Tag Archives: outsourced medical billing

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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How to Increase Patient Collection Percentage for Your Facility?

When outstanding patient balances grow out of control, your practice may feel there’s no option but to place them in the hands of a collection agency. Putting debt professionals in charge is the best way to get your payment… right? … Continue reading

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The Impact of QPP on Cardio-Oncology Care

Many professionals or experts working in the healthcare IT industry, policy specialists and new industry stakeholders continue to investigate into the 1,473-page proposed “rule” released by the CMS or Centers for Medicare and Medicaid Services in July 2018 that provides … Continue reading

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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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Common Practice Challenges Faced by Orthopedic surgeons

There are many distinctive as well as common challenges faced by orthopedic surgeons over and again. These encounters mainly hinder their business cycle, and sometimes you may also find orthopedic healthcare units closing down. Challenges like rising or unavailability of … Continue reading

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