Blog

The Centers for Medicare and Medicaid Services (CMS) recently released the final rule for the 2025 Quality Payment Program (QPP). This rule outlines the participation ... Read more

The Centers for Medicare and Medicaid Services (CMS) recently released the final rule for the 2025 Quality Payment Program (QPP). This rule outlines the participation ... Read more

“A rigid, one-size-fits-all approach usually ends up fitting no one.” — Patrick Lencioni, The Advantage: Why Organizational Health Trumps Everything Else in Business Business consultant ... Read more

A groundbreaking study by the RAND Corporation, funded by ACEP’s EMPI, analyzing over 50 million emergency department (ED) professional claims across four years reveals an ... Read more

Key Highlights and Take-Aways By Sarah Herzog, President, Radiology Business Unit and Jennifer Bash, RHIA, CIRCC, RCCIR, CPC, RCC, CANPC, Director of Coding Education We are ... Read more

A thorough and accurate clinical history is essential to the radiologist interpreting an exam-both from a patient care perspective and for billing and compliance purposes. ... Read more

Emergency Departments operate in high-pressure environments that present unique challenges from a billing and coding perspective. The combination of unpredictable patient volumes, high-acuity cases, and ... Read more

By Jason Greenberg, MD, Chief Client Officer, Angie Knight, President, Anesthesia, and Steve Avery, Chief Growth Officer We wanted to take a moment to share ... Read more

By Kirk Reinitz Strategic Advisor for Radiology Once rare, this financial tool is an emerging approach to maintain appropriate radiologist staffing levels. A perfect storm ... Read more

The American Medical Association (AMA) estimates that billing errors cost practices $36 billion annually from lost revenue, denied claims, and potential fines. Anesthesia, with its ... Read more

The Centers for Medicare and Medicaid Services (CMS) recently released the final rule for the 2025 Quality Payment Program (QPP). This rule outlines the participation ... Read more

The Centers for Medicare and Medicaid Services (CMS) released the final 2025 Quality Payment Program (QPP) rule. This rule outlines the participation of eligible clinicians ... Read more

Each year, the AMA updates the existing CPT codes used for submitting claims. These changes can include deletions of existing codes, additions of new codes, ... Read more

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