! ICD-10 codes are updated annually and take effect on October 1st. These updates include revisions to current codes, ... Read more

Don’t overlook this foundational revenue-setting document Revenue and reimbursement are the top priority for medical practice leaders this year, according to a Medical Group Management ... Read more

By Bryana McGill and Kristie Cross For decades, billing and coding services were essentially synonymous with revenue cycle management for facility-based physician practices. There were ... Read more

By Lance Mueller Director of Healthcare Quality In June, Ventra’s Chief Client Officer, Dr. Jason Greenberg, shared 3 Ways to Optimize Your Independent Anesthesia Practice ... Read more

Anthem, an affiliate of Blue Cross Blue Shield has released its Revised Commercial Reimbursement Policy, Anesthesia Services – Professional, Policy Number: C-09002. Anthem serves California, ... Read more

By Mark Laperouse, MD Strategic Advisor to Ventra Health in Emergency Medicine. Clinicians and healthcare administrators have metaphorically been described as speaking different languages as ... Read more

By Linda Duckworth, CHC, CPCDirector, Provider Education & Advisory Services In January 2023, the landscape of Hospital Medicine experienced a significant shift with the introduction ... Read more

By Erin Houck Senior Director, Client Success On Wednesday, July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) released the 2025 Medicare physician ... Read more

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) unveiled the 2025 Revisions to Payment Policies under the Physician Fee Schedule and ... Read more

By Lance Mueller Director of Healthcare Quality On July 10th, CMS released the 2025 Physician Fee Schedule (PFS) Proposed Rule. The Proposed Rule includes proposals ... Read more

This is an important update for all Anesthesia providers. Medicare has introduced significant changes in the coverage of anesthesia for facet injections. Several contractors, including ... Read more

Let’s put the needle on top of the haystack. By Mark Laperouse, MD Strategic Advisor to Ventra Health in Emergency Medicine. If EMR documentation feels ... Read more

In anesthesia billing, the term “concurrency” refers to the number of cases an anesthesia provider is involved in at the same time. Understanding and managing ... Read more

By: Cindy Triplett, CPC, CANPC, CPMASenior Director, Anesthesia Education When you administer anesthesia to a patient with a BMI over 40 or evaluate a patient ... Read more

The New Rules of Engagement for ED Reimbursement By Mark Laperouse, MD Strategic Advisor to Ventra Health in Emergency Medicine. With Medicare rates now effectively ... Read more

The MIPS Extreme and Uncontrollable Circumstances (EUC) Exception application is open through the end of the year. Groups/clinicians who don’t usually report MIPS or have no ... Read more

In a recent development, Blue Cross Blue Shield (BCBS) in Texas, Oklahoma, Illinois, and New Mexico (Health Care Service Corporation, HCSC) and Aetna have announced ... Read more

By: Cindy Triplett, CPC, CANPC, CPMASenior Director, Anesthesia Education Have you ever finalized a medical record and realized you forgot pertinent information? Maybe you neglected ... Read more

By Linda Duckworth, CHC, CPCDirector, Provider Education & Advisory Services One of the benefits of an Electronic Health Record (EHR) for Hospital Medicine is the ... Read more

By: Asya Handel, Director of Client Success In 2024, Emergency Medicine clinicians are determined to not only meet the clinical performance goals but also maximize ... Read more

By Lance MuellerDirector of Healthcare Quality Participating in the MIPS program in 2024 requires groups and clinicians to consider their Return On Investment (ROI) carefully. ... Read more

By: Cindy Triplett, CPC, CANPC, CPMA, Senior Director, Anesthesia Education Linda Duckworth, CHC, CPC, Director, Provider Education & Advisory Services Ventra Health continues to field ... Read more

By Linda Duckworth, CHC, CPCDirector, Provider Education & Advisory Services For the first time ever, CPT guidelines officially addressed the split/shared concept for patient care, “physician(s) ... Read more

By Linda Duckworth, CHC, CPCDirector, Provider Education & Advisory Services The 2023 historic E/M guideline changes created uncertainty on a wide variety of decision-making topics ... Read more

By Jason Greenberg, MD In response to the feedback and challenges expressed by several professional medical organizations, the Federal Administration, through the Departments of HHS, Labor ... Read more