How Medical Billing Consortiums Are Superior to Medical Billing Companies

The origin of medical billing practices in the U.S. can be traced back to the 1960s when Medicare was introduced as a parallel to cash-based medical services. Since then, insurance-backed medical service has grown enormously, and two-thirds of the total physicians’ fees is routed through insurance of some form or the other. This shift in […]

The Value of Accurate Documentation in Medical Bill Reimbursement

Medical documentation has myriad applications in today’s health care administration – being a reference source for future encounters; enabling coordinated care, both within and across the clinical network; contributing to macro health care planning and reforms; ensuring clinical data privacy and security as per HIPAA norms; and ensuring flawless medical billing. Notwithstanding providers’ effort to […]

Small Medical Practices Register Meteoric Rise in EHR Adoption

It seems solo and small medical practices have decided to take the plunge in a big way – recent statistics reveal that small practices have been able to half-bridge the gap with their larger cousins, whose EHR penetration stands at an impressive 80% since the EHR became mandatory under “Meaningful Use Clause” in 2011. Remarkably, […]

It Pays To Be a Medical Billing and Coding Specialist

Choice of a profession is determined by its stability against job market fluctuation, potential growth, and monetary rewards. The medical billing and coding profession seems to be one those few professions that possess all these attributes. While professionals in other spheres are fighting lay-offs and salary cuts, medical billers and coders’ present and future look […]

Life as Medical Billers and Coders in Today’s Economy

The world’s largest economy has had to weather one of the worst recessions in recent times. Not too long ago U.S. GDP hit the rock-bottom (at -8.9 in the middle of 2009). While it has slowly been coming out of the depths, the growth is not enough to bring down the unemployment rate, which is […]

Focusing On Patient Care amidst New Technology Changes While Medical Billing

Over the last few years, medical billing has undergone a lot of changes, with emphasis on the IT systems, for the smooth & efficient processing of insurance claims and timely payments to doctors & other healthcare professionals (HP). In 2009, the Obama administration pledged $19 billion funds to health care information technology. The use of […]

Forecasting the Future of Medical Billing and Coding Post ICD-10

United States is on the verge of a major billing and coding reform – the introduction of ICD-10 in particular marks the beginning of the most robust, effective and efficient system of billing and coding ever to have been followed. While providers and payers will benefit from progressive changes, medical billers and coders will have […]

Does a Medical Coding & Billing Job Offer You Healthcare’s Security from an Office Setting?

Career in health care industry has rarely been unsecure. While professionals in other sectors have had to undergo turbulent times recently, people in this priority sector have maintained steady progress despite economic reversals. And there are reasons to it: first, health care is indispensable; more significantly, it is supported by world’s largest public insurance schemes […]

How can Physicians Balance Roles at Work to Increase Medical Billing Efficiency of Their Clinic?

Over the last few years, the healthcare system in the United States has witnessed modifications in policies and regulations, in order to make healthcare facilities cost-effective and accessible to people from all income groups. However, a substantial percentage of the population still remains uninsured and the introduction of the Patient Protection & Affordable Care Act […]

Denial Management – Integral to Physicians’ Conquering Reimbursement Challenges While Medical Billing

Denials are responsible for major erosion of practice revenues, and, despite the best efforts, denials continue to assume monstrous proportions. The situation has grown so alarming that: Medical practices fail to collect 25% of the money they are owed $125 billion is left in the bag as unpaid claims Only 70% of claims are paid […]

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