Tag Archives: medical coding services

Are you Constantly Receiving Denial Code CO-197?

What is Pre Authorization? Most of the carriers request to obtain prior authorization from them before the service/surgery.  Prior authorization for health care services is required for certain services. If authorization is not obtained prior to performing the service, the … Continue reading

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Benefits of Outsourcing HCC Coding Service Activities

HCC coding also we known as Hierarchical Condition Category coding is the important key element which decides the reimbursement benefits for a Medicare Advantage Plan that uses ICD diagnostic codes as the primary indicators of the member’s health status. Correct … Continue reading

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How to Select Perfect Clearinghouse for your Medical Practice?

The clearinghouse you work with has a huge impact on your business. The more efficiently your clearinghouse processes and returns your information, the faster you will get paid, and the more payments you will collect. We came up with five … Continue reading

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Boost your OB-Gyn Cash Flow with Simple Steps

The Current billing scenario is changing and it’s somewhat difficult now for individual practices to bill for all the services provided and also provide quality care. In Ob-Gyn practice, the services provided by physicians have come under security after repeated … 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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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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How 340B payment cuts are affecting the oncology practice?

CMS released the proposed Outpatient Prospective Payment System – OPPS rule for 2018— which includes a major proposed cut for separately payable drugs purchased under the 340B program. The proposal would reduce reimbursement for separately payable Medicare Part B drugs … Continue reading

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