Understanding Advance Billing or Unbundled Billing for Allergy Serum

Introduction Billing “allergy serum” in advance typically refers to submitting a claim for reimbursement to the insurance company before the actual service or treatment is provided. This practice is known as advance billing or unbundled billing. While advance billing may be allowed for some medical services, it is important to note that insurance companies have […]

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Role of MBC in Improving Your Anesthesia Billing Services

Managing anesthesia billing can be a challenging and time-consuming task for healthcare providers, as it involves navigating complex billing codes and regulations, as well as ensuring timely and accurate reimbursement from insurance providers. Medical Billers and Coders (MBC) understands these challenges and has developed a range of services to help healthcare providers optimize their anesthesia […]

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Why Medical Billers and Coders (MBC) is Reliable Anesthesia Billing Company?

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 […]

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Why Providers are not hiring an In-House Medical Billing Team?

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. […]

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Avoiding Common Anesthesia Billing Pitfalls

As anesthesia billing can be complex, it is important to avoid common pitfalls to ensure that claims are processed correctly and payment is received in a timely manner. Here are some tips to avoid common anesthesia billing pitfalls: Avoiding Common Anesthesia Billing Pitfalls: 1. Inaccurate Anesthesia Coding Some of the common anesthesia coding errors include […]

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Top 7 Insurance Claim Challenges Affecting Your Practice

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 […]

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Understanding False Claims Act in Healthcare

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: […]

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Coding Guidelines for E&M Services

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, […]

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Differentiating Between Improper Payments and Medical Billing Fraud

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 […]

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Administration Expanding Access to Healthcare in 2024

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 […]

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