Tag Archives: medical billing services

How Critical is Credentialing and Contracting in Urology Practice

Credentialing or Insurance Enrollment alludes to, the tedious, delay-filled, disappointment producing need, and is often the last thing on an Urologist’s mind when running a practice. Tragically, it is frequently ignored by your staff and could truly be a capital … Continue reading

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Why Physicians Consider ERISA (Employee Retirement Income Security Act) as Their Best Friend When Fighting Denials?

Established on September 2, 1974, the Employee Retirement Income Security Act is coded in the 29 USC, Chapter 18 and is a claimed federal law. As stated by this law, every individual is entitled to a sum of money after … Continue reading

Posted in Accounts Receivables, Ambulatory Surgical Centers, Claims Denials, Medical Billing, Medical Coding, Practice Administration, Practice Management, Revenue Cycle Management (RCM) | Tagged , , , , , , , , , , | Leave a comment

HIPAA Rules: Penalties and Criminal Liabilities

HIPAA was officially enacted in the year 1996 by United States congress. HIPAA has two titles–In the Title I of the rule is to protect individuals and families under the circumstances when they lose their job or when they change … Continue reading

Posted in EMR / EHR / Health IT, Healthcare Reforms, HIPAA / ACA / ACO, ICD-10 Coding, Medical Billing, Medical Coding, Practice Administration, Practice Management, Revenue Cycle Management (RCM), Why Outsource Medical Billing Services | Tagged , , , , , , , | Leave a comment

Ransomware Attack: How Can Healthcare Industry be Shielded?

The first known malware extortion attack happened under the name “AIDS Trojan” which was written by Joseph Popp in the year 1989. The malware was pretty much ineffective due to design problems. Encrypted ransomware returned in the year 2013 when … Continue reading

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Tips to Successfully Overcome Documentation Issues for Wound Care Procedures

Wound care physicians are frequently astonished at “How tons of documentation in a patient’s healthcare record can result in a precarious situation?” Documentation issues related to wound care billing procedures are many; however, jotting down the right codes with eligible … Continue reading

Posted in Medical Billing, Medical Coding, Practice Administration, Practice Management, Revenue Cycle Management (RCM), Wound Care Billing | Tagged , , , , | Leave a comment

5 Tricks in Medical Practice’s to improve your Accounts Receivable

Insurance companies are increasingly inventing complex and new set of rules for the medical procedure which has resulted into loads of denials and underpayment.  Doctors and pharmacist are increasingly finding it difficult under the ever-changing federal laws for practice and … Continue reading

Posted in Accounts Receivables, Claims Denials, EMR / EHR / Health IT, Health Insurance, Healthcare Reforms, ICD-10, ICD-10 Coding, Insurance / Payer, Medical Billing, Medical Billing & Coding jobs, Medical Coding, Medical Equipment, Physicians/ Doctors, Revenue Cycle Management (RCM) | Tagged , | Leave a comment

Coding Rules for Modifiers 32 and 33 with CPT Codes in Medical Billing and Coding

There are a couple of modifiers in medical coding that are very rarely used. Two such modifiers are 32 and 33. These modifiers can only be used when there is appropriate documentation supporting the case. Here are some pointers on … Continue reading

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