70% percent of consumers in a Pioneer Institute survey said they would like to know information on provider pricing, yet half of them said they were not aware of seeking the information despite healthcare price transparency laws. Many consumers living in a state with some of the most comprehensive healthcare price transparency laws have never […]
HIPAA The Health Insurance Portability and Accountability Act (HIPAA) includes provisions to maintain the privacy of protected health information (PHI). The HIPAA rules apply to covered entities, which include medical providers, employer health plans, and insurance companies that deal with patient data. In spite of the 2020 election, the second half of October 2020 has […]
Impact of COVID-19 If your practice is still facing the impact of COVID-19 then you are not alone. According to the American Medical Association, loss of in-person visits of physicians is coupled with higher than usual expenses for physician practice capability. Your practice capability is under the COVID-19 pandemic threat as physicians continue to see […]
THE current COVID-19 pandemic situation is creating uncertainty for health systems; this may appear to be taking hits on both the physician practice and hospital sides of their business. According to the latest National Hospital Flash Report from consulting firm Kaufman Hall, the median hospital operating margin index stands well below CY 2019 performance at […]
For Medicare, modifiers are 2-digit codes that are appended to procedural codes and HCPCS codes. These modifiers are used to give more details about the billed procedure. The addition of modifiers in a claim can directly impact payment. You can get a list of modifiers on the internet at any time where you will get […]
Medical billing errors are possibly more common than anyone can think, and these errors could be costing you revenue loss. In fact, almost many Americans could be overpaying on their medical billing because of common medical billing errors. Whether it’s incorrect information in CMS1500 like incorrect insurance ID number, or ICD-10 Code error, duplicate charges, […]
Billing for anesthesia services is complicated and it requires skilled staff who can do error-free medical billing. Medical billers should have a basic understanding of how anesthesia is administered, and all the ins and outs of payer requirements to avoid claim rejections. Anesthesia billing needs something of all from the billing team member all the […]
The Radiation Oncology (RO) Model goals to improve the quality of care for cancer patients getting radiotherapy (RT) and move toward an easy and predictable payment system. The Radiation Oncology Model tests whether modality agnostic, bundled, site-neutral, prospective, episode-based payments to physician group practices (PGPs), hospital outpatient departments (HOPD), and freestanding radiation therapy centers for […]
Pediatricians help to stay children healthy and safe, which is not any small feat. A pediatrics practice is different from other sorts of medical practice offices in several ways. These differences make medical billing services even more helpful and beneficial for pediatrics offices than for other sorts of practices. Pediatricians spend more time with patients Pediatricians tend to spend more time with each […]
You might be already aware of how behavioral health billing is different from medical billing, you’ll wonder what falls under billing for behavioral health services with reference to the services we offer at Medical Billers and Coders and the kinds of behavioral health billing we will assist with include: Behavioral Health Billing To successfully bill […]
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