Are denials, ignored or lost claims, inaccurate coding and underpayments making it difficult for you to collect the revenue you have earned? Physicians have a busy schedule and with the doctor patient ratio getting disproportionate across the US, handling the task of medical billing and coding has turned into a daunting task. Complexities of coding […]
Medical Billing and Coding Services in USA
Medical Billing
Do Medical Billing Reports Work as a tool for your Profitability?
With ever changing healthcare regulations and evolving high tech healthcare industry, the profitability of your practice can vary dramatically based on how attentive you are to your medical billing reports. Medical billing involves payment for your services by the patient or reimbursement by claim carriers like insurance companies, Medicare, Medicaid, etc. The entire process of […]
Inevitability of the Electronic Radiology Practice and Its Effect on Radiology Billing
The advent of digital technology has been quite a boon to healthcare industry, more so to radiology, whose role in clinical diagnosis and planning the right course of medical intervention continues to be more critical than ever before. Physicians and patients’ reliance on digital or electronic radiology interpretation is so much that it is virtually […]
Healthcare Regulatory Compliance to Sway Medical Practitioners from Patient Care?
Medical practitioners, whose immediate concern has been quality patient care or clinical excellence, may be swayed away by a compelling healthcare regulatory compliance. ;While regulatory compliance may have been designed to rationalize the entire healthcare delivery, optimize medical expenditure, and improve outcomes for patients, it is still quite a task for practitioners, who may not […]
Are Medical Practices Moving Forward at the Same Pace as Healthcare Reforms?
Healthcare Reforms or Obamacare that had been facing a few political hurdles may have finally broken through all shackles and assumed greater acceleration. While healthcare reforms or Obamacare are largely perceived to pro-patient, physicians or medical practices have no option but to move with the requisite adaption. Amongst a host of reforms, the recommendation of […]
Billing Specialists to Look After Major Billing Issues Likely to Be Faced By Radiologists in 2013
Radiologists, who have been striving to maintain a balance between diagnostic priorities and operational compliance, may well find pulled further into a host of billing and compliance issues throughout 2013: To begin with, they will have to discern the vital connect between diagnosis coding and procedural coding systems and the systems that have evolved to […]
Efficient Billing Practice to Aid Physicians amidst Continual Coding Revisions, and Avert the Possibility of Denials
Amongst the possible reasons for denials, coding inadequacies seem to have a major impact. Because codes quantify and qualify physicians’ medical services for medical reimbursements from payers, any inherent coding error, miscoding, over or under-coding can lead to denials upon found to be incongruent with acceptable coding practices. While a few coding manipulations may happen […]
The Demands of Value-Based Reimbursement Model to Be Met With Medical Billing Specialists
With many of the healthcare reforms set to take effect shortly or having already been in force, providers may have entered a different phase of operational model, which is called value-based model. The unique feature of value-based model is that providers will get reimbursed for delivering superior medical care at a progressively lesser cost. As […]
Negotiating Your Reimbursement Rates during this Phase of Payer Consolidation & Health Insurer Monopoly Power
Physicians’ choice of health plans and contracts seem to be getting fewer and fewer with each passing moment as U.S. health insurance sector, particularly the private sector, witnesses unprecedented payer consolidation, acquisitions, and mergers amongst private health insurance carriers. Besides contradicting the hope that such consolidation, acquisitions, and mergers would bring down the cost premiums […]
How best are medical practices prepared to address HIPAA breaches?
Contrary to the notion that government’s move to digitize healthcare information would enable healthcare providers, doctors, and insurance companies comply more aptly with HIPAA’s guidelines for patients’ privacy and security, there has been an upsurge in HIPAA breaches with providers being reported for breaches of some kind or the other. Electronic Health Record (EHR) systems, […]