Miscommunication between the healthcare providers and coding professionals is one of the major reasons behind improper medical billing. The billing system in US has turned complex due to its Affordable Care Act (ACA). With more Americans heading towards insurance coverage in 2014, the possibility of errors has increased. Industry facts: As per an estimation by […]
Given the increasing complexities of reforms that are affecting the day-to-day operations of healthcare organizations, a generalized workforce has to make way for specialists responsible for specific areas with clearly defined tasks to perform. In a healthcare operation driven by specialists, a physician will know who to handover medical details to, to be used for […]
There is a strong relation between medical billing and HIPAA as coding and billing specialists have to deal with sensitive patient information on a daily basis. They are required to handle, patient, provider and insurance information that should be kept secure and confidential. Coders and billers are also responsible for ensuring secure electronic and physical […]
As a result of Medicare Sustainable Growth Rate (SGR), physicians face Medicare payment cuts annually. Even though the Congress often steps in to stop the reductions, it has been reported that Medicare reimbursement for physicians will be slashed by 24.4% in 2014. Physicians and senior citizens to bear the brunt: Even though annual Medicare cuts […]
Physicians across the US continue to struggle with implementation of Health IT and Meaningful Use, failing to earn incentive payments. Even though CMS is trying to increase the number of providers successfully attesting to Meaningful Use, practices seem to be unprepared for meeting the requirements. Do you have an underperforming EHR? Practices struggling to adopt […]
Multiple strategies will be required by medical practices to cope with an anticipated drop in productivity due to ICD-10. Coding, claims processing, case management, decision support and follow-up (electronic medical billing system) are likely to face greatest impact due to the new system. Therefore, it has become important for providers to prepare for any type […]
The healthcare industry has been continually evolving over the last decade with EMR reforms, Medicare inclusion, pay-for-performance reimbursement standards and ICD 10 coding changes. But there is one change that has been repeatedly causing government and care providers to worry about reimbursement rates and growth of their practices. The Balanced Budget Act of ’97 introduced […]
The medical billing and coding process is constantly evolving and newer codes are introduced every day. It is very important for your medical practice to constantly adapt to these changes in their billing and coding systems. The Revenue Cycle Management (RCM) is the basis of any financially sound medical practice and a well satisfied patient […]
The success of your dental practice relies on low over head costs, maximum revenue for services performed as well as satisfied customers. The generation of high revenues is possible if all procedures right from consultation, coding, billing and reimbursement by the payers is error free and timely. The medical billing and RCM of your dental […]
The importance of keeping abreast with the rapidly changing medical coding and billing practices cannot be emphasized enough as Gastroenterology is a rapidly growing area of patient care. Every day new and detailed surgical procedures and relevant codes are added to the ever-growing list of gastroenterology practices. It is paramount to avoid the dreaded audit […]
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