No Surprise Act In December 2020, the No Surprise Act (NSA) was passed as part of the Consolidated Appropriations Act. As the name suggests, NSA aims to protect patients from the financial impact of surprise medical billing. No Surprises Act will come into the picture when a patient receives care from an out-of-network provider in […]
Most small practice owners prefer to manage medical billing and coding all by themselves. They feel to have more control over practice revenue by handling billing and coding operations in-house. But we have to understand, medical billing and coding require specialized knowledge. Providers doing in-house billing operations, tend to use a common set of diagnosis […]
Basics of Coding Compliant with Medical Audits A coding audit is a review of a medical office’s coding practices conducted by reviewing patient medical records. Medical record audits target and evaluates procedural and diagnosis code selection as determined by physician documentation for completeness and accuracy. Medical audits cover: assessing the proper use of CPT codes; […]
Claim denial occurs when a claim is submitted by the healthcare provider and is not accepted by the payer. Most practices face the challenge of high claim denials. You would be surprised to know that the highest performing medical practices have only a 4 percent denial rate (as per the Medical Group Management Association survey […]
As a medical billing company when we talk with providers, we noticed, most of them are under a lot of pressure and feel burnout. This pressure is due to continuously changing payer policies and reimbursement guidelines; proper documentation; ever-increasing claim denials; increased accounts receivables; struggle to retain expert billing staff, and many other activities related […]
During the COVID-19 pandemic, telehealth has had a massive surge in adoption among patients and practices. Telemedicine was so valuable that concerned government bodies actually passed temporary laws to make it easier for patients and providers to utilize. Now that we’ve been in this pandemic almost for two years, governing bodies are beginning to re-examine […]
Basics of Virtual Care Virtual care is the process of connecting a patient and a provider for the purpose of delivering healthcare services when the two are not at the same location. For practices, virtual care goes beyond simply providing an online video appointment between a patient and provider. It includes the different ways in […]
Increased Importance of Telehealth Small practices tried their best to survive during the COVID-19 pandemic and telehealth helped them a lot to survive in these challenging times. During the COVID-19 pandemic, the use of telemedicine has only grown in importance. Experts predict that by 2025, the size of the telehealth market will reach $17.2 billion. […]
In March of 2020, the CDC asked physicians to provide non-essential care with virtual care in order to reduce the risk of COVID-19 exposure. But now post-pandemic landscape, many physicians have adopted virtual solutions in order to provide quality care for marginally healthy groups. Virtual care gives physicians risk-free, reliable ways to offer non-essential care […]
For most providers, the revenue cycle process means submitting claims and wait for payer reimbursements. These providers are under the impression that if they submit the claim, it will get paid but that’s not the case. Revenue cycle management includes really crucial processes like provider credentialing and contracting, Benefits verifications, prior authorizations, and out-of-network billing […]
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