Accounts Receivable (AR) is one step that divides the reimbursement and claims; the older the claim gets, the harder it becomes for claims to get reimbursed. For practice when AR slips below a certain level you either have a pretty large backlog to be sorted out, or you can see that it becomes impossible to […]
Indicating a departure from the volume-based, fee-for-service model, MACRA now replaces the SGR – sustainable-growth-rate-formula to control Medicare costs. The MACRA rule is all about linking Medicare reimbursements to the quality metrics with the medical billers which will be now rewarded for offering value-based quality services. MACRA revokes the set payment rates based on economic […]
Per capita spending on prescription drugs in America is far more when compared to other countries of the world. Thus, Pharmaceuticals spending shares a significant and still growing share in the country’s healthcare expenditure. This constant surge in drug spending can be blamed on costly drugs that emerge from the labs and also because of […]
As reforms continue to alter in the healthcare industry, it is affecting practitioners/hospitals, insurance providers and patients. Deductibles are increasing and the payments are increasingly becoming the patient’s own responsibility. Therefore, patients are becoming more involved and active regarding their insurance plans and payments which can at times be overwhelming for the practitioners to collect […]
The industry of medical billing and coding is an ever-evolving and developing industry. New advancements and techniques have totally changed the way medical billing professionals perform their daily activities. As of late, optometry practices have been compelled to change the way they bill and code for their procedures to comply with certain medical billing trends. Here […]
The net collection rate is an essential medical billing metric to measure the ability of your practice to collect the money it owes. let’s understand why it is important to know Payer and Gross Collection Ratio for Podiatry with respect to MIPS. Podiatrists will not be able to succeed within the MIPS payment structure without […]
The changing political trends have affected the way physicians are implementing changes in their functioning at work, be it at clinics or hospitals. Keeping up with the times is the need of the hour and hence never knowing which way the winds will blow, physicians should initiate certain goals that can help them ride the […]
As a Urologist, you are an expert in the field you work, the same way your facilities accounting department, from where the revenue generation is being handled, also requires a group of experts. Expertise in Urology medical billing and coding and revenue cycle management can make all the difference for your facilities bottom line. Do […]
Ever since their inception, Ambulatory surgery centers (ASCs), have been providing improved quality and customer service to the healthcare industry. ASCs offer patients the opportunity to have selected surgical and procedural services performed outside the hospital setting. ASC Centers perform more than 7 million procedures for Medicare beneficiaries needing same-day surgical, diagnostic, and preventive procedures. […]
Irregularities, errors, and incorrect CPT codes are some critical reasons, that overall physician practices, including Urology, face claim denials. It’s disappointing for Urologists providing care to a patient and expecting fair reimbursement, only to realize that your facilities’ medical billing and coding claim is being denied since the insurance payer doesn’t think the service was […]
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