Medical Billing Services

Recently, the Department of Health and Human Services (HHS), the agency that creates and enforces HIPAA regulations, Proposed Changes to the HIPAA Privacy Rule. HIPAA is a landmark piece of legislation that has helped patients better protect their private health information. HIPAA has been amended numerous times since it was enacted to include additions such […]

Medical billing mistakes can lead to delayed payments, claim denials, customer complaints, and most important lost revenue. This is true regardless of whether a healthcare provider is associated with a private medical practice, hospital, local health department, or a local health organization. This article addresses common medical billing mistakes. Common Medical Billing Mistakes Not Doing […]

Calculating time units for anesthesia billing and coding is extremely important. A unique characteristic of anesthesia billing is the reporting of time units. Payment for anesthesia services increases with time. In addition to reporting a base unit value for an anesthesia service, the anesthesia practitioner reports anesthesia time. We shared guidelines on correctly calculating time […]

Since critical care is a time-based code, the physician’s progress note must contain documentation of the total time involved in providing critical care service. Critical care codes 99291 (evaluation and management of the critically ill or critically injured patient, first 30-74 minutes) and 99292 (critical care, each additional 30 minutes) are used to report the […]

Understanding the business side of medicine helps physicians run a successful practice. However, the business side of medicine is not part of the normal curriculum in training and fellowship programs. Physicians come out of training with the knowledge to treat patients but with little or no knowledge of how to get reimbursed for their services. […]

The Centers for Medicare and Medicaid Services (CMS) announced that it is increasing premium and deductible costs in the Original Medicare program. Healthcare costs rise more each year, and to make up these costs, premiums, and deductibles for Medicare increase. Medicare deductibles, premiums, and coinsurance costs are adjusted annually. Medicare Deductibles and Premiums Changes Explained […]

Most of the practices are seeing medical billing as a nightmare scenario due to the heavy investment of time and money on the billing side of businesses that involves the employment of extra staff to cope with the detailed work. Moreover, when you neglect accounting procedures and billing methods, it leads to claim denial and […]

Patient financial experience is important for every healthcare provider as a single poor billing experience can negate your patients’ positive, high-quality clinical experiences and you should always remember that the last impression is the lasting impression. Today, in the wake of COVID-19, providers need to consider financing flexibility, a shift to digital payment methods, and […]

You know every member of your team is responsible for creating an exceptional customer experience, but the front desk team is accountable for most of these responsibilities like scheduling patient appointments, and collecting payments like co-pays and other balances due, upfront. You know that the healthcare industry is dynamic and facing various regulatory changes periodically […]

There is more than evaluating cash flow to assess the financial health of any physician’s practice. However, cash flow is just one factor. You don’t have to be a finance expert to understand the other important metrics like Gross Collection Rate (GCR) and Net Collection Rate (NCR) that should be calculated and reviewed when evaluating […]