Standards of Ethical Medical Coding: Part 2

Coding is one of the core functions of healthcare providers and, due to the complex regulatory requirements impinging upon the health information coding process; the coding professionals are frequently faced with ethical challenges. There are stringent medical Billing guidelines in place for the entire gamut of coding practices which include issues such as the privacy […]

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Medicare learning network Updates Medicare Claim Submission Guidelines

Center of Medicare and Medicaid services has released fact sheet on Medicare claim submission guidelines. The fact sheet offers billers, coders and physicians up-to-date guidance on how to file Medicare Claims. Following are some important points mentioned in the fact sheet: Timely filling of claim is one of the important guidelines mentioned in the fact […]

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Salary survey 2011 for coders

Salary survey for coders is out for year 2011. The survey is carried out amongst 12,000 respondents; the survey clearly shows an upward trend in average salaries for coders. The survey has also brought out some key trends in coders hiring, region wise average salaries and various career paths coders are opting for. Let’s have […]

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Physicians see value in handling Claim Denials in a Better Way

Appealing denied claims is one of the important steps in enhancing the revenue of physicians and this fact is supported by a report by the U.S Government Accountability office (GAO). The report released on March 16, 2011 states that – “coverage denials occurred for a variety of reasons, frequently for billing errors, such as duplicate […]

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Gearing Up for Inpatient Medical Coding and Reimbursement Challenges

“The prevalence of such demanding challenges is reason enough to push physicians beyond their Medical Billing Management capabilities, which invariably results in compromised medical efficiency. Therefore, physicians – faced with insurmountable challenges of inpatient medical billing management – have either to set up a dedicated team in-house or look elsewhere for competent outsourced solutions.” Unlike […]

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What Rules the Roost in Healthcare Organizations: Financial Stability or Patient Care?

“Propensity to be fascinated by both the extremities should scrupulously be avoided, and thought must be given to finding an ideal balance between Financial Stability and Patient Care” Unlike Public or Community Healthcare centers, which are funded and run by Federal Healthcare Department, the private healthcare centers have to find their own course to a […]

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Towards Cleaner Claim Submission and Realization

Despite vigilant system of medical claim submission practiced by physicians, the recent statistics released by the American Medical Association (AMA), has reported an increase in medical billing inaccuracies by 2% over the last year’s results. What is more significant is – apart from delay or denial owing to inherent error-prone claim submission – the estimated […]

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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 […]

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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 […]

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