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Boost your OB-Gyn Cash Flow with Simple Steps

Boost your OB-Gyn Cash Flow with Simple Steps

OB-GYN Cash Flow is a critical consideration as the services provided by physicians have come under scrutiny after repeated frauds involving necessary procedures and care. In OB-GYN practice, the current billing scenario is changing, and it’s difficult for individual practices to bill for all the services provided and maintain quality care. The CMS has shifted […]

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7 Reasons: How Outsource Medical Billing Services Can Benefit Your Practice?

outsource-medical-billing-services-can-benefit-your-practice

Medical Billing Services Company for all practices. We offer transparency and complete medical billing software solution to practitioners at an effective cost. The healthcare industry is constantly changing and evolving, and with these changes come more regulations surrounding medical billing. If you are yet to figure out in-house vs outsource Medical Billing or if you […]

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The Impact of QPP on Cardio-Oncology Care

The-Impact-of-QPP-on-Cardio-Oncology-Care

Many professionals or experts working in the healthcare IT industry, policy specialists, and new industry stakeholders continue to investigate into the 1,473-page proposed “rule” released by the CMS or Centers for Medicare and Medicaid Services in July 2018 that provides updates on the OPP or Quality Payment Program and Physician Fee Schedule. This new update […]

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Murphy signed Out-of-Network Healthcare Billing Law in New Jersey

Murphy signed Out-of-Network Healthcare Billing Law in New Jersey

Governor Phil Murphy on August 30th, 2018 signed a bill that ended the decade-long battle to address the issue of the cost and impact of expensive medical bills for residents in the state. In a statement, Gov. Murphy said, “Today, we are closing the loophole and reigning in excessive out-of-network costs to prevent residents from […]

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Common Practice Challenges Faced by Orthopedic surgeons

Common Practice Challenges Faced by Orthopedic surgeons

The most common challenges orthopedic surgeons face are high implant costs that payers often reimburse below cost, rising equipment expenses when each surgeon prefers different products, and billing and coding errors that delay or deny claims. Surgeons and orthopedic centers manage these by justifying implant choices against reimbursement, standardizing equipment to negotiate better pricing, and […]

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Why you should tread carefully when using Modifiers -25 and -59 in Urology Billing?

Why you should tread carefully when using Modifiers -25 and -59 in Urology Billing?

Urology Billing is the process by which healthcare practitioners bill insurance companies for services provided to patients. The Urological Supplies Local Coverage Determination (LCD) provides for the use of modifiers with each submitted HCPCS code to indicate whether the applicable payment criteria are met KX modifier and to provide other information related to coverage and/or liability (GA, […]

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OIG’S VOLUNTARY COMPLIANCE TO MEDICAL BILLING COMPANIES

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 […]

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

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 […]

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