Coding is one of the core functions of healthcare providers and, due to the complex regulatory requirements impinging upon the health information coding process, 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 of […]
The American Medical Association (AMA) has released an update of CPT Category II code list, which will first appear in CPT 2012, with an implementation date of 1st Jan, 2011. The CPT Category II codes are supplemental tracking codes that can be used for performance measurement. The use of tracking codes for performance measurement will […]
The year 2010 has set a premium on the coding professionals, registering a rise in their average salaries. And as expected, the salaries for certified medical coders are higher as compared to the non certified ones. According to a salary survey of nearly 12000 coding professionals, the average salaries for credentialed coding professionals have increased […]
The growing incidence of delays, denials, audits, and resubmission of physicians’ medical bill claims is reason enough to have a relook at the way physicians’ services are billed and coded. In a medical insurance environment, characterized by stringent billing and coding compliance, inherent billing and coding errors are easy to catch. Further, lack of knowledge […]
“Consequently, physicians’ medical bills get an imperial stamp of authenticity, and nullify the chances of undesirable delay, denial, resubmission, and audits from highly stringent medical insurance companies” Notwithstanding physicians’ integrity in preparing honest Superbills, comprehensive analysis has become imperative before these can be submitted to payers for reimbursement because of the highly dynamic nature of […]
While physicians’ competence will forever remain pivotal to excellence in patient care, the auxiliary services – on duty nurses, para-medical staff, and administrative staff – which ease the load off physicians are equally crucial. There are ample instances, wherein, despite best efforts of physicians, healthcare services have been found well short of bench-marked quality, largely […]
Notwithstanding best quality of medical care offered by individual physicians, clinics, hospitals, and multispecialty groups across the US, there has been an interesting debate – how to leverage digital technology in pushing the prevailing medical care standard to the next rung while also optimizing revenue in the process. Whereas Patient Engagement Model is not a […]
Medical Billing Challenges in Family Practice Family Medicine forms a crucial point of entry in the health care system, and the need as well as the shortage of family physicians in the United States is becoming a growing concern. Other specialties such as radiology, neurosurgery, and dermatology are more attractive due to the higher amount […]
A Brief Anatomy of Financial Challenges Faced by Physicians The US healthcare system is facing major reforms in the next two years and this not only includes adoption of new healthcare IT reforms such as EHR (Electronic Health Records) and EMR (Electronic Medical Records) but also changes in the way physicians are reimbursed. The most […]
‘Notwithstanding their knowledge of how IT can do a world of good to their practices, it is the overwhelming investment on the constituents of Healthcare Information Technology that often is the bone of contention’ ‘Incredible’ is the word that can best describe the way Information Technology has transformed health care industry – revolutionizing a human-intensive […]
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