Medical auditing entails conducting internal or external reviews of coding accuracy, policies, and procedures to ensure you are running an efficient and hopefully liability-free operation. Quality health care is based on accurate and complete clinical documentation in the medical record. The best way to improve your clinical documentation and the livelihood of your health care […]
What is Medical Auditing? How it can be Performed?
Correct Coding for Pre-operative Clearance
Pre-operative evaluation and testing services may not be covered under Medicare. Primary care physicians are often asked to evaluate a patient prior to surgery at the request of the surgeon. Patients at an advanced age and those with significant medical problems face increased risk for surgical morbidity and mortality, and preoperative evaluation will depend on […]
Avoid the Top 10 Modifier Mistakes – Modifier 79
Matching CPT code with an ICD 10 code, would seem to be a very straightforward process but there are always variations/exceptions to everything. Sometimes, there are related services that the physician is performing, global periods to contend with, etc. Modifiers will clarify extenuating circumstances, which should allow for payment when they otherwise may not. That […]
How Physicians can uncover the Medication Non-Adherence?
Many doctors at healthcare units, hospitals and outpatient clinics are astonished their patients are not open about taking their prescribed medication. A recent research report shows that most patients only take their medicine as prescribed about half the time and are often unwilling to tell their physician while a quarter of new prescriptions are never […]
Why your Ambulatory Surgical Center Facility should Prepare for 24/7 Care?
After an extended period of stationary growth primarily due to a glut of capacity coupled with flat or declining revenue growth, we are now able to see a resurgence of Ambulatory Surgery Centers (ASCs). As a matter of fact, experts are forecasting a significant growth spurt in the Ambulatory Surgery Center industry including the 24/7 […]
Revenue Cycle Management (RCM) Tips To Shorten The Claim Length
Revenue cycle management (RCM) is the commercial process that uses medical billing software, which healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance. In simple terms, it refers to the process of tracking the payments for the services rendered at a provider’s office, from […]
How To Explore Untapped Potential Of Your Practice?
Today, the majority of deaths worldwide are due to four noncommunicable diseases such as cancer, cardiovascular disease, type 2 diabetes, and respiratory diseases; most of these deaths are potentially preventable. Four sets of behaviors contribute to the high and growing burden of noncommunicable disease: consumption of tobacco, alcohol, and highly processed foods, as well as […]
Boosts your Medical Reimbursement with Effective Revenue Cycle Management Process
The healthcare sector in the United States has a huge infrastructure that is required to maintain every aspect of patient treatment. With the cost of operations go up by the day, medical facilities have gradually started to offshore various sectors to other dedicated companies like Revenue cycle management specialists, who are solely focused on providing […]
Family Practice Billing : Things To Lookout For In 2020
Like other healthcare specialties, family practice billing also depends upon apposite and timely documentation and communication with patients and insurance payers. The doctor’s office starts the process by serving a patient and documenting the normal SOAP notes. Next, the medical coder translates the visit into the appropriate numerical codes that allow for easier communication with […]
Cardiology Billing: Improve Coding and Quality Score
If your in-house Cardiology billing and coding department are facing constant inefficiencies, and dealing with coding backlogs and if you are operating on a shoe-string budget and small staff, chances of a negative impact on your Cardiology facilities bottom line are very high. Keep in mind that seamless medical coding has an ever-increasing impact on […]