Challenges of Running Solo Practice If you are a solo healthcare provider or own a small medical practice, you might sometime feel the pressure of having to do everything on your own and struggling to provide optimal patient care. Running a healthcare practice offers unique challenges like administrative and insurance tasks, government and insurance regulations, […]
Claim Denials Due to Poor Documentation Pain management billing is been regulated by various agencies like the federal government, medical boards, state government as well as many other regulatory agents. While billing for pain management, physicians follow applicable billing guidelines and payer-specific policies to ensure accurate insurance reimbursement. Still, pain management claims might get denied […]
Outsourcing is the Need of the Hour Nowadays, most of the practices feel comfortable passing the burden of billing and coding onto medical billing partners. Billing companies have medical specialty-wise billing and coding experts who streamline the revenue cycle process for healthcare practice. But not all medical billing companies are the same, some of them […]
Importance of Proper Documentation in Cardiology Billing A lot of cardiology claims got denied due to improper and incomplete documentation. It’s really frustrating not to receive insurance reimbursement for the delivered services, though you completed all steps in cardiology medical billing. While focussing on billing and coding guidelines, sometimes cardiologists might not maintain proper documentation. […]
Medical Billing Challenges for Group Practices Group practice owners face an unprecedented number of challenges today, from adding or replacing providers; getting rendering providers enrolled; adopting new technologies; up to receiving an accurate reimbursement for delivered services. Any group practice’s success is reliant on strong Revenue Cycle Management (RCM) team, error-free & timely claim submissions, […]
Challenges of Ambulatory Surgical Centre Billing Ambulatory Surgical Centre billing and coding are completely different from the rest of medical specialties or the usual physician billing or even facility billing as they majorly are a combination of hospital and physician medical billing. Plus Ambulatory Surgical Centre billing involves specialties like orthopedics, pain management, bariatric surgery, […]
After COVID-19, providers are now ready to provide excellent patient care through direct and virtual modes. Medical billing has always offered unique medical billing challenges prior and post-pandemic. Due to the changed billing environment post-pandemic, this struggle to receive accurate reimbursement has become more real than ever. As a leading medical billing company, Medical Billers and […]
In this article, we shared coding guidelines for urology supplies updated for the year 2022. To share these guidelines, we referred CMS document on Local Coverage Determination (LCD) for urological supplies and Medicare Advantage Policy Guidelines for urological supplies from United Healthcare. Consider below mentioned guidelines as general guidelines for urology supplies. For payer-specific reimbursement […]
Basics of Coding for Hypertension Associated with Diabetes Most coders are still confused about which is the correct code for hypertension associated with diabetes. If you look carefully, hypertension is not listed as a specified complication. Hypertension is considered a circulatory complication so the correct code could be E11.59 rather than the more unspecified code […]
Proposed Medicare Payment Cuts Centers for Medicare and Medicaid Services (CMS) proposed 2022 Medicare Physician Fee Schedule and Quality Payment Program rules and included a 3.75 percent reduction in the conversion factor used to calculate payments to physicians. The cuts are the result of a reduction that is necessary to keep Medicare payments budget-neutral. CMS […]
Connect with us by filling out this form. Let’s tailor a
solution that fits your needs perfectly.
