Constant changes take place in the healthcare industry with respect to codes, rules, and standards. As 2015 saw the introduction of ICD-10, the knowledge of these codes along with other challenges shall unquestionably be carried forward to 2016. So how does the medical billing industry stay abreast and prepare themselves for such challenges? Here’s what […]
The medical practice has, and, is seeing a great many changes taking place in terms of healthcare reforms, the CMS rules & regulations with respect to reimbursements, and the ICD-10 coding system recently introduced in October 2015. These changes have affected a broad spectrum of both small, mid, and large healthcare providers specifically in terms […]
A biller’s most important task is to send ‘clean’ claims to Medicare and Medicaid. Though both are high-volume payers, they perform differently in the US healthcare system. We need to be very careful about the Medicare and Medicaid Billing Guidelines. In 1965, Medicare (a federal healthcare program) was created to target persons over 65 and […]
Let’s always keep in mind that patients come with some problems that they hope will be solved quickly and without any hassles. So, how does one keep the patients happy? While keeping a smiling face makes good sense, giving the patients a great experience is an art in itself. Here are a few valuable tips […]
Two kinds of billing exist in the medical billing genre – Hospital billing (institutional billing) and clinical billing (physician billing). Hospital billing refers to the billing of claims generated for services performed by doctors who are associated with a hospital and for patients that make use of outpatient/inpatient services, diagnostic procedures, emergency services, laboratory, medication, […]
EOB is an outcome of the claims process and is alternatively termed as a Beneficiary Notice, Summary of Benefits, Remittance Advisory, or Coverage Determination. EOB is NOT A BILL though it looks like one. It is simply an explanation of the claim covered/not covered by the healthcare insurers to the healthcare provider along with any […]
This is chiefly due to the number of hands the bill goes through; the count roughly being close to 300 people that are involved in the billing process at some stage(billing specialists, coders, medical practitioners, administrators, and insurance providers). There are numerous errors related to medical billing; patients are sometimes overcharged (charged for services not […]
Medical billing and coding is complicated and not an easy straightforward process. The multitude of rules and regulations, the introduction of the Affordable care Act (ACA) or popularly called as Obamacare, and the present switch from ICD-9 to ICD-10 coding system, has only added to the complications to medical billing and coding. It takes awareness, […]
Smartphones have had a radical impact on our lives in many ways today. Be it the convenience of banking while on the go or shopping from the comfort of our homes, the Smartphone has become a part of our daily life. With innovations in digital technology, the ubiquitous Smartphone is set to make its impact […]
Hospitals are big centers where paper-based prescriptions are largely used and where a lot of time is spent on resolving issues with the pharmacies regarding errors in handwritten prescriptions. E-prescribing is the electronic method of generation, transmission, and filling of a prescription, replacing paper prescriptions. Continuous efforts of the US towards enhancing the quality of […]
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