Understanding of No Surprises Act & Good Faith Estimates for 2023 Billing

Basics of No Surprises Act The No Surprises Act went into effect on January 1, 2022. This Act is aimed at reducing ‘surprise bills’ to patients in the context of services provided at hospitals and ambulatory surgical centers and includes requirements for hospitals and ambulatory surgical centers, as well as physicians providing services at such […]

Billing Medicare for Initial Preventive Physical Examination

Home› Blog› Billing Medicare for Initial Preventive Physical Examination Initial Preventive Physical Examination (IPPE) The initial preventive physical examination (IPPE) is a preventive visit also known as a ‘Welcome to Medicare Preventive Visit’. Medicare pays for one IPPE per beneficiary per lifetime for beneficiaries within the first 12 months of the effective date of the […]

Significance of Claim Scrubbing in Medical Billing

What Is Claim Scrubbing? Claim scrubbing is a method of reviewing claims before a medical practice submits them to an insurance carrier. Claim scrubbing removes all the errors that might lead to claim denials. In the claim scrubbing process, the billing team checks the correctness of the Current Procedural Terminology (CPT) codes in your claims. This […]

Grow Your Practice with Telehealth Services

Patients Love Telehealth Healthcare providers and patients used to see medical care as something best done in-person. But the COVID-19 pandemic changed everything including a massive transition to virtual care. According to McKinsey Consumer Health Insights Survey, patients still prefer the convenience of digital engagement and virtual care options. This patient preference is an opportunity […]

Top 5 Online Tactics to Gain More Patients

Need of Online Presence In the current era of digitalization where mobile phones are no longer used only for calling, your patients are using every possible online channel to find information about your practice. Earlier, healthcare practices used to get incoming calls or voicemails filled with questions about the practice. Now patients might have the […]

Efficiently Managing Underpayment to Increase Practice Collections

What is Underpayment in Medical Billing? An underpayment in medical billing refers to a billing situation where practices are expecting higher payments for delivered services while insurance carriers have paid a lesser amount for the same services. Usually, denials arise due to incorrect patient information while underpayments stem from incorrect billing prices. Underpayments are tricky […]

Improving Your Practice’s Front Desk Collections

Timely collection of patient payments is equally important as collecting insurance reimbursements. In the past few years as more and more patients are adopting High Deductible Health Plans (HDHPs), patient responsibility has increased exponentially. The most reliable source of patient collections is when they are in the office. So, up-front collection of patient payments at […]

Differentiating Between Medical Necessity and Medical Decision Making

Differentiating Between Medical Necessity and Medical Decision Making Medical coders and physicians often confuse between terms medical necessity and medical decision making and this confusion might lead to an inaccurate selection of Evaluation and Management (E/M) codes. It’s important to understand both concepts and clear the confusion as it could result in denied payments. Any […]

Why Are You Losing Money with ‘Insurance Only’ Billing?

What is ‘Insurance Only’ Billing? As the name suggests, in ‘Insurance Only’ billing, healthcare practices accept the amount the insurance company will pay and waive patient responsibility portions like co-pay, coinsurance, and deductible amounts. In most circumstances, this puts the physicians and the practices in jeopardy, especially when your client base is Medicare patients. Medicare […]

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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