Received Payer Request for Medical Records? Keep Calm and Take These Steps

If a letter were to arrive at your organization in an innocuous-appearing envelope, you may be afraid to open it. It’s unsettling for a payer to request medical records for claims that have already been paid. It is becoming more and more common for providers to receive what appear to be innocuous medical records requests […]


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Understand Payment Rates and Basics of ASC Billing

An Ambulatory Surgical Center (ASC) is defined by CMS as a facility with the sole purpose of providing outpatient surgical services to patients. ASC is a facility that, very simply, specializes in outpatient procedures. Procedures done at an ASC are more extensive than those done at the typical provider’s office but are not so involved […]


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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 the nuances of ambulance reimbursement to be able to successfully sidestep these landmines. The following […]


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Prominent Ambulatory Surgery Center medical billing functions are affecting your practice revenue

Compliance guidelines that govern the Ambulatory Surgery Center’s reimbursement are wide-ranging, complex, and ever-changing. Hence, it’s important for ASCs to hire or partner with ASC medical billing and coding management consultants who understand the legal rules placed on ASCs, including the specialized coding, accreditation, documentation, and reimbursement care contracts. Here are prominent billing function affecting […]


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Identify Coding Pitfalls to Avoid Common Claim Errors

Coding errors accounted for 8.7 percent of improper payments made by Medicare in 2018, which cost over $2.75 billion. To avoid costly denials and potential payback demands, it’s essential to review code guidelines before submitting your claims. MBC helps many practices to pinpoint the coding issues so that there will be no  Common Claim Errors. […]


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AMA Releases 335 CPT Changes For 2019

The American Medical Association (AMA) announced the release of the 2019 Current Procedural Terminology (CPT) code set on 5th Sept 2018. There are 335 code changes in the new CPT edition reflecting the CPT Editorial Panel and the health care community’s combined annual effort to capture and describe the latest scientific and technological advances in […]


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General Coding Guidelines for Osteoporosis

Osteoporosis is a bone disease that involves abnormal loss of bony tissue resulting in fragile or porous bones. Without appropriate treatment, osteoporosis can worsen. As bones get weaker and thinner, the potential risk for fractures increases. Documentation is very important and physicians must ensure timely medical documentation to ensure appropriate treatment for these patients. Medical […]


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Gastroenterology CPT and HCPCS Code Upgrades 2019

On September 5, 2018, the American Medical Association (AMA) released the 2019 CPT Code Set in an official press release. The main theme surrounding new codes, revised codes, and deleted codes is to increase specificity. This is a good time to understand what has changed and how it may affect your medical practice moving forward. […]


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Increasing Your Practice Revenue by Adding New Patients Using SEO

As we all know, in the current age of the internet, having a website for your practice is a must. But if your website is not properly optimized then you would fall behind the competition.  SEO stands for ‘search engine optimization. It is the process of getting organic traffic from search engines. In other words, […]


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