With the application of HIPAA, (Health Insurance Portability Accountability Act), health care organisations need to be cautious with whom to share the patient information. HIPAA calls for protection of the individual’s health information, at the same time; this privacy rule also permits limited disclosure of health related information to related entity of a person who […]
Healthcare providers in the current environment are aware of the fact that every step counts, leaving no room for errors as far as securing the revenues and reimbursements are concerned for their services. However, as the procedure of patient billing information has been traditionally managed by different departments in isolation, showing little integration the deficiencies […]
The past decade has seen every major industry being computerized, including the medical industry and hospitals – which have moved on from hand written prescriptions to Electronic health record (EHR). According to various studies EHR implementation provides several benefits including improvement in the process of clinical care and overall patient experience. Along with it, EHR […]
With the introduction of the Affordable Care Act, medical practices on one hand need to gear up for an influx of patients, while on the other hand according to a recent survey physician shortage has been intensifying. This shortage along with increasing demand for physicians and healthcare reforms has led to an expansion in the […]
An increasing cause of worry for almost every doctor in USA is payer denials and delays which invariably result in potential loss of revenue for the physicians. With the introduction of reimbursement cuts in medical bills, physicians and medical practitioners now face various payment challenges and a more uncertain future. Considering the increasing expenses acquired […]
The transition from ICD-9 codes to ICD-10 codes presents a huge challenge for medical billers and also affects health care delivery system and physicians’ revenues. The staggering number of additional codes makes the learning process complex. Moreover, the scope for error increases which is exacerbated by a harder denial management process. Insurers have a distinct […]
For years, Medicalbillersandcoders.com has been synonymous with medical billing management – helping medical practitioners not only realize their medical reimbursements fully but also optimize their clinical and operational efficiency. While the medical billing complexities have consistently been escalating – owing to unprecedented increase in insured population and the risk associated with managing insurance reimbursements – […]
Like in any service sector, medical practitioners’ sustenance and growth has always hinged on their ability to adapt and reinvent themselves to the evolving market scenario. While they have been quite enterprising enough to demonstrate the requisite character, the magnitude of healthcare reforms unleashed by the Federal Government, and its possible impact on their revenue […]
Filing claims has become more complicated as health insurers tighten eligibility requirements, and the chances of claims being denied have increased substantially Hence when a claim is filed, there is a fair possibility it will be denied and most providers are struggling to balance their busy time schedules to implement additional care while filing claims […]
The hurdles faced by physicians in 2012 are not just limited to core medical issues but are also spread across almost all the facets of the health care delivery system. The changing nature of medical practices, changes in Information Technology and in other departmental processes is changing the face of the healthcare industry. Here are […]
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