Medical Billing and RCM Blogs

Understanding the Various Components Encompassing New Payment Models!

Hospitals, physicians and other care providers require being paid in a more systematic manner to help enhance quality of healthcare that too at a low cost. The current fee-for-service system in the US through which physicians are paid has been considered a major reason for escalating costs in the healthcare system. Under this system, physicians […]

Assessing the Impact of PHI in the Current Healthcare Scenario!

Healthcare organizations need to ensure PHI (Protected health information) privacy if they want to avoid steep penalties. After the HIPAA Omnibus Final Rule was published in January this year, a final deadline has been set for practices to keep PHI secure and confidential. In case healthcare providers fail to comply with the new requirements, the […]

The Significance of Responding To Orthopedic Medical Billing and Coding Dynamics!

In today’s challenging billing scenario, Orthopedic physicians and surgeons are facing increased pressure due to increased billing challenges. Extensive coding changes and revision have been introduced by the CPT Manual this year (2013), further impacting Orthopedic reimbursement in a big way. Orthopedic surgical coding has become more complex with 500 code changes to Category I […]

Minimizing Delayed Payments and Revenue Loss with Streamlined Orthopedic Medical Billing

With the introduction of new coding and billing changes for Orthopedics in 2013, reimbursement and timely billing has become even more challenging. Orthopedic physicians are facing Medicare cuts and their fee schedules are reducing. It has become vital for them to be compliant with the required technology for conducting operational functions putting increased pressure on […]

How Can Accurate Documentation Enhance Practice Revenue?

In the last five to ten years reimbursement for medical practices has been impacted by various changes in the healthcare industry. These changes include HIPPA tightening their requirements for data submission, upcoming ICD-10 final implementation date coming closer, amongst various others- which have a direct impact on medical documentation and hence on the medical practice’s […]

How to Prevent Shrinking Bottom-Line With A Streamlined Internal Medicine Billing Process

Streamlined Internal Medicine Billing Process Many internal medicine practices in the US face the challenge of a shrinking bottom line, mainly due to the diverse aspects of the specialty—diagnostic, preventive, and curative. Due to this collaborative nature, the internal medicine billing process is particularly complex, where treatment episodes often involve coordination with various diagnostic laboratories […]

How Crucial Is It To Ensure HIPAA-Compliance At Your Medical Practice?

The Healthcare Insurance Portability and Accountability Act of 1996 – protects the confidentiality of the patients’ electronic medical health records from unauthorized access. This makes it crucial for health care providers to be cautious while considering with whom to share patient information; along with bringing upon added responsibility on the medical practice and its staff. […]

Value of Documentation Amidst Healthcare Reforms

Challenges faced by practices today Medical claim denials are very frequent; due to computer technologies that detect the slightest of errors and immediately reject such claims. The reasons for rejection can range from registration inaccuracies, invalid diagnosis code to lack of authorization and common insurance glitches such as ineligibility for insurance, maybe a case of […]

Navigate Through Payment Reforms with A Medical Billing Specialist

Cost of healthcare in America has shot up due to the way healthcare providers are being paid for their services under the fee-for-service system, which has bought about an urgent need for health care payment reforms. However with the introduction of various new payment models; a medical practice needs to expand its capabilities to appropriately […]

Internists Handle New Regulations and Coding Changes in 2013 with Efficient Medical Billing

According to CMS, internal medicine physicians will be enjoying an increase in reimbursement rates this year. However, along with this 2013 has brought in a series of regulatory changes for internists to deal with, which most internal medicine physicians are finding difficult to handle. To be fair, all the changes are not financially negative in […]

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