Specialities
Optimize your wound care billing with Hospice Modifiers GW. Learn how to use them correctly for successful reimbursement for practices. The GW modifier is a special code that is used in medical billing to indicate that a service or procedure provided to a hospice patient is not related to their terminal illness or hospice care. […]
As an anesthesiologist, managing your anesthesia billing can be a challenging and time-consuming task. With the complex coding and billing requirements specific to anesthesia, it can be difficult to stay up-to-date with the latest changes and ensure that your claims are submitted accurately and in a timely manner. This is where Medical Billers and Coders […]
The new patient CPT code range is 99202 to 99205, used for office visits with a patient who has not received professional services from the physician, or another physician of the same specialty in the same group, within the last three years. The code level is chosen by medical decision making or by total time […]
There are several reasons why healthcare providers are not hiring an in-house medical billing team. The reasons include high cost, limited expertise, high employee turnover, and compliance risk. Limitations of In-House Medical Billing Team There are several limitations of having an in-house medical billing team, including: Cost: Maintaining an in-house billing team can be expensive. […]
Significance of Insurance Claim Submission Running a successful healthcare practice is much more challenging than delivering high-quality patient care services. Whether you are running a solo practice, a laboratory, a hospital, or a dental clinic, there are several things you need to get right, including insurance billing. Receiving accurate insurance reimbursements is considered the backbone […]
False Claims Act in Healthcare The False Claims Act (FCA) in healthcare (also called the ‘Lincoln Law’), is a federal law that imposes liability on persons and companies who defraud governmental programs. It is the federal government’s primary litigation tool in combating fraud against the government. The federal False Claims Act makes it illegal to: […]
CPT codes for Evaluation & Management (E&M) services are principally included in the CPT code range 99202-99499. The codes describe the site of service (e.g., office, hospital, home, nursing facility, emergency department, critical care), the type of service (e.g., new or initial encounter, follow-up or subsequent encounter), and various miscellaneous services (e.g., prolonged physician service, […]
Medical practices sometimes equate improper payments with medical billing fraud. Improper payments could be unintentional where your received payment even after not meeting program requirements. While medical billing frauds are intentional where practices might through up-coding and unbundling try to receive more insurance reimbursements than allowed. For differentiating between improper payments and medical billing fraud, let’s […]
Strengthening Affordable Care Act (ACA) Recently, the Biden-Harris Administration released the 2024 Notice of Benefit and Payment Parameters Proposed Rule that aims to further advance the Administration’s efforts to build on the Affordable Care Act’s (ACA) efforts to provide and expand access to quality healthcare options for millions of consumers. This proposed rule would increase […]
Significance of Patient Experience There is no question that patient experience is a huge factor when it comes to the success of your practice. In case of negative patient experience, their word-of-mouth can adversely impact future patients as well as their willingness to pay bills in a timely manner. The patient experience begins as soon […]
Connect with us by filling out this form. Let’s tailor a
solution that fits your needs perfectly.
Services
Resource Center
Pricing
About
Contact
