CY 2023 Medicare Physician Fee Schedule (MPFS) The Centers for Medicare and Medicaid Services (CMS) on Nov. 1, 2022, released the final 2023 Medicare Physician Fee Schedule (MPFS), addressing Medicare payment and quality provisions in the coming year. The U.S. Department of Health and Human Services (HHS) through its Centers for Medicare & Medicaid Services […]
Challenges of OB-GYN Billing Coding and billing for maternity obstetrical care are quite different from the other medical specialties. Maternity care services typically include antepartum care, delivery services, and postpartum care. Depending on the patient’s circumstances and insurance carrier, the provider can either submit all rendered services for the entire nine months of services on […]
Defining Critical Care Under CY 2022 Medicare physician fee schedule final rule, effective from January 1, 2022, critical care services can be billed as split/shared services. Before discussing the crucial care service rule, let’s define critical care services: the direct delivery by the physician or other QHP of medical care for a critically ill/ injured […]
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 […]
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