Monthly Archives: September 2011

Appealing Denied Insurance Claims: An Overview


 The process of appealing a denied insurance claim is complicated but can be effective if done correctly since there are numerous reasons for claims to be denied by an insurance company. The payer or insurance company receives thousands of claims … Continue reading

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Are You Prepared to Deal with Patient Information Breach?


 ‘The readily available sources for implementing security-rich technology platforms should not only make your search easier but also ensure Patient Privacy Compliance by sage-guarding critical information against undesirable proliferation, and sharing information only at the behest of patients’ Although there … Continue reading

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Combating Healthcare Fraud and Abuse – A Challenging Task for Providers


 The inherent nature of Health Insurance is such that it is highly susceptible to fraud and abuse by unscrupulous healthcare providers and beneficiaries. Consequently, there has been an unbridled rate of fraud and abuse amounting to billions of dollars – … Continue reading

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Small Practices: Adapting to the Challenges of Healthcare Reforms for Better Revenue


 The major challenges faced by physicians who run a small practice or clinics that have less than four or five physicians are expanding exponentially. Many physicians find themselves worrying and spending time on administrative processes and interacting with payers rather … Continue reading

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Standards of Ethical Medical coding: Part 1


 Coding is one of the core functions of healthcare providers and, due to the complex regulatory requirements impinging upon the health information coding process, coding professionals are frequently faced with ethical challenges. There are stringent medical Billing guidelines in place … Continue reading

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CPT Category II Code Updates by AMA


 The American Medical Association (AMA) has released an update of CPT Category II code list, which will first appear in CPT 2012, with an implementation date of 1st Jan, 2011. The CPT Category II codes are supplemental tracking codes that … Continue reading

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Increasing Demand for Certified Coders in Healthcare


 The year 2010 has set a premium on the coding professionals, registering a rise in their average salaries. And as expected, the salaries for certified medical coders are higher as compared to the non certified ones. According to a salary … Continue reading

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