Is Forming Group Practice is Correct Way for Me?

Forming group practice can be incredibly rewarding, from both a business and a financial standpoint. By starting a group practice, you have the opportunity to create a work atmosphere that allows healthcare providers to thrive, be cared for, and feel good about the work they do. Building, growing, and managing a group practice requires a […]

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Staying Compliant by Auditing Medical Billing

Basics of Healthcare Audits In the healthcare space, audits play a crucial role in measuring compliance and patient satisfaction. There are two main types of healthcare audits that providers face, internal audits and external audits. External audits can be broken down further into government and commercial insurance audits. From there, government audits can be broken […]

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When Selling Your Practice, How to come up with a Profitable Formula?

It’s Hard to Sell Your Practice Selling a healthcare practice could be difficult a process. Key challenges in selling your practice include finding the right buyer, wading through legal and financial complications, and handling clinical matters. Coupled with a lack of knowledge about the process, some healthcare providers can be discouraged from selling their practice […]

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Guidelines for Selection of Time-based E/M Codes

Appropriate level of Evaluation and Management (E/M) services are based on Medical Decision Making (MDM) and time for services performed. In our previous article, we has a detailed discussion on how Medical Decision Making (MDM) affects E/M code selection and other factors involved. In this article, we will be focussing on guidelines for the selection […]

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Why are Physicians Prone to Merging their Practices?

Challenges of Running Solo Practice If you are a solo healthcare provider or own a small medical practice, you might sometime feel the pressure of having to do everything on your own and struggling to provide optimal patient care. Running a healthcare practice offers unique challenges like administrative and insurance tasks, government and insurance regulations, […]

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Group Practices Remain Competent by Outsourcing Medical Billing

Medical Billing Challenges for Group Practices Group practice owners face an unprecedented number of challenges today, from adding or replacing providers; getting rendering providers enrolled; adopting new technologies; up to receiving an accurate reimbursement for delivered services. Any group practice’s success is reliant on strong Revenue Cycle Management (RCM) team, error-free & timely claim submissions, […]

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Top 5 Medical Billing Challenges Faced by Providers post Pandemic

After COVID-19, providers are now ready to provide excellent patient care through direct and virtual modes. Medical billing has always offered unique medical billing challenges prior and post-pandemic. Due to the changed billing environment post-pandemic, this struggle to receive accurate reimbursement has become more real than ever. As a leading medical billing company, Medical Billers […]

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Preventive Medicine Services Coding Guidelines

Basics of Preventive Care Preventive care helps detect or prevent serious diseases and medical problems before they can become major. Annual check-ups, immunizations, and flu shots, as well as certain tests and screenings, are a few examples of preventive care. This may also be called routine care. While coding, you need to understand the difference […]

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Telemedicine Coverage and Reimbursement in 2022

Increased Scope of Telemedicine Telemedicine and telehealth describe the use of telecommunication tools including the Internet, video, and email to exchange information in the context of health care between patients, providers, consultants, and content for the purpose of education, evaluation, decision-making, and treatment. Prior to the COVID-19 pandemic, telemedicine applications had evolved to broadly cover […]

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Getting Paid for Telehealth Physical Therapy

Basics of Telehealth Physical Therapy During the COVID-19 pandemic, the federal government has broadened access to telehealth services including physical therapy. With revised billing guidelines, all beneficiaries can now connect with their healthcare providers online, and providers will get the same reimbursement for these services as they would for in-person sessions. Medicare covers three types […]

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