Standardize your Oncology Documentation to Maximize and Sustain Medicare Reimbursements

More than 1.6 million people are diagnosed with cancer each year in the United States. The growth in the number of people living with cancer is projected to increase from 14.5 million (2014) reaching 18.1 million in 2020. Oncology (surgical, medical, and radiation) is a branch of medicine that deals with the diagnosis and treatment […]

How Medical Billing Companies Must Respond If ACA Repeal?

The healthcare industry has evolved with significant changes in the last few years, and it looks like the winds of change continue to blow in the Trump Administration. With more and more legislation, policies, and tech advancements change witnessed, there has been a lot to talk about the “ACA repeal” effect on medical billing companies. […]

Is Ignorance in AR Management and Medical Coding Eating up Your Medical Practice’s Revenue?

Claims Reimbursement is the backbone of medical practice, but the last five to ten years have been impacted by various trends and healthcare industry changes. To name a few, Medicare and Medicaid have started reducing physician reimbursements; Third-party payers have negotiated fee-for-service contracts with physicians resulting in reimbursement at less than 100 percent of charges. […]

Coding Rules for Modifiers 32 and 33 with CPT Codes in Medical Billing and Coding

There are a couple of modifiers in medical coding that are very rarely used. There are two such modifiers 32 and 33. These modifiers can only be used when there is appropriate documentation supporting the case. Here are some pointers on how to use modifiers 32 and 33: When should Modifier 32 be used? Modifier […]

How is conducting HIPAA Compliance Risk Analysis Helpful for Physicians in 2017?

HIPAA – Health Insurance Portability and Accounting Act of 1996, is a remarkably significant healthcare law that Medical Care providers need to be aware of. HIPAA is a federal law specifically designed to let portability of protected health information for billing purposes so that the health care industry has proper billing across the country. In […]

RCM Questions one should ask while reviewing a medical billing company

Revenue Cycle Management (RCM) is the core process of any healthcare practitioner providing medical healthcare services. Trying to focus on how to turn around your practice to help it make revenues is not an easy task. Although your patient is your first priority, coping with the changing rules & regulations can be a nightmare and […]

Smarter Medical Collections Can Improve Podiatry Practice Finance

Podiatric medicine or Podiatry like we all know is about diagnosing and involves surgical treatments of the foot, lower extremity, and ankle. Complex inclusive procedures, heavy use of modifiers, and other challenges make Podiatry Practice medical billing a bit complex. When it comes to handling complex Podiatry it requires efficient revenue management that keeps up […]

Will only the big giants of healthcare survive?

Healthcare is a wide term that includes a range of undertakings- insurance coverage, workforce compensation, health information technology, and drug administration. Thus, healthcare matters require a great deal of understanding, experience, and manpower in order to be precise in delivering accurate solutions and as marketers in the field of healthcare, we need to have our […]

Are Wound care centers maintaining Profits with Medicare Alone?

Many of the present-day Wound Care Centers (WCCs) provide patients a specialized level of care using various wound care procedures that are managed by Qualified Healthcare Professionals (QHPs) from different specialty fields like medicine, podiatry, and plastic surgery. However, these QHPs are sometimes or one can say even most of the time are challenged by […]

Why are Medical Practices Being Sold Out to Competitors?

The Medical practice turf comprising of private practices, independent or groups has been on a gradual decline over the last 30 years. These developments throw light on the fact that physicians are moving away from private practices selling their practices to hospitals, medical centers, and multi-specialty hospital chains. In recent times, there has been a […]

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