A biller’s most important task is to send ‘clean’ claims to Medicare and Medicaid. Though both are high-volume payers, they perform differently in the US healthcare system. We need to be very careful about the Medicare and Medicaid Billing Guidelines. In 1965, Medicare (a federal healthcare program) was created to target persons over 65 and […]
Physician credentialing or provider credentialing is a prolonged yet crucial procedure. Every physician who joins a new practice requires credentialing. It is a process of acknowledgment, attestation, and authentication of knowledge, proficiency, and motivation of the physician to provide medical care. If postponed for a long time or done arbitrarily, it can cause glitches in […]
There have been rapid strides in the development of technology and we use it in most spheres today. Medical practice has benefitted immensely through technology, enabling patients to gain access to quality healthcare. However, Cybercrime too has become highly sophisticated and combating phishing, hacking, and other such activities is indeed a challenge. How secure is […]
We, the healthcare providers, all waited with bated breath as the October 01, 2015 drew close – the day when our systems would transition from ICD-09 to ICD-10 coding system. The blogs and articles tried to draw up as many resources as they could to help healthcare providers get more aware of various gaps, pitfalls, […]
Let’s always keep in mind that patients come with some problems that they hope will be solved quickly and without any hassles. So, how does one keep the patients happy? While keeping a smiling face makes good sense, giving the patients a great experience is an art in itself. Here are a few valuable tips […]
Two kinds of billing exist in the medical billing genre – Hospital billing (institutional billing) and clinical billing (physician billing). Hospital billing refers to the billing of claims generated for services performed by doctors who are associated with a hospital and for patients that make use of outpatient/inpatient services, diagnostic procedures, emergency services, laboratory, medication, […]
EOB is an outcome of the claims process and is alternatively termed as a Beneficiary Notice, Summary of Benefits, Remittance Advisory, or Coverage Determination. EOB is NOT A BILL though it looks like one. It is simply an explanation of the claim covered/not covered by the healthcare insurers to the healthcare provider along with any […]
One of the very complex and challenging disciplines’ in medicine is ‘Cardiology.’ It deals with the treatment of the cardiovascular system – illnesses and abnormalities of the heart and blood vessels. This includes procedural and diagnostic services performed by cardiologists. As complicated as the specialty so is its billing process. The financial strength of […]
This is chiefly due to the number of hands the bill goes through; the count roughly being close to 300 people that are involved in the billing process at some stage(billing specialists, coders, medical practitioners, administrators, and insurance providers). There are numerous errors related to medical billing; patients are sometimes overcharged (charged for services not […]
With underpayments galore, and incentives that are not so very attractive, Medicare is proving to be adept at what it does best – lower the fees further with providers. Although the behemoth that Medicare turns out in its favor while bludgeoning down physicians’ fees, it may turn out to be its Achilles heel after all. […]
Connect with us by filling out this form. Let’s tailor a
solution that fits your needs perfectly.
Specialities
Services
Resource Center
Pricing
About
Contact
