Benefits of Outsourcing Accounts Receivable in Medical Billing

Accounts Receivable in Medical Billing Accounts Receivable in medical billing is retrieving of payments due by the insurance and patients to the physician for the delivered services. For the long-term financial sustainability of your practice, it’s crucial to keep accounts receivable under check. Accounts receivable are categorized as the number of days the payment hasn’t been […]

7 Ways to Reduce Revenue Leakage in Medical Billing

Revenue Leakage in Medical Billing ‘Revenue leakage’ refers to situations where a healthcare provider doesn’t receive insurance reimbursement for delivered services. In such billing situations, accounts receivable remain unpaid for too long and eliminate the chances of payment recovery, even partially. Healthcare practices cannot afford to ignore their revenue leakage as it’s directly affecting their […]

Key Strategies for Improving Medical Coding Accuracy

Medical coding is a key process of revenue cycle management. Whether you are facing a high rate of denials and not achieving best-in-class A/R outcomes or not receiving timely insurance reimbursements, the impact of low-quality coding shows very quickly on your practice collections. Medical coding not only produces clean claims but also helps identify issues […]

Top 7 Insurance Claim Challenges Affecting Your Practice

Significance of Insurance Claim Submission Running a successful healthcare practice is much more challenging than delivering high-quality patient care services. Whether you are running a solo practice, a laboratory, a hospital, or a dental clinic, there are several things you need to get right, including insurance billing. Receiving accurate insurance reimbursements is considered the backbone […]

Things to Know Prior to Implementation of Radiation Oncology Model

Introduction to Radiation Oncology Model The Radiation Oncology Model aims to improve the quality of care for cancer patients receiving radiotherapy (RT) and move toward a simplified and predictable payment system. The RO Model tests whether prospective, site-neutral, modality agnostic, episode-based payments to physician group practices (PGPs), hospital outpatient departments (HOPD), and freestanding radiation therapy […]

Why Credentialing is Important for Healthcare Professionals?

Medical provider credentialing is a process through which healthcare facilities and insurance companies access and confirm the qualification of a provider. The process is vital as it helps maintain high standards in healthcare. Since credentialing tells us whether a provider has the necessary training or expertise to practice healing arts, it is paramount for everyone […]

Impact of 2023 MPFS Proposed Rule on Neurology Billing

2023 Medicare Physician Fee Schedule Proposed Rule Recently, the Centers for Medicare & Medicaid Services (CMS) released the CY 2023 revisions to payment policies under the Medicare Physician Fee Schedule (MPFS) and other changes to the proposed rule for Medicare part B payment policies (CMS-1770-P). In this article, we shared the impact of the 2023 […]

Understanding False Claims Act in Healthcare

False Claims Act in Healthcare The False Claims Act (FCA) in healthcare (also called the ‘Lincoln Law’), is a federal law that imposes liability on persons and companies who defraud governmental programs. It is the federal government’s primary litigation tool in combating fraud against the government. The federal False Claims Act makes it illegal to: […]

Coding Guidelines for E&M Services

CPT codes for Evaluation & Management (E&M) services are principally included in the CPT code range 99202-99499. The codes describe the site of service (e.g., office, hospital, home, nursing facility, emergency department, critical care), the type of service (e.g., new or initial encounter, follow-up or subsequent encounter), and various miscellaneous services (e.g., prolonged physician service, […]

Medical Billing for Cardioversion

Basics of Cardioversion Cardioversion is a medical procedure by which an abnormally fast heart rate (tachycardia) or other cardiac arrhythmia is converted to a normal rhythm using electricity or drugs. For medical billing purposes, cardioversion has been coded as an external and internal procedure. CPT codes 92960 (cardioversion, elective, electrical conversion of arrhythmia; external) and […]

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