The US healthcare is evolving. To improve pharmacy Revenue the pharmacies need to be equipped with a better billing system. Here are some challenges faced by pharmacies that cause billing errors and affect customer relations, revenues, and reimbursements: Access to the patient’s eligibility at the time of service may be unavailable. The staff may not be […]
Equipment that provides therapeutic benefit to a patient and is primarily for long-term and home use is termed durable medical equipment (DME). Because DME spans so many item types and models, the Centers for Medicare & Medicaid Services (CMS) uses HCPCS Level II codes together with modifiers. Modifiers tell the DME MAC how an item […]
The eye care and eyewear population is growing manifolds accounting for a steep rise in complexity of the compliance regulations, tons of information, compressed timelines, and tighter budgets. In such a scenario, outsourcing your optometry medical billing could be a more cost-effective option than in-house billing. Here’s why: 1) Trained, Dedicated and Experienced Staff: When […]
Ambulatory Surgical Center in 2016 has brought in a lot of reforms. The CMS has introduced some parameters with regards to ASC Medical billing and coding.
According to the Centers for Medicaid and Medicare Services (CMS), $350 million in ambulance services is lost or fraud is committed by a host of people, every year! In 2012 alone, Medicare payments for ground ambulance transports covered under Part B totalled $5.8 billion, up from $2.9 billion in 2003. Medicare beneficiaries received a total […]
Same-day surgery now constitutes more than half the surgeries performed across America. Any surgical methodology performed without a healthcare office inpatient affirmation and an overnight stay is considered an outpatient surgery framework, whether they happen in a specialist facility, a physician’s clinic, or an outpatient surgery center. There are various obstinacies behind this development in […]
Durable Medical Equipment (DME) is equipment that includes oxygen supplies, wheelchairs, iron lungs, catheters, etc. As you are starting a Durable Medical Equipment (DME) company, be prepared with time on hand, money, endurance, and determination; as it ultimately boils down to being paid for the products sold by your company. This means receiving DME bills […]
Providers in various specialties have to face increasing hardships given the healthcare reforms and CMS rules & regulations. Pathology practitioners are today challenged by declining payments, changing payment models, and competitive pressures. Pathology Billing Process practices need to make medical billing and coding more efficient and effective in order to maximize revenues and provide for […]
Ensure smooth transactions in your pharmacy with our guide to Medical Codes for Pharmacy Billing. For successful and effective billing in pharmacy, efficiency in coding is of paramount importance. Pharmacists have been using CPT codes for seeking reimbursement thus far for interventions such as reviewing a patient’s history, creating a medication profile for a patient, […]
Did you know that since October 2013 physicians need to conduct a face-to-face interview with the proposed beneficiaries before ordering durable medical equipment? This is one of the rules specified by Medicare, which further clarifies the need to document the data in the patient’s records. A copy of this medical record needs to be sent […]
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