Category Archives: Medical Billing

Murphy signed Out-of-Network Healthcare Billing Law in New Jersey

Governor Phil Murphy on August 30th, 2018 signed a bill that ended the decade-long battle to address the issue of the cost and impact of expensive medical bills for residents in the state. In a statement, Gov. Murphy said, “Today, … Continue reading

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OIG’S VOLUNTARY COMPLIANCE TO MEDICAL BILLING COMPANIES

Health care providers are relying on billing companies to a greater degree in assisting them in processing claims in accordance with applicable statutes and regulations. Additionally, health care professionals are consulting with billing companies to provide timely and accurate advice … Continue reading

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What Are CPT Modifiers And Why Medical Billing Companies Use Them?

Since medical procedures and services are often complex, we sometimes need to supply additional information when we’re coding. CPT modifier may describe whether multiple procedures were performed, why that procedure was necessary, where the procedure was performed on the body, … Continue reading

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Claim Reimbursement as per various Health Care Plans in The United States of America

There are a number of ways in which health insurance carriers provide coverage. Health insurance coverage can be quite complex, as it involves the coordination between a healthcare provider, the health insurance provider, and the actual person receiving care. Some … Continue reading

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HOW TO DO BILLING FOR MEDICARE AND MEDICAID?

Just like when you bill to the private third-party payer, billers must send claims to Medicare and Medicaid. These claims are very similar to the claims you’d send to a private third-party payer, with a few notable exceptions. When you … Continue reading

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Increase your Healthcare Organization ROI

The pressure on hospitals to improve patient care at lower costs is not new—and it’s not going away. Technology has never been more of a priority than it is right now for healthcare providers, especially as the industry continues to … Continue reading

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Team based care model for better productivity

In an old-fashioned practice model, the physician is solely responsible for most, if not all of the work undertaking of his facility, which also involves charge entry, to medical billing and coding till the time of claims reimbursements. Sharing the … Continue reading

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