Focusing On Patient Care amidst New Technology Changes While Medical Billing

Over the last few years, medical billing has undergone a lot of changes, with emphasis on the IT systems, for the smooth & efficient processing of insurance claims and timely payments to doctors & other healthcare professionals (HP). In 2009, the Obama administration pledged $19 billion funds to health care information technology. The use of […]

Forecasting the Future of Medical Billing and Coding Post ICD-10

United States is on the verge of a major billing and coding reform – the introduction of ICD-10 in particular marks the beginning of the most robust, effective and efficient system of billing and coding ever to have been followed. While providers and payers will benefit from progressive changes, medical billers and coders will have […]

Does a Medical Coding & Billing Job Offer You Healthcare’s Security from an Office Setting?

Career in health care industry has rarely been unsecure. While professionals in other sectors have had to undergo turbulent times recently, people in this priority sector have maintained steady progress despite economic reversals. And there are reasons to it: first, health care is indispensable; more significantly, it is supported by world’s largest public insurance schemes […]

How can Physicians Balance Roles at Work to Increase Medical Billing Efficiency of Their Clinic?

Over the last few years, the healthcare system in the United States has witnessed modifications in policies and regulations, in order to make healthcare facilities cost-effective and accessible to people from all income groups. However, a substantial percentage of the population still remains uninsured and the introduction of the Patient Protection & Affordable Care Act […]

Denial Management – Integral to Physicians’ Conquering Reimbursement Challenges While Medical Billing

Denials are responsible for major erosion of practice revenues, and, despite the best efforts, denials continue to assume monstrous proportions. The situation has grown so alarming that: Medical practices fail to collect 25% of the money they are owed $125 billion is left in the bag as unpaid claims Only 70% of claims are paid […]

Combining Medical Billing and Coding to Deliver Maximum Physician Revenue

‘Medical billing’ and ‘Medical coding’ may have sometimes been used interchangeably to mean the act of claiming reimbursement from insurance payers, but essentially they are two separate and specialized jobs. Medical coding precedes medical billing, and it is irreversible. While a medical biller is entrusted with far more task than a coder, it is the […]

Navigating through Regulatory Changes that Dramatically Affect Medical Billing

The limited reach of US healthcare network leaves a large part of American population outside the net of healthcare. This problem has stalked US governments traditionally and to expand the reach of healthcare to make healthcare available to a larger part of US population, successive governments (in varying degrees and as suited their political beliefs) […]

Billing “Urgent Care” As It Emerges As One of the Fastest Growing Specialties

Urgent care is fast developing as a viable alternative to what has traditionally been known as “family practice”. The main reason behind this new-found fancy is that physicians can now operate from designated facilities without having to trek around offices, nursing homes, and hospitals. Additionally, urgent care centers are preferred to other similar types of […]

Navigating Through a Multiple Payer Environment – Providers’ Perspective

Healthcare delivery in the United States of America has come a long way from cash-based to insurance-backed. Currently, over 85% of the nation’s residents have health care plans either through employers’ private pools, private companies, the veterans’ health administration, the children’s health insurance program and Medicare/Medicaid/TRICARE. While insurance payers (whether Federal or private) essentially cover […]

How Difficult Can Medical Claim Filing and Payment Posting Be?

Hospitals, healthcare organizations and dentists have long been occupied with the issue of medical filing. The process of medical claim filing is overtly complex, requiring paper work, filing and adjudication. Moreover, with the introduction of new reforms in the system every other day, which is ironically meant to save time and energy of the physician, […]

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Medical Billing