Why Physicians Consider ERISA (Employee Retirement Income Security Act) as Their Best Friend When Fighting Denials?

Why-Physician-Consider-ERISA-is-Their-Best-Friend-When-Fighting-Denials

Established on September 2, 1974, the Employee Retirement Income Security Act is coded in the 29 USC, Chapter 18 and is a claimed federal law. As stated by this law, every individual is entitled to a sum of money after retirement that has to be provided by his employer, irrespective of any circumstances. Further, employee […]

Trump’s Execution Policy: Crucial Things You Need to Know

In January 2017, Donald Trump signed an execution policy against the ACA ( Affordable Care Act). The directives touch on issues like the Affordable Care Act, new homeownership, federal hiring, and most controversially, immigration. Some of the crucial presidential memoranda are mentioned below: 1. Reducing the Economic Burden of the ACA (Affordable Care Act) & […]

What are the Risk Factors Involved in Offshore Billing Agencies?

Getting your claims reimbursed through offshore medical billing and coding agencies is not a new phenomenon that has hit the healthcare service industry just now. It has been into operations since the change of century (2000-2001) and has gained a stronghold in almost all the major hospitals and physician facilities. So, when we talk about […]

6 Trends to Watch Out For Healthcare Billing Industry In 2017

Developed and developing economies are expected to see health care spending increase ranging from 2.4 percent to 7.5 percent between the years 2015 and 2020 according to the report by Deloitte. The Healthcare industry is projected to take a multi-million dollar leap by 2022; Are the existing resources in the industry enough to meet the […]

Ransomware Attack: How Can Healthcare Industry be Shielded?

The first known malware extortion attack happened under the name “AIDS Trojan” which was written by Joseph Popp in the year 1989. The malware was pretty much ineffective due to design problems. Encrypted ransomware returned in the year 2013 when a crypto locker used the digital currency Bitcoin to extort money from the infected users. […]

How Medical Billing Companies Must Respond If ACA Repeal?

The healthcare industry has evolved with significant changes in the last few years, and it looks like the winds of change continue to blow in the Trump Administration. With more and more legislation, policies, and tech advancements change witnessed, there has been a lot to talk about the “ACA repeal” effect on medical billing companies. […]

Coding Rules for Modifiers 32 and 33 with CPT Codes in Medical Billing and Coding

There are a couple of modifiers in medical coding that are very rarely used. There are two such modifiers 32 and 33. These modifiers can only be used when there is appropriate documentation supporting the case. Here are some pointers on how to use modifiers 32 and 33: When should Modifier 32 be used? Modifier […]

Why are Medical Practices Being Sold Out to Competitors?

The Medical practice turf comprising of private practices, independent or groups has been on a gradual decline over the last 30 years. These developments throw light on the fact that physicians are moving away from private practices selling their practices to hospitals, medical centers, and multi-specialty hospital chains. In recent times, there has been a […]

What type of Reports does your Medical Billing Company provide you to be aware of the revenue status?

It is essential for physician facilities to track monetary performance metrics, as every dollar that falls through the cracks can create an adverse and irredeemable impact on the practice. So, the moot question that arises here is, have you set the Medical billing department goals this year? Do you know the importance of medical billing […]

Are doctors the best decision makers for the financial health of their practice?

The practice of medicine is all about specialization. Doctors spend more than a decade of practice necessary for getting specialization in any field of medicine. Plus with the technological advances, ever-changing protocols in the specialty, they need to stay abreast so as to provide the best care to their patients. But despite all the hard […]

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