Tag Archives: ASC billing and coding

How to read a complicated AR report very easily?

Medical billing reports are a key barometer for understanding what’s going on in your medical practice. Without good reporting, it’s difficult to determine whether your practice is making money or not. Monthly reports can show you how your medical practice … Continue reading

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What is an ideal denial percentage? Yes, there will always be some denials

The denial rate represents the percentage of claims denied by payers during a given period and quantifies the effectiveness of your revenue cycle management process. A low denial rate indicates a healthy cash flow. A 5% to 10% denial rate … Continue reading

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Top 5 Compliance Issues for Ambulance Biller

Ambulance service billing involves a host of unique compliance challenges. The ambulance industry has seen a significant number of false claim cases, fraud investigations, Medicare audit activity, and other types of billing-related cases. It is imperative that billers fully understand … Continue reading

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CAQH and Insurance Credentialing

What is CAQH? Council for Affordable Quality Healthcare, Inc. (initialized as CAQH) is a non-profit organization incorporated in California as a mutual benefit corporation. It is essentially an online portal that stores provider information in a secure, collaboration database.  This … Continue reading

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How Medical Billers and Coders (MBC) changing the face of General Surgery Medical Billing?

General Surgery, in the midst of forte explicit medical procedures, has not lost its sheen, and general specialists keep on being the particular decision for various surgeries. Doing negligible obtrusive medical procedures (applying creative and progressed Robotic innovation) for more … Continue reading

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EVALUATING YOUR AMBULANCE TRANSPORTATION MEDICAL BILLING PROCEDURE

  Ambulance medical billing has been under the lens of Medicare for a very long time due to the fabrication of medical charges and unreasonable billing rates for the patients during an emergency. In September 2015, a report was released … Continue reading

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Acquaint Yourself with 9 New HCPCS Modifiers

A modifier is a two-digit numeric or alphanumeric character reported with a HCPCS code, when appropriate. Modifiers are designed to give Medicare and commercial payers additional information needed to process a claim. This includes HCPCS Level I (Physicians’ Current Procedural … Continue reading

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