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Medical Billing

How crucial are certain adjustments while posting payments?

While it is true that payment posting is merely an exercise of recording the actual claim realized against patient account concerned, in reality its scope extends beyond that. Far from just being an accounting exercise, payment posting has evolved into an indispensable tool for analyzing and augmenting revenue generation from medical claim realization from medical […]

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Towards Honest Medicare Billing Practices

In an industry characterized by the highest level of professional integrity and honesty, it is strange yet true that health insurance related fraud and abuse have reached alarming heights. While the incidence of fraud and abuse are equally spread across the health insurance continuum, it’s more intense in Medicare. In fact, a reliable survey (by […]

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The Impact of Front Desk Executives on Physician Revenue and Billing

The front office desk executive in a physician’s practice has numerous functions to carry out such as understanding the patients’ information related to demographics and finance which is needed for effective billing, the responsibility of communicating the financial policy, and knowledge of insurance plans involved in the practice among the many other routine functions essential […]

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The Impact of Staff Turnover on Physician Medical Billing

Staff turnover in any medical practice or hospital can have detrimental repercussions financially as well as qualitatively when it comes to providing healthcare. However, it cannot be denied that staff turnover or attrition would always be present in any practice or hospital; keeping it in control is important for ensuring long term pecuniary benefits and […]

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The Role of Medical Billing Consultants in Assisting Physicians

The Role of Medical Billing Consultants in Assisting Physicians

The recent dynamism in the healthcare industry has not just revolutionized the way in which various medical processes are carried out but have also led to an explosive information boom due to new policies, regulations and a complete overhaul in the healthcare industry. The ability of providers and other healthcare professionals to keep up with […]

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Coding credentials & skills adequate to secure physician office jobs – Impact of Credit history

For some healthcare practitioners a good credit history is just as important as coding credentials and experience while hiring medical coders. The U.S. Equal Employment Opportunity Commission survey on – the use of credit histories as employee selection criteria – revealed that 13% of organizations conduct credit checks on all job candidates and another 47% consider […]

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The Role of EHRs towards Physician Productivity and Medical Billing

Electronic Health Records (EHRs) definitely have an impact on physician productivity; however, little research has been carried out in this field compared to the other sectors such as the manufacturing sector where IT implementation has proven to be a successful booster of productivity. Measuring the impact of EHRs or EMRs on physician productivity and billing […]

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Factors Affecting Hospital Employment and Physicians’ Revenue

There has been an increasing trend in the healthcare industry where physicians are opting for hospital employments and the reasons and repercussions of these seem numerous. It cannot be argued that there are many positives for ‘being your own boss’ in a private practice. However, due to numerous reasons and changes taking place in the […]

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The Primary Barriers in Physician Billing and HIT Adoption

Physicians and healthcare provides across the country are slowly but surely adopting EHRs or Electronic Health Records as a part of the recent health reforms in the United States. Moreover, it has been reported by the Centers for Disease Control and Prevention (CDC) that there has been a substantial increase in the adoption rates across […]

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Coping Medicaid Expansion with Shrewd Medical Billing Practices

The U.S. Department of Health and Human Services (HHS) predicts that the proposed Medicaid expansion will bring an estimated 16 million more Americans into the health-care safety net. The prediction comes even as some twenty-six states are against such expansion. Although the proposed Medicaid expansion would eventually weigh more on the respective states’ budgetary allocation […]

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