The basics of ambulatory surgery center coding and billing aren’t hard to master, but they do differ from physician and facility requirements. The following overview will help you know what’s most important in the ASC setting. ASCs use a combination of hospital and physician billing. Although ASCs use CPT and HCPCS Level II codes to […]
ASC Coding And Billing: Knowing What’s Important
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What Are Chiropractic Adjustments?
The chiropractic adjustment is a procedure in which trained specialists use their hands or a small instrument to apply a controlled, sudden force to a spinal joint. The goal of chiropractic adjustment, also known as spinal manipulation, is to correct structural alignment and improve your body’s physical function. A chiropractic adjustment refers to a chiropractor […]
HOW TO DO BILLING FOR MEDICARE AND MEDICAID?
Just like when you bill to the private third-party payer, billers must send claims to Medicare and Medicaid. These claims are very similar to the claims you’d send to a private third-party payer, with a few notable exceptions. When you claim for Medicare and Medicaid, there is no need to go through a clearinghouse for […]
Risk Adjusted Hierarchical Condition Category (HCC) Coding
HCC is a payment model created by the Balanced Budget Act of 1997. Implemented by the Center for Medicare and Medicaid Services in 2003, the payment model will identify the individual with chronic illness and assign them to a risk factor score. This risk factor score gives CMS a specific plan out that channelizes the […]
Documentation Challenges for Dermatology Billing and Coding
It’s not rocket science to know that dermatology is one of the most difficult and complex medical specialties when it comes to medical billing and coding. Elements like global procedure periods, bundled procedures, and particularly modifiers – all contribute to a multifaceted coding environment that leads to errors and one which eventually ends with claims […]
Critical Trends Affecting the path of your Optometry Reimbursement
The industry of medical billing and coding is an ever-evolving and developing industry. New advancements and techniques have totally changed the way medical billing professionals perform their daily activities. As of late, optometry practices have been compelled to change the way they bill and code for their procedures to comply with certain medical billing trends. Here […]
Top Goals for Physicians to Implement In Their Facility
The changing political trends has affected the way physicians are implementing changes in their functioning at work, be it at clinics or hospitals. Keeping up with the times, is the need of the hour and hence never knowing which way the winds will blow, physicians should initiate certain goals that can help them ride the […]
External Otolaryngology Billing Services Is A Great Way To Increase Your Profit!
Otolaryngology Specialty clinics or what are more commonly known as ENT clinics play a multifaceted role catering to the diagnosis and treatment of disorders associated with multiple organs – ear, nose, throat, head, and neck. Thus, otolaryngologists are involved in a constant exhaustive list of investigative and treatment procedures required for precise diagnosis. Otolaryngology specialty […]
What are the Risk Factors Involved in Offshore Billing Agencies?
Getting your claims reimbursed through offshore medical billing and coding agencies is not a new phenomenon that has hit the healthcare service industry just now. It has been into operations since the change of century (2000-2001) and has gained a stronghold in almost all the major hospitals and physician facilities. So, when we talk about […]
How well do you know your EOB?
EOB is an outcome of the claims process and is alternatively termed as a Beneficiary Notice, Summary of Benefits, Remittance Advisory, or Coverage Determination. EOB is NOT A BILL though it looks like one. It is simply an explanation of the claim covered/not covered by the healthcare insurers to the healthcare provider along with any […]