In-house vs Outsource Medical Billing Services Ohio – Which Is the Best for Your Practice?

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 […]

Top 5 Medical Billing Companies Reviews

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 […]

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 insurer may not reimburse for the procedure. Most services requiring prior authorizations are surgical procedures […]

Benefits of Outsourcing HCC Coding Services Activities

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 […]

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. Billing is at the core of your revenue cycle. Therefore, choosing the right clearinghouse for medical practice is an important […]

Are you aware of Medicare Billing 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 Federal health care programs rely on physicians’ medical judgment to treat patients with appropriate, medically […]

Procedure for Claim Submission with J-codes

J-codes used in Procedure for Claim Submission - HCPCS Level II 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 solutions as well as some orally administered drugs. Submitting Claims with J-codes: HIPAA required that […]

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? Not always. Physicians and practice managers often resort too quickly to the services of a […]

7 Reasons: How Outsource Medical Billing Services Can Benefit Your Practice?

Medical Billing Services Company for all practices. We offer transparency and complete medical billing software solution to practitioners at an effective cost. The healthcare industry is constantly changing and evolving, and with these changes come more regulations surrounding medical billing. If you are yet to figure out in-house vs outsource Medical Billing or if you […]

Murphy signed Out-of-Network Healthcare Billing Law in New Jersey

Governor Phil Murphy on August 30th, 2018 signed a bill that ended the decade-long battle to address the issue of the cost and impact of expensive medical bills for residents in the state. In a statement, Gov. Murphy said, “Today, we are closing the loophole and reigning in excessive out-of-network costs to prevent residents from […]

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