How to Use J-Codes to Represent Various Medical Drugs and Services?

Healthcare Common Procedure Coding System (HCPCS) is based on Current Procedural Terminology (CPT) developed by Center of Medicare and Medicaid (CMS). Till 1996, HCPCS was optional but after the passage of Health Information Portability and Accountability Act (HIPAA), the government had made the use of HCPCS mandatory in certain cases. The HCPCS has divided the […]

Why you May Not are Receiving Reimbursement for ASC Medical Billing?

Why-you-may-not-be-receiving-reimbursement-for-ASC-medical-billing1

ASC medical billing widely known as Ambulatory Surgery Centre is different from the rest of the billing process. Before you go forward, it’s important to know what ASC is all about. Ambulatory Surgery Centre is a facility which simply specializes in outpatient procedures which may include procedures like surgeries, pain management, or diagnosing procedure like […]

The True Cost of Medical Billing and Coding Services

Today’s ambiguous economic conditions are presenting healthcare practices across the US with a whole host of challenges. These include complex patient procedures, increased competition, the pressures from altering regulations, and declining reimbursements, all of which negatively affects your bottom line. This prompts you to find ways to cut costs and improve efficiency, and what better […]

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. […]

Is Ignorance in AR Management and Medical Coding Eating up Your Medical Practice’s Revenue?

Claims Reimbursement is the backbone of medical practice, but the last five to ten years have been impacted by various trends and healthcare industry changes. To name a few, Medicare and Medicaid have started reducing physician reimbursements; Third-party payers have negotiated fee-for-service contracts with physicians resulting in reimbursement at less than 100 percent of charges. […]

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 […]

RCM Questions one should ask while reviewing a medical billing company

Revenue Cycle Management (RCM) is the core process of any healthcare practitioner providing medical healthcare services. Trying to focus on how to turn around your practice to help it make revenues is not an easy task. Although your patient is your first priority, coping with the changing rules & regulations can be a nightmare and […]

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 […]

Was Your Denial Management Efficient in 2016?

The wholesome success of any medical institution is incomplete without a close analysis of its efficiency at Denial Management. The tedious procedure of Medical Billing requires an extensive organization-wide micro-managing of tasks that begins at the front desk and creep into the back end. Sometimes, an insurance company (payer) might refuse to honor the claims […]

5 Services Offered by Your Medical Billing Company to Improve Your Practice

Whether to outsource your medical billing or to do it in-house is a difficult decision many practitioners face. However, it should be as easy as performing your own surgery. Medical billing requires a high set of skills, and in recent years we have seen a steep increase in complexity. Due to the high deductible plans, […]

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Revenue Cycle Management (RCM)