Orthopedic practice owners are struggling to maintain the financial stability of their practice. There are many reasons for this struggle as expenses aren’t declining while reimbursement from payers isn’t increasing. As per a recent orthopedic billing survey, more than 30% of orthopedic surgery claims are incorrectly submitted. Such a high portion of rejected and denied […]
Radiology medical billing has its own set of challenges. Unlike the rest of medical billing specialties, radiology billing has two components i.e., the professional component and the technical component. While billing for radiology, when a radiologist uses a radiology apparatus, dyes & machines, it must bill it under technical elements, whereas diagnostic results must be […]
Running a chiropractic practice is no easy task. Chiropractic treatments usually take longer and require frequent visitations, as a result of which focusing on the other related tasks becomes quite difficult. Medical billing and coding regulations are always changing in the chiropractic and pain management arena. The amount of administrative work involved in the daily […]
Rising operational costs, changed payer policies, decreasing reimbursement, and increased compliances adversely affect the financial health of the family practice. In addition, operational inefficiencies and waste cut even deeper into profits and income. A certain amount of each factor is inherent in any family practice. In this blog, we shared ways your family practice might […]
In today’s competitive healthcare space maintaining a healthy practice, and revenue is a challenging task. Things became much more complicated in the global corona pandemic as you were already dealing with the administrative burden and rising operating costs and trying to keep your practice profitable. Strategies which will help you in increasing your practice collections: […]
When any patient comes to you for medical services, his primary concern is getting health needs addressed. The last thing he wants to deal with is navigating the complicated process of medical billing and dealing with his insurance provider. Any patient walking in wants the payment and claims process to be quick, easy, and seamless […]
Interprofessional Internet/Telephone/EHR Consultations Interprofessional Telephone/Internet/EHR Consultations (99446-99449, 99451, 99452) are assessment and management services in which a patient’s treating (e.g., attending or primary) physician or other QHP requests the opinion and/or treatment advice of a physician with specific specialty expertise (the consultant) to assist the treating physician or other QHP in the diagnosis and/or management […]
Basics of Global Period In Orthopedic surgery, the global period can be an important consideration for the billing of services. A global period is a period of time starting with a surgical procedure and ending some period of time after the procedure. Many surgeries have a follow-up period during which charges for normal postoperative care […]
Recently, the Department of Health and Human Services (HHS), the agency that creates and enforces HIPAA regulations, Proposed Changes to the HIPAA Privacy Rule. HIPAA is a landmark piece of legislation that has helped patients better protect their private health information. HIPAA has been amended numerous times since it was enacted to include additions such […]
Most radiology services or procedures, although described by a single CPT code, comprise two distinct portions: a professional component and a technical component. The professional component is provided by the physician and may include supervision, interpretation, and a written report. To claim only the professional portion of a service, CPT Appendix A i.e., Modifiers, instructs […]
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