According to the 2021 Milliman Report, more and more providers has preferred to provide healthcare services as Out of Network Provider provider. This Out of Network Provider utilization is much higher for mental health services than for medical or surgical services. Relaxed telehealth policies during the COVID-19 pandemic have offered more access to Out of […]
Basics of Obesity Screening and Counseling Obesity screening and counseling are one of many distinct preventive services mandated by national and state regulations (US Dept. of Labor). The U.S. Preventive Services Task Force (USPSTF) recommends screening all adults for obesity. This screening also includes children of >6 years old. CMS began reimbursing physicians for obesity […]
Patients’ financial responsibility is on the rise as more patients are choosing high-deductible health plans (HDHP). Increasing patient responsibility is an ongoing trend that does not seem to be slowing down in the near future. Providers report many challenges with responding to growing patient financial responsibility. Given the increased payment responsibility, being able to determine […]
There are substantial barriers when it comes to timely detection of cognitive impairment, especially Alzheimer disease and related dementias (ADRD), impeding effective care planning and coordination among providers, patients, and caregivers. As per a recent estimate, 12.7 million people over 65 years of age are projected to have Alzheimer’s by 2050. So, it’s not surprising […]
Partnering up with professionals billing experts can bring tremendous benefits to your medical practice. Most practice owners believe in taking assistance from a medical billing company for their billing operations. Some practices outsource complete medical billing operations while the rest take assistance in revenue cycle operations like benefits verification, accounts receivable (AR), medical coding, and […]
According to the recent research report, approximately 5 percent of family physicians and 7 percent of all physicians are sued for malpractice in the United States each year. The incidence of lawsuits is much greater in some surgical subspecialties, with annual rates approaching 20 percent among neurosurgeons and cardiothoracic surgeons. For low-risk specialties including family […]
Practice owners work hard to provide the best patient care, but most of them struggle while keeping patient wait time as minimum as possible. Nearly two out of every five patients are frustrated with providers even before their check-up begins. You would be surprised to know that practices that fail to address this high wait-time […]
No Surprise Act In December 2020, the No Surprise Act (NSA) was passed as part of the Consolidated Appropriations Act. As the name suggests, NSA aims to protect patients from the financial impact of surprise medical billing. No Surprises Act will come into the picture when a patient receives care from an out-of-network provider in […]
Most small practice owners prefer to manage medical billing and coding all by themselves. They feel to have more control over practice revenue by handling billing and coding operations in-house. But we have to understand, medical billing and coding require specialized knowledge. Providers doing in-house billing operations, tend to use a common set of diagnosis […]
Basics of Coding Compliant with Medical Audits A coding audit is a review of a medical office’s coding practices conducted by reviewing patient medical records. Medical record audits target and evaluates procedural and diagnosis code selection as determined by physician documentation for completeness and accuracy. Medical audits cover: assessing the proper use of CPT codes; […]
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