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Avoiding Product Substitution with your DME Provider

Avoiding Product Substitution with your DME Provider

With new rules and regulations, product substitution has been of utmost importance. This is added with new reimbursements plans that quite often lead to a loss of revenue. It ends up affecting all – physicians, patients, DME providers, healthcare staff, etc. Every now and then, product substitution occurs because many physicians and/or patients are unaware […]

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Reasons for Denials in ASC Claims

Reasons for Denials in ASC Claims

Denied ASC claims and moderate repayments jeopardize profits and are a window into the trustworthiness of surgery centers’ procedures and work processes. In this blog, we will look at some of the striking reasons for surgery claim denials and, ideally, lessen the recurrence of issues caused by denied claims. Missing Documentation Connected to the Case […]

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Credentialing for Optometrists with maximum Insurance Firms

Credentialing for Optometrists with maximum Insurance Firms

As per the last US Census Bureau report, almost 84% of the country’s population is covered under health insurance, and thanks to the Affordable Care Act, this number is growing rapidly.  Hence it is important for optometrists to be credentialed with a good number of insurance firms as it adds to the revenue. However, credentialing […]

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Infographic: 2016 CMS Updates for Ambulance Services

Several notable changes have been initiated under the Final 2016 Physician Fee Schedule Rule for ambulance services on November 16, 2016. CMS updates for Ambualnce Services under 2016 Fee Schedule have gone through number of changes. The following infograph will help understand the various changes in amounts and other regulations brought about by CMS. Several notable […]

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4 Outpatient Surgery Center Coding and Billing Tips

4 Outpatient Surgery Center Coding and Billing Tips

Healthcare reforms and services are driving the change in the way the medical industry, including hospitals, healthcare centers, ambulatory surgical centers, and medical coding and billing services work. As medicinal reforms cause variance in repayment rates, doctors and physicians more or less are shifting towards in-house hospital jobs to provide quality, financially affordable care, which […]

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DME Billing Facts

DME Billing requires a deep knowledge that incorporated awareness regarding fee Schedules and regulations pertaining to DME with every state which may differ. With a thorough understanding of the Billing facts will Ensure you do not miss out on anything and have a Smooth DME Billing Process.

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Pharmacy Billing – Blunders to Avoid

Pharmacy Billing - Blunders to Avoid

Medical billing errors are common and are a result of various discrepancies occurring while submitting claims. These errors can prove to be extremely costly to the practice. The same is the case with pharmacies that due to numerous errors end up leaving a lot of revenue on the table. Pharmacy billing gets tedious to a […]

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