The Ins and Outs of Data Security for Medical Practices

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According to research published in 2016 from the Ponemon Institute, criminal attacks have increased by 125% since 2010 and now represent the leading cause of healthcare data breaches. What’s more, healthcare organizations are largely unprepared to protect patient data against an ever-changing landscape of security threats. To adequately protect data from cybercriminals, healthcare organizations and […]

OIG Compliance Updates for Medical Billing Companies

Health care providers are relying on medical 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. Compliance program guidance […]

How to code CPT 99490?

Chronic Care Management (CCM) services are generally non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient. Medical Billers and Coders (MBC) have received multiple questions regarding “How to code CPT 99490”. To assist you in determining […]

What is Medical Auditing? How it can be Performed?

Medical auditing entails conducting internal or external reviews of coding accuracy, policies, and procedures to ensure you are running an efficient and hopefully liability-free operation. Quality health care is based on accurate and complete clinical documentation in the medical record. The best way to improve your clinical documentation and the livelihood of your healthcare organization […]

Why Medicare Isn’t Paying You?

There are two main categories of services for which a physician may not be paid by Medicare: Services not deemed medically reasonable and necessary Non-covered services In some instances, Medicare rules allow a physician to bill the patient for services in these categories. Understanding these rules and how to use them in your practice increases […]

If You Can Fill and Track These Reports, Your Practice Will Never Face Losses

Creating medical billing reports can help you diagnose the health of your practice. Reports can show you how your practice is performing on important revenue cycle metrics, whether claims are being paid in a timely fashion and how well insurance carriers are paying you for key procedures, among other things. These reports will provide you […]

Maximizing Family Practice Revenue by Implementing These Strategies

Since family practices face many factors that make getting paid more challenging, getting proactive about billing procedures is more important than ever. Being proactive and preventing problems before they occur can help your family practice maximize revenue, ensuring you’re adequately reimbursed so your practice can continue providing quality patient care. Every year, medical providers in […]

Minimize Your Losses in Medical Practice by Focusing on AR Bucket

Accounts receivable or AR is a term used to denote money owed to your practice for services you have rendered and billed. Any payments due from patients, payers, or other guarantors are considered AR. An increase in AR from one period to another is often a sign that monies such as copays, deductibles are not […]

Billing Company Should Be Sharing Monthly Reports with You Regularly

As a physician, you need a reliable and efficient business intelligence system that provides automated revenue reports of your practice. These reports will provide you with accurate information regarding the health of your practice saving you from lost revenue, keeping your practice financially sound while allowing you to free up your clinical staff and resources […]

Accounts Receivable: How to Read a Complicated AR Report Very Easily?

Medical billing reports are a key barometer for understanding what’s going on in your medical practice. Without good reporting, it’s difficult to determine whether your practice is making money or not. Monthly reports can show you how your medical practice is performing on important revenue cycle metrics, whether claims are being paid in a timely […]

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