Challenges faced by practices today Medical claim denials are very frequent; due to computer technologies that detect the slightest of errors and immediately reject such claims. The reasons for rejection can range from registration inaccuracies, invalid diagnosis code to lack of authorization and common insurance glitches such as ineligibility for insurance, maybe a case of […]
Cost of healthcare in America has shot up due to the way healthcare providers are being paid for their services under the fee-for-service system, which has bought about an urgent need for health care payment reforms. However with the introduction of various new payment models; a medical practice needs to expand its capabilities to appropriately […]
According to CMS, internal medicine physicians will be enjoying an increase in reimbursement rates this year. However, along with this 2013 has brought in a series of regulatory changes for internists to deal with, which most internal medicine physicians are finding difficult to handle. To be fair, all the changes are not financially negative in […]
Cash flow for a practice greatly depends on timely follow ups with insurance companies and reimbursements. Only when you manage medical billing and coding effectively, you will be able to handle your revenue cycle and account receivables. How much has changed due to healthcare reforms? Even though responsibilities and goals have remained same after implementation […]
Medicare rates are expected to dip by 25 – 30% in the months to come. Casual healthcare observers may think family practices will be affected only financially by this. But the fact is Family Practices are contending (or will) with a series of impacts caused by changes in Medicare rates- Decrease in Medicare rates will […]
Medical claims denials have become a norm rather than an exception given that insurance payers’ computer software is geared to find the slightest anomaly and use it as a base for rejection. Simple statistics show that only 70% of claims are paid on first submission. Of the remaining, medical practitioners never bother to resubmit in […]
A physician takes all the necessary measures to treat his patient, but are the rewards received easily? The answer to this question would be a NO. In the current healthcare scenario a physician has to face various challenges to claim his allowable amount from diverse payers depending on their varied policies. Additionally insurers have a […]
Medical billing can be challenging for all types of medical practices; however, for internal medicine physicians/internists, it can be even trickier as the billing procedure for them is quite unique. Internal Medicine Practices is a medical practice providing healthcare services for adult patients Why is Billing Unique for Internists? For the majority of medical conditions, patients […]
Family practice has traditionally ailed from under revenue collection for various factors related to billing and coding, like modifier omission, lack or inadequacy of supporting documentation, underscoring and claim submission. These may look like minor errors but their impact on revenue is anything but minor. For example, given the rates at which Medicare pays family […]
Financial stability and profitability are becoming a rising concern for all medical practitioners with the ongoing changes that the healthcare industry is experiencing. Increased patient walk-ins, reduced Medicare reimbursements, declining collections and coding complexities are making bottom lines diminish for many medical practices. In such a bleak industry atmosphere, internists are facing the toughest of […]
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