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Can Independent Physicians Overcome the Medical Billing Hassles?

Can Independent Physicians Overcome the Medical Billing Hassles?

It has become harder than any time before to a fruitful independent medical practice. As physicians shift towards value-based reimbursement which is gaining traction alongside the fee-for-service model, doctors will be on the hook for demonstrating clinical outcomes and providing seamless care coordination in order to receive payment. At the same time, independent physicians must […]

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Should Doctors Stand Against or with MACRA?

Should Doctors Stand Against or with MACRA?

Ever since the election of President Donald Trump the healthcare industry is reeling under the pressure of changing regulations and norms. Right from small healthcare units to large medical facilities and from outsourced medical billing and coding companies to insurance providers, all are feeling the heat. However, the President’s succeeding choice of a former orthopedic […]

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Guiding Principles Every Physicians Should Know About Patient Environment

Guiding Principles Every Physicians Should Know About Patient Environment

Not to be confused with traditional ideas of patient care, patient-centered care pushes the boundary of healthcare to create systems and processes that are truly custom-made to enhance the health, well-being, and treatment plans for both health professionals and patients. Recently, the Mountain State Healthcare Alliance (MSHA) received the 2012 National Healthcare Award from the […]

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Physicians achieving Better ROI with Claim Status Checking

Physicians achieving Better ROI with Claim Status Checking

A vital undertaking of any medical facility large or small – independent or outpatient is to track or check the claim status of a patient’s health cover. With having the knowledge of the claim status many healthcare units face revenue leakages, which in turn pushes them towards winding up their businesses (healthcare facility). How can […]

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How Surgeons Should Code For Chronic Conditions In Value Based Reimbursement?

How Surgeons Should Code For Chronic Conditions In Value Based Reimbursement?

Surgical facilities coding for chronic conditions is now becoming a strenuous task as the healthcare landscape shifts towards value-based care. Value-based care implemented by the Center of Medicare and Medicaid (CMS) attempts in providing better care for individuals, improving health care strategies and reducing the cost of healthcare. A certified coder can be a great […]

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What you should watch out as a Beginner in Optometry Billing and Coding?

What you should watch out as a Beginner in Optometry Billing and Coding?

Running an optometry business is not that difficult if you have the right kind of resources to complete all the tasks. Right from patient encounters to admissions and from checking their eye problems to getting reimbursed via perfect medical billing and coding is a work cycle. If you are new to the world of Optometry […]

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CMS 2018 Final Rule To Impact Orthopedics ASCs

CMS-2018-final-rule-to-impact-orthopedics-ASCs

The Center for Medicare and Medicaid Services (CMS) has issued the final rules on Ambulatory Surgical Center (ASC) reimbursement and changes that could have important implication on the orthopedics billing in ASC. The rule includes update to payment policies, payment rates and also the quality provisions for the services provided under the Physician Fee Schedule […]

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Billing Guidelines For Your OB-GYN Practice To Follow

Billing Guidelines For Your OB-GYN Practice To Follow

Obstetrics and Gynecology is one specialty that involves capacious claims filing. OB-GYN Practice Services are rendered for many family planning, obstetrics, gynecology, and anesthesia procedures. Yet, opportunities to maximize reimbursements are missed in virtually every family practice. Under-coding, omitting modifiers, and submitting claims without the documentation needed to support them are everyday events. The lost […]

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