Chiropractic Billing Biggest Monthly Revenue Challenges

Chiropractic physicians are also known as wellness physicians. Insurance companies and patients are still jumbling through different contracts to pay wellness physicians. At Medical Billers and Coders (MBC) we cater to the requirement of more than 70 chiropractic physicians. Each physician has different requirements based upon the demography, payer contract, and patient care. Billers and […]

How Can You Reduce Your Costly Billing Mistakes?

Out of 10, every 8 medical claims are rejected because of the medical coding errors. For end number of reasons, the primary ones are physician has wrongly transposed a CPT or ICD-10 code or inserted the wrong two-digit modifier at some time or another, and insurance companies are quick to let you know you if […]

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 […]

How Analytics Is The Answer To Compliant Coverage Identification for Medical Billing?

Today with the healthcare industry undergoing a huge change; adding up a lot of confusion and challenges that physicians practice, hospitals, labs, clinics, and durable medical equipment companies are finding it hard to cope. The liability of the self-pay accounts is a growing problem with the providers which is now incurring billions of dollars losses […]

Key Takeaways For Physicians From Value-Based Reimbursement

In the rapidly changing healthcare landscape, payers are asking medical providers to shift from volume-based care; the fee for service to a value-based reimbursement structure. This evolution toward value-based reimbursement benefits the patient, the healthcare provider as well as the payers. Value-based reimbursement encourages healthcare providers to deliver the best care at the lowest cost. […]

Red Flags under Chiropractic Medical Billing you need to Watch Out For?

Exploring or examining the numerous unpaid or denied claims is an exasperating and time-consuming process. On average, more than 25% of the revenue loss faced by healthcare facilities occurs due to poor medical billing and revenue cycle management. According to the research report presented by the Medical Group Management Association (MGMA), the average cost of […]

Can Independent Physicians Overcome the Medical Billing Hassles?

It has become harder than any time before to a fruitful independent medical practice. As physicians shift towards value-based reimbursement which is gaining traction alongside the fee-for-service model, doctors will be on the hook for demonstrating clinical outcomes and providing seamless care coordination in order to receive payment. At the same time, independent physicians must […]

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 […]

CMS 2018 Final Rule To Impact Orthopedics ASCs

The Center for Medicare and Medicaid Services (CMS) has issued the final rules on Ambulatory Surgical Center (ASC) reimbursement and changes that could have important implication on the orthopedics billing in ASC. The rule includes update to payment policies, payment rates and also the quality provisions for the services provided under the Physician Fee Schedule […]

Technology can help you Promote Value-based Reimbursement

Before we understand how technology can improve your Value-based reimbursement we have to understand what a value-based reimbursement means for hospital billing. Hospital revenue is currently going through a turmoil of value-based reimbursement you have to satisfy the following criteria Risk-adjusted mortality Risk-adjusted readmission rates Low-cost structure Along with this, we have to stay in-line […]

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