2025 ICD-10 Updates
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
Uncategorized
5 Strategies for Successful Provider-Payer Contract Negotiations
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
ED Observation Units: Best Practices and Benefits
Dr. Mark Laperouse, Strategic Advisor for Emergency Medicine, recently presented an EDPMA webinar about ED observation units and how to ensure your ED group isn’t … Read more
Infographic: Intravascular Catheterization Procedures
When performing intravascular catheterization procedures (Arterial lines, CVP, and PA Cath), it is important to document all the details for coding and auditing purposes. We’ve created … Read more
Becker’s Hospital Review: 5 RCM Metrics That Matter
Ventra’s CEO, Steven Huddleston, has spent decades in healthcare financial services and has witnessed some of the most tumultuous years in history for increasing provider regulation … Read more
What to Expect from Your RCM Team: You need a service experience that is bigger than billing and coding
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
The Importance of Quality in Anesthesia
By Lance Mueller Director of Healthcare Quality In June, Ventra’s EVP and Chief Commercial Officer, Dr. Jason Greenberg, shared 3 Ways to Optimize Your Independent … Read more
Newsflash! Anthem To Cut Rates for Non-Medically Directed CRNA Cases
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
Doc-to-Doc Series: 3 Phrases Every Emergency Physician Should Rethink (and What to Say Instead)
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
Are Your Hospital Bylaws Aligned with the Latest E/M Documentation Guidelines?
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
2025 CMS Proposed Rule: A Review of the Potential New Landscape for Emergency Medicine
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
The Landscape for MIPS Performance Year 2024
A Strategic Overview for Radiology Physicians As radiology practices navigate the complexities of performance measurement, reimbursement adjustments, and quality improvement initiatives, understanding the intricacies of … Read more
ED Observation Units: A Win-Win for Patients and Providers
Emergency physicians have historically utilized three primary patient disposition options: discharge home, inpatient admission, or facility observation. However, there’s much discussion over the gray area amongst … Read more
Navigating the 2025 Payment Policy Revisions to Medicare Part B: What Providers Need to Know
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
A Review of the 2025 Proposed Rule for the Anesthesia MIPS Pathway
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
A Physician-Owned Emergency Medical Group with Many High-Acuity Patients Was Expecting Revenue Declines. The Opposite Happened.
Overview: About Bay Area Emergency Physicians Bay Area Emergency Physicians (BAEP) is an independent physician group that serves emergency departments in the Tampa Bay area. … Read more
2024 Mid-Year Check-in: What you need to know about Quality Reporting and MIPS
Your MIPS experts are back for a mid-year check-in. We shared practical tips for success in December when the new ruling was released, but now that we … Read more
Newsflash! Facet Injections: Anesthesia’s Unpaid Performance
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
Ventra Health Appoints Jamie Shoemaker, MD FACEP as Strategic Advisor for Emergency Medicine
Experienced Physician, ACEP Board Member, and Dedicated Advocate for Fair Physician Reimbursement Will Further Enhance Ventra’s Emergency Medicine Capabilities DALLAS – July 16, 2024 – … Read more
Doc-to-Doc Series: Improve Reimbursement by Standardizing Physician Documentation
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
Avoiding Concurrencies in Anesthesia Billing: A Crucial Practice for Providers
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
Compliance Series: Anesthesiology, Let’s Get Physical with Our Documentation
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
Doc-to-Doc Series: What’s in your pocket at the end of an ED shift?
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
3 Ways to Optimize Your Independent Anesthesia Practice for Success in a Changing Market
The business environment surrounding independent anesthesia practices couldn’t be more volatile: Medicare reimbursement rates continue to fall, the anesthesiologist shortage is expected to get worse, … Read more
