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Key Opportunities in out-of-network Strategy for ASC

Key Opportunities in out-of-network strategy for ASC

The beginning of the Patient Protection and Affordable Care Act resulted in millions of Americans becoming insured on plans with out-of-network benefits. Also, this act has narrowed insurance networks which left many providers completely out-of-network. Therefore, the out-of-network strategy for ASC is only revenue revenue-enhancing strategy for some ASCs. There are some key opportunities available […]

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Ambulance Transport Waiver – Cost-Sharing Obligations Updates

Ambulance Transport Waiver - Cost-Sharing Obligations Updates

The Office of Inspector General (OIG) recognizes that, in the present public health emergency resultant from the outbreak of the COVID-19, the health care industry must focus on delivering the required treatment to patients. Let’s discuss in more detail about Cost-Sharing Obligations Updates. OIG’s Part in Cost-Sharing Obligations As part of OIG’s mission to encourage […]

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Is orthotics the same as orthopedics?

Is orthotics the same as orthopedics?

Is orthotics the same as orthopedics? If you are looking for an answer then you are at the right place. An orthotic is a device that supports and stabilizes a joint or weakened/injured body part, creating proper alignment, pressure relief, and management of pain while orthopedics is a branch of medicine that focuses on the […]

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Medical Billing for Cataract Surgery

medical-billing-for-cataract-surgery

Cataracts disease of the eye causes the clouding of the lens of the eyeball and removal of these lenses of the eye is called cataract surgery. It is observed that over half of the people in America over age 80 have either had a cataract or cataract surgery hence medical billing for cataract surgery accounts […]

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How to credential a group practice?

how-to-credential-a-group-practice

The COVID-19 pandemic has made a drastic impact on the healthcare industry. Some licensed providers are returning to a partly insurance-based model of private practice because of the lack of private pay patients. If you are running a group practice then you have multiple questions regarding credentialing, like how to credential a group practice? Do […]

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Telehealth Landscape Beyond a Pandemic

telehealth-landscape-beyond-a-pandemic

Telehealth is rising drastically after COVID-19 due to mandatory social distancing and the safest interactive system between patients, both infected and uninfected, and clinicians. Now Vaccination is going on all over the country to win over pandemic and PHE. But Telehealth will continue to stay here as an important care provider model and also, some […]

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The Struggle of Primary Care Physicians with Dynamic Medical Billing Rules

The Struggle of Primary Care Physicians with Dynamic Medical Billing Rules

Medical Billing a Challenge for Struggling Primary Care Practices Medical billing is a complex process, and it’s always been a reason for primary care physicians’ struggles. In addition, their practice is often overwhelmed with constantly changing information, including protocols and billing codes, which makes the situation more challenging. When the COVID-19 pandemic strains the U.S. […]

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Outpatient Wound Care Billing

Outpatient Wound Care Billing

When providers need outpatient wound care billing, CPT codes 11043, 11046, and 11044, 11047 may only be billed in place of service inpatient hospital, outpatient hospital, or ambulatory surgical center (ASC). Outpatient wound care is often considered early discharge of patients from the acute care setting to the home care setting and surgical wound care […]

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