Medical Practice complains about the volume of incoming telephone calls and how much time their employees spend handling them. Why is your Medical Practice getting so many calls? It is the only way patients can make or change appointments. Patients call the office for refill authorization. Patients were distracted during their visits and are calling […]
As the present USA healthcare trends focusing more on Reimbursement Methods like value-based care, the fee-for-service is under intense scrutiny. Often labeled as an antiquated payment model, it promoted over-utilization by physicians and patients, while creating fragmentation among healthcare service providers. The Affordable Care Act of 2010, along with MACRA legislation in the year 2015, […]
HCC is also known as hierarchical condition category bank on ICD-10 coding. The coding is assigned to risk scores to patients. Each HCC is mapped to a precise ICD-10 code. Let MBC handle your HCC Coding so that you can focus on your core practice. In today’s hyperactive world, it’s easier than ever to connect […]
HCC Coding Services, a risk adjustment model that has been around for years, but has heightened visibility since Medicare Advantage Plans started to require RAF scores for reimbursement. Today ever commercial payer and coding leader is the eye for the same. Risk Adjustment – 101 The Risk Adjustment model uses a patient’s demographics which further […]
Getting onboard professionals to outsource medical billing services like MBC can dramatically streamline the workflow of your practice, further facilitating effective communication with your patients. Healthcare is constantly changing, with each year new coding rules and guidelines. It is practically impossible to learn and implement hence; outsourcing medical billing and coding services could be the […]
If you are trying to figure out between in-house Vs Outsource medical billing services; there are several considerations to take in. The present landscape for medical practices is a harsh one. Profitability isn’t near what it once was. In order to survive in today’s highly competitive climate your practice what is the best for your […]
Medical billing companies are no longer back-office vendors — they are the operational infrastructure standing between your facility and seven-figure revenue leakage. With Medicare Fee-for-Service improper payments totaling $31.7 billion in 2023 alone (CMS Supplemental Improper Payment Report), the cost of choosing the wrong RCM partner has never been higher for enterprise healthcare groups generating […]
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 insurer may not reimburse for the procedure. Most services requiring prior authorizations are surgical procedures […]
HCC coding also known as Hierarchical Condition Category coding is the important key element that 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 coding for the Medicare advantage plan will ensure clean claims for the physician practices. MBC is […]
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. Billing is at the core of your revenue cycle. Therefore, choosing the right clearinghouse for medical practice is an important […]
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