How Difficult Can Medical Claim Filing and Payment Posting Be?

Hospitals, healthcare organizations and dentists have long been occupied with the issue of medical filing. The process of medical claim filing is overtly complex, requiring paper work, filing and adjudication. Moreover, with the introduction of new reforms in the system every other day, which is ironically meant to save time and energy of the physician, […]

Posted by Medical Billers and Coders September 11, 2012August 11, 2014Health Insurance, Medical Coding

Physicians Shortage – Is There a Perfect Storm Brewing in the Healthcare Industry?

There has been a rapid growth in the healthcare industry, more than any other industry, mostly in response to rapid growth in the elderly population. According to the Bureau of Labor Statistics, the healthcare industry will create 3.2 million new wage and salary jobs between 2008 and 2018. However, the American Association of Medical Colleges […]

Posted by Medical Billers and Coders July 7, 2012July 26, 2014Health Insurance

What does a doctor expect from his medical billers & coders?

A significant challenge that care providers face in the US today is unrealized account receivables stemming from rejected insurance claims by Medicaid and Medicare officials. Physicians often find this challenge daunting because it requires them to handle what they are not meant to: administrative responsibilities The medical billing and coding cycle requires thorough knowledge and […]

Posted by Medical Billers and Coders July 2, 2012July 28, 2014Health Insurance, Medical Coding

How much salary can Medical Coders expect in New Mexico?

The New Mexico state government has introduced an incentive program where healthcare providers will be rewarded for moving their data operations to an electronic platform to be HIPPA complaint Chronic diseases and conditions prevalent in New Mexico have led to an increase in consumption of healthcare services like laboratory studies, radiologic imaging, oncology treatment and […]

Posted by Medical Billers and Coders June 28, 2012July 28, 2014Health Insurance, Medical Coding

When was the last time your clinic checked the fees schedule? Streamlining your Medical Billing

Optimizing Fee Schedules for Physicians: An Overview The fee schedule for any physician practice is an important pecuniary factor that affects not just your revenue but also the way in which healthcare is delivered to the patients. Many practices fail to update their fee schedules on a regular basis which can affect the profitability and […]

Posted by Medical Billers and Coders June 26, 2012July 28, 2014Health Insurance, Payment Models

Medicaid vs. Private Insurance: Providers’ Perspective

Medicaid not only plays a significant role in helping disabled and indigent people in the country but also provides important financial support for long term care patients. However, Medicaid also has a pivotal role to play in crowding-out private players in the insurance industry. Medicaid is essentially for poor people or indigent individuals and families […]

Posted by Medical Billers and Coders May 22, 2012October 29, 2020Health Insurance, Practice Management

Averting common operational & legal pitfalls at your medical practice

Medical practice and legal issues have long been inseparable. History is full of examples wherein practices have run into legal hassles, and eventually been penalized with criminal as well civil charges. Barring some strange cases that have been intentional, physicians have had to pay for what is known as negligence or reluctance to avail medico-legal […]

Posted by Medical Billers and Coders May 18, 2012July 28, 2014Health Insurance, HIPAA / ACA / ACO

HIPAA 5010 enforcement delayed to ensure doctors & entities complete transition

Enforcement of HIPAA 5010 transactions on March 15, 2012, was delayed for the second time for another 3 months by the government, with the Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services (OESS) pushing the date further to June 30, 2012, in order to not compromise physician cash flow. Physicians have […]

Posted by Medical Billers and Coders May 7, 2012July 28, 2014Health Insurance, HIPAA / ACA / ACO

Balancing ACO Objective with Physician Reimbursement Maximization

As the U.S. healthcare sector looks up the Accountable Care Organization (ACO) Concept of healthcare delivery with great expectation, physician community is quite apprehensive about their ability to garner reimbursements under a new healthcare delivery altogether. While ACO itself is not a novel concept – there have been umpteen examples of institutions operating on ACO […]

Posted by Medical Billers and Coders February 6, 2012July 28, 2014Health Insurance, HIPAA / ACA / ACO, Revenue Cycle Management (RCM)

In Retrospection: Revenue Collection Accomplishments in 2011

“While these comprehensive measures are no doubt indispensable to optimizing healthcare overheads and expenditure, physicians’ task to get their bills reimbursed could get even tougher, thereby making sustenance and growth prospects equally competitive. Although they have had, by and large, a prosperous year revenue-wise, the ensuing financial year evokes an air of apprehension. But, amidst […]

Posted by Medical Billers and Coders January 31, 2012May 5, 2021Health Insurance, Practice Management, Revenue Cycle Management (RCM)