Medical Billing and RCM Blogs

The Significance of Responding to Cardiology Billing and Coding Dynamics

Cardiology is one those specialties that generally perform high-cost diagnostic and curative services, and getting reimbursed for such significant services means conclusive and convincing cardiology medical billing – adhering to cardiology codes, compliance standards and coding rules. Cardiologist, who used to be comfortable with a fewer codes and compliance standards and coding rules, are now […]

Ascertaining Cardiologists’ Medical Billing Needs Even as They Migrate From Private Practices to Hospitals

Till recently, cardiologists who were happy with their private practices have suddenly started exploring avenues to align themselves with hospitals. The change has been so dramatic that already around 15 percent of cardiologists across the U.S. have left their private practices in search of more secure positions in large clinics and hospitals. As per reliable […]

Eliminating Skilled Nursing Facilities (SNFs) Medical Billing Complication

Eliminating Skilled Nursing Facilities Medical Billing Complication

Medical billing for Skilled Nursing Facilities has undergone metamorphic changes ever since the Balanced Budget Act of 1997 came into effect in 1998. One of the significant requirements under the new legislation is that Skilled Nursing Facilities are not permitted to unbundle services that are administered by contracted healthcare providers. As a result, most of […]

Reforming Nursing Facilities Medical Billing Amidst Dwindling Eimbursements

Nursing facilities across the U.S. have somehow endured a series of Medicare/Medicaid cuts thus far, but the latest move by CMS to reduce reimbursement for so-called Medicare “bad debt” – Medicare co-payments not made by beneficiaries or state Medicaid programs – may bring them on the threshold of a major operational crisis. The new legislation […]

The Value of Outsourcing Cardiology Specialty Billing Amidst Changes to Medicare Reimbursement Rates

Any revision in Medicare reimbursement rates will have a direct impact on physicians’ medical billing, and cardiologists are not immune to the effects of frequent changes in Medicare reimbursement rates, announced by The Centers for Medicare and Medicaid Services (CMS) from time to time. While cardiologists or their billers could anticipate the extent of earlier […]

Complications in Clinical Documentation Leading to Inaccurate Billing Codes

Clinical documentation is a need that threads through the entire lifecycle of an inpatient treatment episode. The clinical documentation specialist checks the documents of a patient before or within 24 to 28 hours of admission to assess various aspects of the patient’s condition, reviews documents every two to three days, during patient stay, to check […]

Tackling Reimbursement Challenges Posed by Inpatient Coding With Professional Medical Billing and Coding!

The fact that inpatient medical coding deals with patients after they are discharged from health centers makes it widely different and much more complicated than outpatient billing and coding. Inpatient billing and coding has to account for the entire set of eventualities stemming from a patient’s stay in a medical facility, almost requiring a coder […]

Solving the ‘Secondary Insurance’ puzzle at your medical practice

Care providers encounter patients with more than one level of health insurance coverage – a secondary insurance to complement primary insurance. While secondary insurance has considerably reduced patients’ out-of-pocket expenses and facilitated treatment plans outside primary coverage, billing for two-levels of insurance coverage has not been that easy. Even as certain secondaries to Medicare are […]

Pre-empting malpractice liability risk with superior EHR systems

Electronic Health Record system (EHRs), which is the next order in clinical and operational documentation, is perhaps one of the significant technology additions to have happened to the health care industry. While care providers seem to have been convinced of its ability to elevate clinical and operational efficiency to a new level, they may still […]

Managing Variable Healthcare Data with the Help of a Medical Billing Service

Although healthcare data is presumably highly significant to clinical efficiency, its application is not limited to clinical circle alone – medical billing, operational efficiency, contribution to clinical research and macro healthcare policies are equally dependent on healthcare data. Therefore, the primary raw data collected needs to be processed and tailored-made to serve these diverse purposes. […]

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