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. […]

EHR As a Means to Better Co-Ordinate and Control Care Processes

The success of health care has always been determined by how best care providers are able to coordinate the care processes across the clinical cycle – right from the time patients are admitted till they are pronounced cured. While clinical decision often lies with the primary physicians, clinical management may be divided among several departments […]

Does Expanding Outpatient Physicians Really Help Stabilize Your Hospital Revenues?

Hospitals that hitherto have been troubled with in-patient operational losses may just have found a solution in outpatient mode. Contrary to stagnant inpatient volumes and revenues, outpatient volumes seem to have picked up in recent years. As a result, operational revenues at hospitals seem to be firming up. It is also worthwhile to be informed […]

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