Denied insurance claims—the healthcare revenue negating claims. The common occurrence of such denials is too unfortunate for the current scenario of the healthcare and medical billing service. According to medical insurance experts “In most of the cases, the claims get denied due to the fact that there are simple errors in the coding process, while […]
New Taxation law from the new government looking to solve health care myth–A Looming Change for the healthcare industry. U.S. healthcare is going under constant change with regulations and different insurance laws. The different demographics and federal laws have added to the constraints. Still, the hospitals have done well financially in 2016 despite shifting the […]
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 […]
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 […]
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 […]
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. […]
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. […]
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 […]
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 […]
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 […]
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