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 […]

Team based care model for better productivity

In an old-fashioned practice model, the physician is solely responsible for most, if not all of the work undertaking of his facility, which also involves charge entry, to medical billing and coding till the time of claims reimbursements. Sharing the workload With the team care model, however, the physician and clinical assistant share these responsibilities. […]

How to prevent AR issues in Hospital Billing?

Is your hospital facility billing continuously facing errors? Within any of your medical accounts in terms of Revenue Cycle Management (RCM) is that restricting your organization’s cash flow? There are a few common problems that have affected the current Hospital Billing setting which can be avoided in a few steps. Claim Denials One of the […]

Medical Facility Should Follow The 6 Documentation Rules

6-documentation-rules-every-facility-should-follow

Documentation is a critical undertaking in any specialty medical facility. It is an essential tool for conveying essential clinical information about each patient’s diagnosis, treatment, and results and for communication between physicians, medical billers and coders, and the payers. Doctors and their team of medical billers must efficiently respond to the questions that payers are […]

Medicine Services: Mistakes to avoid while coding

Mistakes-to-avoid-while-coding-for-preventive-medicine-services-1

Medical Coding is more complicated today with different overviews regarding medical codes according to the insurance companies. The documentation and coding for diagnoses/procedures are becoming a one-sided question of the medical billing. Mistakes to avoid while coding for preventive medicine services “You’re given codes are incorrect and can please check them or EOB with wrong codes […]

A checklist for your practice to succeed in your value-based reimbursement

Healthcare is moving towards a parameter based revenue system, with the patient care, patient diagnoses and billing all will decide the reimbursement. Though patients today have much more control over their billing and many of the private healthcare insurance provides them with a facility of choosing different billing options, doctors and physicians have been on […]

5 Strategies Payer should Follow after Patient Discharge

The discharge process remains a major challenge for payer who wants to improve outcomes and reduce readmissions, in large part because patients often don’t understand the instructions. Recent research suggests that implementing follow-up care strategies can improve the process; including treating it more like the admissions process and dispensing medications at that point. Today’s hospitals […]

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