OIG’S VOLUNTARY COMPLIANCE TO MEDICAL BILLING COMPANIES

Health care providers are relying on billing companies to a greater degree in assisting them in processing claims in accordance with applicable statutes and regulations. Additionally, health care professionals are consulting with billing companies to provide timely and accurate advice with regard to reimbursement matters, as well as overall business decision-making. As a result, the […]

What Are CPT Modifiers And Why Medical Billing Companies Use Them?

Since medical procedures and services are often complex, we sometimes need to supply additional information when we’re coding. CPT modifiers may describe whether multiple procedures were performed, why that procedure was necessary, where the procedure was performed on the body, how many surgeons worked on the patient, and lots of other information that may be […]

ASC Coding And Billing: Knowing What’s Important

The basics of ASC Coding And Billing aren’t hard to master, but they do differ from physician and facility requirements. The following overview will help you know what’s most important in the ASC setting. ASCs use a combination of hospital and physician billing. Although ASCs use CPT and HCPCS Level II codes to bill most of […]

Prevent claim denials in Oncology medical billing

Before we understand how different factors would be affecting the Oncology medical billing we need to understand different changes for the Last year and how they have affected us. Medical billing is seeing a new string of changes in regulating the medical billing and coding of the procedures and diagnostic. In last year, different medical […]

Claim Reimbursement as per various Health Care Plans

There are a number of ways in which health insurance carriers provide coverage. Health Care plans insurance coverage can be quite complex, as it involves the coordination between a healthcare provider, the health insurance provider, and the actual person receiving care. Some of the methods of coverage include managed care, indemnity policies, and high-deductible plans. […]

What Are Chiropractic Adjustments?

The chiropractic adjustment is a procedure in which trained specialists use their hands or a small instrument to apply a controlled, sudden force to a spinal joint. The goal of chiropractic adjustment, also known as spinal manipulation, is to correct structural alignment and improve your body’s physical function. A chiropractic adjustment refers to a chiropractor […]

Top Dermatology CPT Code Updates

Proper, adequate coding and documentation have become an increasingly important aspect of modern medicine, especially with the prevalence of electronic health records (EHR). While electronic records provide some documentation benefits to the physician, such as legibility and ease of inter-physician communication, they also carry potential coding risks. Many EHR systems automatically calculate the level of […]

HOW TO DO BILLING FOR MEDICARE AND MEDICAID?

Just like when you bill to the private third-party payer, billers must send claims to Medicare and Medicaid. These claims are very similar to the claims you’d send to a private third-party payer, with a few notable exceptions. When you claim for Medicare and Medicaid, there is no need to go through a clearinghouse for […]

Increase your Healthcare Organization ROI

The pressure on hospitals to improve patient care at lower costs is not new—and it’s not going away. Technology has never been more of a priority than it is right now for healthcare providers, especially as the industry continues to shift from fee-for-service to value-based care models. Hospital leaders are juggling a growing slate of […]

What are Quality Checks to Improve Dermatology Revenue Cycle Operations?

Revenue cycle management (RCM) for dermatology is undergoing a significant transformation. Practices are better understanding the impact of people. With the help of processes and technology, you can improve the performance of the dermatology revenue cycle with increased cash flow. Physicians, staff, and patients can be frustrated if a physician’s office processes run inefficiently. This […]

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