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 […]

OIG’S VOLUNTARY COMPLIANCE TO MEDICAL BILLING COMPANIES

Health care providers are relying on billing companies to a greater degree in assisting them in processing claims in accordance with applicable statutes and regulations. Additionally, health care professionals are consulting with billing companies to provide timely and accurate advice with regard to reimbursement matters, as well as overall business decision-making. As a result, the […]

What Are CPT Modifiers And Why Medical Billing Companies Use Them?

Since medical procedures and services are often complex, we sometimes need to supply additional information when we’re coding. CPT modifiers may describe whether multiple procedures were performed, why that procedure was necessary, where the procedure was performed on the body, how many surgeons worked on the patient, and lots of other information that may be […]

Claim Reimbursement as per various Health Care Plans

There are a number of ways in which health insurance carriers provide coverage. Health Care plans insurance coverage can be quite complex, as it involves the coordination between a healthcare provider, the health insurance provider, and the actual person receiving care. Some of the methods of coverage include managed care, indemnity policies, and high-deductible plans. […]

HOW TO DO BILLING FOR MEDICARE AND MEDICAID?

Just like when you bill to the private third-party payer, billers must send claims to Medicare and Medicaid. These claims are very similar to the claims you’d send to a private third-party payer, with a few notable exceptions. When you claim for Medicare and Medicaid, there is no need to go through a clearinghouse for […]

Increase your Healthcare Organization ROI

The pressure on hospitals to improve patient care at lower costs is not new—and it’s not going away. Technology has never been more of a priority than it is right now for healthcare providers, especially as the industry continues to shift from fee-for-service to value-based care models. Hospital leaders are juggling a growing slate of […]

We Excel In

We Dominate Over

Our Reach

Insightful Blogs

Interesting Reads

Medical Billing Services