When any patient comes to you for medical services, his primary concern is getting health needs addressed. The last thing he wants to deal with is navigating the complicated process of medical billing and dealing with his insurance provider. Any patient walking in wants the payment and claims process to be quick, easy, and seamless […]
Interprofessional Internet/Telephone/EHR Consultations Interprofessional Telephone/Internet/EHR Consultations (99446-99449, 99451, 99452) are assessment and management services in which a patient’s treating (e.g., attending or primary) physician or other QHP requests the opinion and/or treatment advice of a physician with specific specialty expertise (the consultant) to assist the treating physician or other QHP in the diagnosis and/or management […]
Basics of Global Period In Orthopedic surgery, the global period can be an important consideration for the billing of services. A global period is a period of time starting with a surgical procedure and ending some period of time after the procedure. Many surgeries have a follow-up period during which charges for normal postoperative care […]
Recently, the Department of Health and Human Services (HHS), the agency that creates and enforces HIPAA regulations, Proposed Changes to the HIPAA Privacy Rule. HIPAA is a landmark piece of legislation that has helped patients better protect their private health information. HIPAA has been amended numerous times since it was enacted to include additions such […]
Most radiology services or procedures, although described by a single CPT code, comprise two distinct portions: a professional component and a technical component. The professional component is provided by the physician and may include supervision, interpretation, and a written report. To claim only the professional portion of a service, CPT Appendix A i.e., Modifiers, instructs […]
With Medicare and private payer insurance changes and new requirements and regulations, chiropractic medical billing has become quite complex. Chiropractors need to revamp their revenue cycle technologies and billing workflows to submit clean claims, reduce denials, and get reimbursed. We shared some Chiropractic Billing Collections strategies that can streamline a practice’s financial workflow and improve […]
Medical billing mistakes can lead to delayed payments, claim denials, customer complaints, and most important lost revenue. This is true regardless of whether a healthcare provider is associated with a private medical practice, hospital, local health department, or a local health organization. This article addresses common medical billing mistakes. Common Medical Billing Mistakes Not Doing […]
Improving collections is an essential strategy for revenue growth. A healthy bottom line translates to a healthier financial trajectory for your eye care business. Follow these Optometry Practice Collection tips to help your business thrive. An optometry practice shares the same end goal as other small businesses i.e., you want to thrive. A thriving business […]
Otolaryngology (ENT) relates to the four parts of the respiratory system i.e., ears, nose, sinuses, and throat. An ENT specialist would typically handle medical health concerns relating to the head and neck, especially these four parts. Otolaryngology (ENT) coding requires a coder to have knowledge about a huge number of procedures and examinations relating to the […]
Calculating time units for anesthesia billing and coding is extremely important. A unique characteristic of anesthesia billing is the reporting of time units. Payment for anesthesia services increases with time. In addition to reporting a base unit value for an anesthesia service, the anesthesia practitioner reports anesthesia time. We shared guidelines on correctly calculating time […]
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