Standards of Ethical Medical coding: Part 1

Coding is one of the core functions of healthcare providers and, due to the complex regulatory requirements impinging upon the health information coding process, coding professionals are frequently faced with ethical challenges. There are stringent medical Billing guidelines in place for the entire gamut of coding practices which include issues such as the privacy of […]


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Impact of Baby-Boomers Coupled with the Health-Care Reforms

Baby boomers are usually believed to be people born during the post-World War II birth rate boom, lasting from 1946 through 1964. According to a survey conducted by the CDC (Center for disease control), many elderly people started flooding doctors’ offices even ten years ago in 2001. Now since the latest health care reforms would […]


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Improving Quality and Revenue in Face of Healthcare Reforms

The recent healthcare reforms proposed by the white house may affect the revenue as well as the quality of the service provided by physicians in the United States. According to a recent survey by Thomson Reuters, almost two-third of doctors in the US fear that health care reforms proposed by Mr. Obama might flood their […]


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Top Seven Questions to Ask Before You Hire Medical Billing Specialists

You may think that hiring the services of a medical billing specialist will be like adding extra costs to your practice. But actually, hiring the services of a medical billing specialist can be considered as one of the smartest moves on your part in terms expanding your business. Think about the ways you can be […]


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Impact of Federal Debt Ceiling on Medicare Payments to Physicians

Debt ceiling on Federal Debt is a perennial topic for debate in the US healthcare scenario. Debt ceiling or Debt limit is the brink to which U.S. Federal Government can raise debts to fund its budgetary allocation. Although there have been instances in the past that allowed for raising debts well over the statutory limit, […]


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How to Find the Best Medical Billing Specialist in your area

One may ask why practices require medical billing specialists. A crucial reason might be that taking up the services of a medical biller or a coder may lower overhead costs and expenses but definitely will help the physician to collect more revenues. Physicians across all states are constantly facing difficulties in insurance coding and payment […]


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The Top 5 States for Physicians to Practice Medicine

The best states in the US for practicing medicine can be determined by taking a holistic view of the state of health care in that particular area and comparing it with other places. Some states are surprisingly physician-friendly while some may not be very suitable for physicians in certain specialties. The ranking can be based […]


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Practice management Software – Benefits for physicians

Practice Management Software (PMS) can be a powerful tool for physicians since it can optimize administrative and financial activities in order to directly increase revenue and save time. A flexible and efficient PMS allows billers and coders to view Remittance Advice Reports and Claim Payment Reports in addition to interpreting Electronic Remittance Advice from the […]


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The Changing Face of Denial Management

Denial management is one of the aspects that affect physicians, health care providers, insurance providers, and patients alike. The major problems faced by billers and coders along with patients are that the insurance companies or payers deny claims based on any reason they can find. This includes technicalities and some aspects such as pre-existing conditions […]


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