accounts receviables audits Archives

Are you correctly Using 99291 and 99292 codes?

Critical care is the direct delivery by a physician(s) of medical care for a critically ill or injured patient. The care of such patients involves decision making of high complexity to assess, manipulate, and support central nervous system failure, circulatory failure, shock-like conditions, renal, hepatic, metabolic, or respiratory failure, postoperative complications, overwhelming infection, or other […]

Key Points for Billing and Coding Critical Care Services

Critical care medicine specialists diagnose and treat a wide variety of diseases. A multidisciplinary team approach is needed to care for critically ill patients. Though there are only two codes for critical care services, reporting critical care presents a challenge because of the rules and regulations involved. In fact, Medicare and commercial payers scrutinize the […]

Coding for Opioid Use and Counseling

For any case of pregnancy in which a woman uses opioids during the pregnancy or postpartum period, codes from subcategory O99.32, Drug use complicating pregnancy, childbirth, and the puerperium, should be assigned. A secondary code from category F11, Opioid-related disorders, should also be assigned to identify the manifestation of Opioid Use and Counseling. Opioid Use […]

How to use CPT CODE 99214 Correctly?

CPT Code 99214 is commonly used for billing office or outpatient visits involving established patients with moderate to high complexity in medical decision-making. To meet the criteria for this level of Evaluation and Management (E/M) service, proper documentation is critical. It requires a detailed history, detailed examination, and medical decision-making of moderate to high complexity. […]

Basic Tips for Payer Reimbursement Analysis

Reimbursement analysis provides an accurate picture of the reimbursement environment, which is important to ensure your practice will be able to provide new, innovative services. A comprehensive reimbursement analysis should be conducted with adequate lead time to include an in-depth understanding of payer-mix, the delivery cost of the new service, and the anticipated reimbursement by […]

Estimating Patient Out-of-Pocket Responsibility

According to some sources, patients are now the third-largest payer group in the US behind Medicare and Medicaid. So, now is not the time to let those amounts due slide! One of the best ways to capture those amounts due is by avoiding surprises on the part of the patient by letting them know right […]

How can Physicians Improve AR Days?

For you to improve the accounts receivable (AR) of your practice there are many different factors that come into consideration. Your quality of patient care is one such important factor that will contribute to attracting more patients. To improve the patient care for your practice things need to be systemized; we have to sync the […]

Impact of Trumpcare on Physician’s Practice

Donald Trump against all odds has finally managed to become the President of the United States of America on the promises of ‘Making America Great Again.’ Now that he is in White House, the promises he made to citizens before getting elected are slowly but surely, taking a shape. Be it about building the wall […]

Who Wins the Medical Billing Race-In-House or Outsourced Billing Services?

Medical billing is one of the most complex procedures in every practice. The standing question for most practices remains the same- whether to retain an in-house billing or outsource it to professionals. Although the answer to this largely depends on the type of practice, most opine towards outsourcing the billing services, however, there still looms […]

Formula for Improved AR: Connecting Physicians with Medical Billing Companies through Correct Dashboard

Your patient’s schedule is piling at the seams. Providers have already added and yet, your cash flow is not up to the mark or say slow. So where is the cash? Take a good look at your accounts receivable (A/R) process. You may find that efficiency is lacking and overwhelmed staff is hindering revenue growth. […]

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