The Relevance of Using Perfect Modifiers in Medical Claims

The overlapping nature of certain medical procedures is such that it is impossible to report them with CPT codes alone. Although CPT coding has grown to be comprehensive enough to cover breakthrough procedures over the years, yet, physicians are not spared from submitting separate procedural forms for medical procedures requiring explanation that overshoot the CPT […]

Posted by Medical Billers and Coders October 19, 2011July 28, 2014Medical Coding

Deciphering Medicare Fee Schedules

A proactive affinity to Medicare Fee Schedule alerts physicians to the efficacy of attending to Medicare beneficiaries, and also plans their revenue prospects in advance. But, with the legislation firm on mandatory medical service to Medicare patients, physicians are inevitably driven to seek and understand Medicare Fee Schedule. The sheer volume of Medicare transactions (more […]

Posted by Medical Billers and Coders October 18, 2011July 28, 2014Payment Models

Alleviating the Time Factor in Evaluating Revenue Generation from Medical Claims

“While physicians would not mind investing in revenue optimizing systems, asking them to invest their invaluable time in something which is non-core to their medical efficiency could ultimately have an adverse impact on their efficiency for medical care. Therefore, there seems to be a considerable propensity to outsource Medical Billing Management” The rapid healthcare reforms […]

Posted by Medical Billers and Coders October 17, 2011July 28, 2014Accounts Receivables, Medical Coding

Towards Minimizing Legal Errors In Handling Medical Records

Despite such indicators from time to time, the incidence of legal errors has only been destined to move upwards. Physicians, whose core-concern being medical efficiency through best medical practices, cannot be expected of too much in this regard. Yet, because of it being integral to their practices’ sustenance and growth, its significance cannot be underestimated. […]

Posted by Medical Billers and Coders October 14, 2011August 14, 2014HIPAA / ACA / ACO

Implementing an Ideal EMR System for Your Practice

“Judging from the evidences of successful EMR implementation, customization has been the pivotal element, and will hold good for future also. Taking cue from such references, practices can benefit immensely, and successfully mitigate the probability of misadventure” More than the mandatory obligation of digitalizing/computerizing/electronically recording healthcare data, it is the overwhelming benefits over investment outlay […]

Posted by Medical Billers and Coders October 7, 2011July 28, 2014EMR / EHR / Health IT

Group Appointments: A new niche for Primary Care Practice

Group appointment, also referred to as shared medical appointment, includes multiple patients seen as a group for follow-up or routine care. These visits are voluntary for patients and provide a secure but interactive setting in which patients have: improved access to their physicians, the benefit of counseling with additional members of a health care team […]

Posted by Medical Billers and Coders October 5, 2011November 21, 2024Practice Administration

Hospitalists Registered a Pay Increase in 2010

The year 2010 has registered a hike in the median compensation for Hospitalists. The Hospitalists in adult medicine saw their compensation increase 2.6% to $220,619 from $215,000 while the Pediatric Hospitalists‘ pay rose by 7.2% to $171,617. The report, which is based on MGMA survey information, takes into account data from 4,633 hospitalists in 412 […]

Posted by Medical Billers and Coders October 5, 2011August 14, 2014Other

Medicaid Claims Audits Sated for January

The Medicaid recovery Audit program is due to get implemented nationwide in January, carrying on in a similar vein as Medicare RAC program, as announced by CMS on 14th September, 2011. The Medicare RAC had recovered $451.3 million in overpayments and corrected $78.5 million in underpayment within six months in 2011. The Dept. of Health […]

Posted by Medical Billers and Coders October 5, 2011August 14, 2014Healthcare Reforms

How Crucial Will Medical Billers’ Role Be After Healthcare Reforms?

“Proactively realizing the need for preparing to face up to these challenges, many professional medical billing companies have taken up upgrading their system and human capabilities to the probable demands emanating from healthcare reforms”. A string of healthcare reforms announced by the Federal Government over a year or so have changed the landscape of the […]

Posted by Medical Billers and Coders October 5, 2011July 28, 2014Healthcare Reforms

Revenue Cycle Management – Prescription for Optimum Medical Claim Realization

“Despite such volatile environment, physicians have to find means to realize their each and every dollar owed them as their very sustenance and growth hinges on efficient reimbursement of medical bills” Unlike other professional services that realize their professional fees instantly, without having to rely on a third party (insurance carriers), physicians have to go […]

Posted by Medical Billers and Coders October 4, 2011July 28, 2014Accounts Receivables, Revenue Cycle Management (RCM)