There are different types of Marketplace Healthcare Plan designed to meet different needs. Some types of plans restrict your provider choices or encourage you to get care from the plan’s network of doctors, hospitals, pharmacies, and other medical service providers. Others pay a greater share of costs for providers outside the plan’s network. Recently, the […]
Will The Congress Disrupt The Current Healthcare Plan?
Read More.. Will The Congress Disrupt The Current Healthcare Plan?
OB-GYN Billing: The Cross Road Between Over Coding and Perfect Coding
Efficient billing practices enable stronger financial health for OB-GYN billing with appropriate reimbursement being at the forefront. The focus is to ensure denial of free claims and a subsequent increase in revenue for OB-GYN Billing, has been significant for the clients. Gain an edge over the competitors with a smooth billing process that will leave […]
Will Advanced APM Affect Urology Physicians reimbursement?
There was a certain cheer in the air from Urologists and other Medicare providers when the Medicare Access and CHIP Reauthorization Act (MACRA) was passed and signed. This ended the terrain of the sustainable growth rate (SGR) payment formula. However, what persists today in the world of healthcare is confusion and uncertainty. The Quality Payment […]
Why OB-GYN Documentation Is Under Scanner?
In the real world, dealing with medical documentation is complete nightmarish and OB/GYN documentation is no different. Why? The inaccurate, incomplete documentation process is leading to several hiccups in insurance claims reimbursements ob-gyn billing. Discharge summaries and other important information are often not available at the time of coding. Such misleading and incomplete information results […]
How to Sync Revenue Cycle Management (RCM) with Patient Care?
Healthcare organizations are seeking improved Revenue Cycle Management (RCM) process to promote robust revenue growth. The main performance parameter to understand the depth of your revenue cycle management (RCM) is to sync medical billing with patient care. Before the providers start syncing the patient care with RCM they need to identify the key performance parameters […]
How to Make Your Practice MACRA Rule Ready?
CMS has already finalized the reform and the payment structure for the Medicare clinics this further paves the way for value-based care. For some physicians, the very term MACRA Rule has got them into enough dizziness. MACRA comprises more than 2,400 pages of regulations; so we don’t really expect a different reaction from the physicians […]
How Can Billing Companies Overcome Their Worst Nightmare?
Medical Billing since its inception has both equal parts of Healthcare providers and insurance companies. For Healthcare providers it’s more in the part of reimbursement while for the insurance companies it’s holding their profits. As the Billing became more and more complex with an inclusion of other regulations the need skilled billers and coders was […]
Problems Providers Ignore In Revenue Cycle Management (RCM)
Medical Billing needs to be effectively managed and holds the most critical part of provider reimbursement for the service. The need for an ultimate team of a revenue manager is important – whether you go in for an in-house team of billers/coders or outsource team of billers/coder is one important factor for the providers. Before […]
3 Unknown Myths about AR Pile-Up
Account Receivable (AR) is one step that divides the reimbursement and claims; older the claim gets the harder it becomes for claims to get reimbursed. For a practice when AR slips below a certain level you either have a pretty large backlog to be sorted out, you can see that it becomes impossible to tackle […]
Tips to Calculate Payer and Gross Collection Ratio in Accordance with MIPS for Your Podiatry Facility
The net collection rate is an essential medical billing metric to measure the ability of your practice to collect the money it owes. let’s understand why it is important to know Payer and Gross Collection Ratio for Podiatry with respect to MIPS. Podiatrists will not be able to succeed within the MIPS payment structure without […]