Category Archives: Medical Billing Services

Are you Constantly Receiving Denial Code CO-197?

What is Pre Authorization? Most of the carriers request to obtain prior authorization from them before the service/surgery.  Prior authorization for health care services is required for certain services. If authorization is not obtained prior to performing the service, the … Continue reading

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Benefits of Outsourcing HCC Coding Service Activities

HCC coding also we known as Hierarchical Condition Category coding is the important key element which decides the reimbursement benefits for a Medicare Advantage Plan that uses ICD diagnostic codes as the primary indicators of the member’s health status. Correct … Continue reading

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How to Select Perfect Clearinghouse for your Medical Practice?

The clearinghouse you work with has a huge impact on your business. The more efficiently your clearinghouse processes and returns your information, the faster you will get paid, and the more payments you will collect. We came up with five … Continue reading

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Are you aware of Medicare Fraud and Abuse?

Most physicians strive to work ethically, provide high-quality medical care to their patients, and submit proper claims for payment. Trust is at the core of the physician-patient relationship. The Federal Government also places enormous trust in physicians. Medicare and other … Continue reading

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Procedure for Claim Submission with J-codes

The CMS has developed the Healthcare Common Procedure Coding System (HCPCS) for reporting medical procedures and services. Some of the most commonly used HCPCS Level II Codes, J-codes are used for non-orally administered medication, chemotherapy, and immunosuppressive drugs and inhalation … Continue reading

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How to Increase Patient Collection Percentage for Your Facility?

When outstanding patient balances grow out of control, your practice may feel there’s no option but to place them in the hands of a collection agency. Putting debt professionals in charge is the best way to get your payment… right? … Continue reading

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Healthcare Revenue Cycle Trends to Watch in 2019

The revenue cycle process and its management have continuously progressed over the last few years to keep up with the changes occurring in the healthcare industry. 2018 is no exception. When we talk about health care units and hospitals, the … Continue reading

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