Is Medicare and Medicaid Billing different from Commercial Medical Billing?

In order to ensure timely payments, practices need well-trained billers and coders who can understand the difference between Medicare and Medicaid billing claims. Why you need expert staff for Medicare billing? A large number of providers, including institutions and licensed individuals get majority of their income from treatment of Medicare beneficiaries. Since this program is composed […]

Overcoming Modern Healthcare Challenges with Comprehensive Billing and Coding Services

Modern healthcare challenges have become so numerous and daunting that they leave healthcare organizations in a constant state of flux. Take the challenges posed by new technologies used to perform various procedures involved in treatment episodes. Each time a new diagnostic tool arrives, healthcare organizations have to both acquire and adapt to it. Both have […]

Will Medicaid and Medicare Reforms See Rise in Healthcare Standards by 2015?

With more than 90 million Americans covered under Medicare and Medicaid insurance services, the U.S. healthcare system is heavily dependent on the success of healthcare reforms to improve care standards. All healthcare reforms are currently focusing on two parameters of care – cost and quality. Every new rule and guideline which is being introduced is […]

How to Overcome the Effects of CMS 2013 Fee Schedule on Cardiology Billing

CMS 2013 fee schedule brought good news for family physicians and primary care providers but it has proved to be a mixed bag for cardiologists with 2 to 6% cut in Medicare fees. At a time when cardiology practices are already vulnerable, cuts in payment for vital cardiovascular services have affected their revenue cycle. Combined […]

Maintaining Profitability At Your Practice Amid Healthcare Reforms!

The US health care system has undergone major reforms in the last few years. This includes adoption of new healthcare IT reforms such as EHR (Electronic Health Records) and EMR (Electronic Medical Records). It has also changed the way physicians are reimbursed. The cuts imposed on Medicare leaves doctors with reduced revenue resulting in negative […]

Hospitals Adapt To The New Upcoming Innovative Payment Models!

Hospitals, in the US, are facing considerable challenges in the wake of innovative payment models. Innovative payment models are four different types of payment modules which apply to various phases of treatment episode and involve payment to the provider in the form of bundled payments. To understand how these models work, it would be helpful […]

Reforms Prompt Physicians To Opt For Billing Guidance To Increase Profitability!

Numerous US clinics profitability ratios have been depicting a downward trend and according to a recent physician survey, two thirds of the participants predict low profitability for the year ahead. This is not a positive scenario, and to change it first we have to consider the factors which are affecting the profitability of these clinics. […]

Value of Documentation Amidst Healthcare Reforms

Challenges faced by practices today Medical claim denials are very frequent; due to computer technologies that detect the slightest of errors and immediately reject such claims. The reasons for rejection can range from registration inaccuracies, invalid diagnosis code to lack of authorization and common insurance glitches such as ineligibility for insurance, maybe a case of […]

Family Practices Handle New Updates and Coding Changes in 2013 with Efficient Medical Billing

Efficient medical billing practices can strengthen the financial backbone of a family practice and allow family practitioners to focus on the service aspect of their practice. However, in a constantly evolving healthcare industry the need to Update Medical Billing at regular intervals becomes absolutely indispensable. It goes without saying that the year 2013 will see […]

Physicians Balance Healthcare Reform Demands with Work Demands through Effective Medical Billing

Due to the new reforms brought on by the Obama administration, healthcare centres across US are soon likely to receive increased number of patients, handle increased number of administrative activities and hence require to spend increased amount of time on balancing work and reform pressures to be able to run a profitable practice. Difficulties in […]

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