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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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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 […]

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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. […]

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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 […]

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