Category Archives: Medical billing and coding services

Acquaint Yourself with 9 New HCPCS Modifiers

A modifier is a two-digit numeric or alphanumeric character reported with a HCPCS code, when appropriate. Modifiers are designed to give Medicare and commercial payers additional information needed to process a claim. This includes HCPCS Level I (Physicians’ Current Procedural … Continue reading

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How to Avoid Common Medical Billing Compliance Pitfalls?

There are several major issues facing compliance officers today, such as HIPAA, Stark Law, and Anti-kickback Statute issues, as well as many billing compliance issues. Billing issues continue to appear in federal government False Claims Act settlement agreements and government … Continue reading

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Prior Authorization and It’s Impact on Practice Collection

Prior authorization is a check run by some insurance companies or third-party payers before they will agree to cover certain prescribed medications or medical procedures. There are a number of reasons that insurance providers require prior authorization, including age, medical … Continue reading

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Impact of High-Deductible Health Plans (HDHP) on Medical Practices

High-Deductible Health Plans (HDHP) have become increasingly popular since the Medicare Modernization Act of 2003 authorized portable, tax-advantaged health savings accounts (HSAs) designed to be coupled with these plans. Supports of HDHP advocate that, these plans as an effective mechanism … Continue reading

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How to Manage Incoming Calls at Your Medical Practice?

Many practices complain about the volume of incoming telephone calls and how much time their employees spend handling them. Why is the office getting so many calls? It is the only way patients can make or change appointments. Patients call … Continue reading

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Reduce Overhead Expenses: Outsource ENT Billing & Coding Services

Your growing, brand new, hustling otolaryngology practice is often wrestling with the idea of focusing more on patient care; ENT billing and coding, and looking for ways about how to flourish your practice. One of the best ways to overcome … Continue reading

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6 documentation rules every facility should follow

Documentation is a critical undertaking in any specialty medical facility. It is an essential tool for conveying essential clinical information about each patient’s diagnosis, treatment, and results and for communication between physicians, medical billers and coders, and the payers. Doctors … Continue reading

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