ICD-10-CM Guidelines for Coding and Reporting FY 2020 – Obstetrics

The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the U.S. Federal Government’s Department of Health and Human Services (DHHS) provide the guidelines for coding and reporting using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). These guidelines should be used as a […]

Structure of Urology Medical Billing you should understand

Urology medical billing is the process by which healthcare practitioners bill insurance companies for services provided to patients. In order to complete this formality, medical billing and coding experts assign designated codes to various procedures to restructure the process of billing certain procedures. Medical billing companies assist in healthcare facilities to optimize the revenue management […]

Physicians achieving Better ROI with Claim Status Checking

A vital undertaking of any medical facility large or small – independent or outpatient is to track or check the claim status of a patient’s health cover. With having the knowledge of the claim status many healthcare units face revenue leakages, which in turn pushes them towards winding up their businesses (healthcare facility). How can […]

New Bundled Payment System For Cardiology Will Shift Power From Hospitals To Physicians

New Bundled Payment System For Cardiology Will Shift The Power From Hospitals To Physicians

Health insurance plans and the new bundled payment systems for physical treatments including cardiovascular procedures shift from time to time. This scenario has presented hospitals and physicians to rethink their strategy when it comes to proving services to an individual with cardiology issues. The medical billers and coders who work on such claims need to […]

How Expansion in Medicaid is Causing Disruption in Medical Facilities?

Providing people with health insurance improves access to care by reducing financial barriers, which are most evident at the point of care — that is when people try to get health care services. For decades, government plans such as Medicare and Medicaid have typically paid doctors and hospitals less than private plans, and even less […]

Vital Elements to Lookout in an Optometry Billing and Coding Company

The job of an Optometrist is multifaceted; you have to take care of a wide range of activities happening in your facility. Along with the daily chores of overlooking patient eyesight, revenue management of the practice is another time-consuming activity, which if not handled properly by your accounts department may lead to a serious financial […]

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 […]

How providers must implement strategies to collect on outstanding patient balances?

As reforms continue to alter in the healthcare industry, it is affecting practitioners/hospitals, insurance providers and patients. Deductibles are increasing and the payments are increasingly becoming the patient’s own responsibility. Therefore, patients are becoming more involved and active regarding their insurance plans and payments which can at times be overwhelming for the practitioners to collect […]

Should optometrists be allowed to perform surgeries?

Optometrists are the independent primary health care professionals for the eye; The current trends in optometry billing are driving down the reimbursement process. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. (Reference: American Optometric […]

Are Physicians working Hard for Lesser Revenue?

Healthcare is an evolving industry and the tribulations faced in this volatile industry are immense. There are new diseases being discovered which have to be diagnosed and battled. With technological advancements, it is observed that physicians are spending less time with patients and more on the billing aspect. Hospitals are not paying as high as […]

Read our latest medical billing and RCM related blogs