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How MBC Changing the Face of General Surgery Billing?

How MBC changing the face of General Surgery Medical Billing?

General Surgery, in the midst of forte explicit medical procedures, has not lost its sheen, and general specialists keep on being the particular decision for various surgeries. Doing negligible obtrusive medical procedures (applying creative and progressed Robotic innovation) for more noteworthy productivity, general specialists have been frequently called upon to relocate to more up-to-date mechanical […]

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Evaluating Your Ambulance Transportation Medical Billing Procedure

EVALUATING-YOUR-AMBULANCE-TRANSPORTATION-MEDICAL-BILLING-PROCEDURE

Ambulance Transportation Medical billing has been under the lens of Medicare for a very long time due to the fabrication of medical charges and unreasonable billing rates for patients during an emergency. In September 2015, a report was released by the Office of Inspector General (OIG) after studying Medicare Part B Ambulance claims. The report […]

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Acquaint Yourself with 9 New HCPCS Modifiers

Acquaint-Yourself-with-9-New-HCPCS-Modifiers

A modifier is a two-digit numeric or alphanumeric character reported with an HCPCS Modifier code, when appropriate. Modifiers are designed to give Medicare and commercial payers additional information needed to process a claim. This includes HCPCS Level I (Physicians’ Current Procedural Terminology [CPT®]) and HCPCS Level II codes. A modifier provides the means by which […]

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How to Avoid Common Medical Billing Compliance Pitfalls?

How to Avoid Common Medical Billing Compliance Pitfalls?

There are several major issues facing compliance officers today, such as HIPAA, Stark Law, and Anti-kickback Statute issues, as well as many billing compliance issues. Billing issues continue to appear in federal government False Claims Act settlement agreements and government audit reports. Here, we’ll discuss incident-to and shared billing compliance pitfalls and focus on what […]

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Prior Authorization and It’s Impact on Practice Collection

Prior Authorization and It's Impact on Practice Collection

Prior authorization is a check run by some insurance companies or third-party payers before they will agree to cover certain prescribed medications or medical procedures. There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a generic alternative, or checking for drug interactions. A failed authorization […]

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Impact of High-Deductible Health Plans (HDHP) on Medical Practices

Impact of High-Deductible Health Plans (HDHP) on Medical Practices

High-Deductible Health Plans (HDHP) have become increasingly popular since the Medicare Modernization Act of 2003 authorized portable, tax-advantaged health savings accounts (HSAs) designed to be coupled with these plans. Supports of HDHP advocate that, these plans as an effective mechanism for controlling health care costs by creating cost-conscious health care consumers who will look for […]

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How to Manage Incoming Calls at Your Medical Practice?

How to Manage Incoming Calls at Your Medical Practice?

Medical Practice complains about the volume of incoming telephone calls and how much time their employees spend handling them. Why is your Medical Practice getting so many calls? It is the only way patients can make or change appointments. Patients call the office for refill authorization. Patients were distracted during their visits and are calling […]

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Wound Care Billing Guidelines 2019

wound-care-billing-guidelines-2019

Not only is wound coding and documentation is a daunting task, but also attracts intense inspection from auditors, with severe financial penalties for mistakes. And it’s only gotten more challenging with the new ICD-10 changes. What is included in the wound care billing guidelines 2019? An infected surgical wound, T81.4xxA, is among those 51 codes […]

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What Are The Differences – an Interventional Cardiologist and Invasive, Non-Interventional Cardiologists?

What Are The Differences - an Interventional Cardiologist and Invasive, Non-Interventional Cardiologists?

A healthy heart is essential to lead a healthy and happy lifestyle. There are a lot of things that can go wrong with your heart, and sometimes the symptoms that something is wrong are not always obvious. A cardiologist is a health practitioner who specializes in diagnosing problems with the heart and surrounding arteries. What […]

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