Workers Compensation Claims Boon or Bane? – Medical Billing Process of Filing These Claims

Workers’ compensation has been a much debated subject and has been traditionally viewed as a liability for the company. However new ways of filing claims and with streamlining of various medical billing processes for such claims, it can be an asset which can boost employee morale and thus increase the productivity along with assistance in […]

What does a doctor expect from his medical billers & coders?

A significant challenge that care providers face in the US today is unrealized account receivables stemming from rejected insurance claims by Medicaid and Medicare officials. Physicians often find this challenge daunting because it requires them to handle what they are not meant to: administrative responsibilities The medical billing and coding cycle requires thorough knowledge and […]

Average Single Specialty Practices Cater to 42-49 Percentage of Medicare Populace!

That means nearly half of your total patient population comprises of Medicare beneficiaries. And, you could have remained indifferent as long as Medicare’s reimbursements continued to be as normal as private health insurance reimbursements. While physicians’ have remained immune to its impending backlash thus far, they may not be so lucky henceforth; the Federal Government, […]

When was the last time your clinic checked the fees schedule? Streamlining your Medical Billing

Optimizing Fee Schedules for Physicians: An Overview The fee schedule for any physician practice is an important pecuniary factor that affects not just your revenue but also the way in which healthcare is delivered to the patients. Many practices fail to update their fee schedules on a regular basis which can affect the profitability and […]

Growing Trend in Medium Size Clinics Referring to Medical Billing Outsourcing

Small and Medium-sized Clinics: Great Expectations Small and Medium sized clinics face unique type of challenges in almost all functions of physicians and staff such as administration, revenue cycle management, Electronic Health Records (EHR) implementation, and the challenge of keeping pace with the recent health reforms. The nature of the core functions as well as […]

How Medical Billing Services Contribute to Retaining Patients at Your Facilities

The intense competition in the healthcare industry is triggering unprecedented benefits to the patient fraternity. While the quality of medical care has improved by leaps and bounds, patients now, have choices and alternatives just in case they feel deterioration in the perceived level of medical care. This sudden shift in favor of patients means physicians […]

Medical Billing Services: A Safe Passage for Denial and Delay Management

Payer denials and delays is a cause of worry for every doctor in the US. A denied or a delayed claim leads to loss of revenue for the physician. To top it all the physicians are now looking at an uncertain future working in the Medicare program due to introduction of reimbursement cuts. In the […]

AR aging over to 120 days – Is it Prudent to opt for a medical billing service?

Accounts receivables (A/R) management is a vital element of revenues for physicians and forms a crucial part of a physician’s revenue because of the role of insurance companies and other similar entities in the whole revenue cycle process. There are several methods of managing accounts receivables and there are no common techniques of evaluating this […]

Appealing a Claim- Will a Standard Format Work to Improve Your Practice’s Medical Billing?

The procedure of appealing an insurance claim is intricate, although it can be successful if completed properly because there are many grounds for claims to be denied by an insurance company or a payer. The payer collects a lot of claims on a daily basis and the claim can be easily denied if there has […]

‘Pay-as-you-go’ as a value-based medical billing service model

While we are not alien to the term ‘pay-as-you-go’, it is something that is catching the imagination of physicians opting for outsourced medical billing services. Unlike in the past, when ‘pay-as-you-go’ was sporadically availed by a few physicians, it is now emerging as a viable alternative to long-term contractual medical billing services. Well… what is […]

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