Ambulatory surgical centers have certainly been a revolution. However, there are some surgical procedures wherein the physicians working at the facility have been subjected to a pay cut or the revenue generated for their procedures has not been fully paid for. Well, there are various reasons that are hampering the revenue cycle of ASCs, but […]
With health systems, medical centers, hospitals, and physician practices facing dismally low reimbursement figures and increasing risk and margin pressures breathing down their necks improving revenue are of paramount importance. Revenue cycle management experts are advocating improvements and the efficient management of accounts receivable as well as charge capture, coding, processing of claims, secondary billing, […]
Billing is a vital aspect of any business, and healthcare is no exception. Millions of dollars can be lost if pitfalls are not understood and are repeated time and again in the billing and coding of medical practices, especially for ‘Durable Medical Equipment (DME).’ This equipment typically serves a medical purpose and is used routinely. […]
Apart from business organizations trying to keep up with schedules and appointments through online scheduling systems, the healthcare industry to is waking up to the benefits of online scheduling. A plethora of software exists in the market for online scheduling and is advantageous in customer self-scheduling, accessibility, reducing the number of skipped appointments, marketing, customization, […]
Till very recently pharmacists were seen as dispensing medication, counselling patients on the use of prescription and over-the-counter medication, advising patients about general health topics, and often serving as a liaison between patients and the complex insurance regulatory system. However, with the Patient Protection and Affordable Care Act (PPACA) of 2010, popularly known as Obama […]
Pharmacy billing cannot be taken lightly; of course, advances in technology do help in removing the monotony and glitches associated with such repetitive tasks. It is indeed quite a challenge to be able to survive with competition breathing down your neck and wafer-thin margins threatening to eat into your revenues. Pharmacy companies are increasingly moving […]
Many times, a service is not medically necessary, hence denied coverage by Medicare. This leaves physicians feeling the pinch of lower reimbursements thereby a loss of revenue. Therefore, CMS worked out a solution, revised rules, and has given ABN top precedence. In situations where Medicare could deny reimbursements, the patient is sent an ABN to […]
Rules for Medicare & Medicaid Optometry may differ with states and it is beneficial to know the differences. Although Medicare and Medicaid optometry sounds almost the same, they are quite different from each other. Medicare is meant for seniors who have crossed the age of 65, though younger people with certain disabilities are eligible as […]
Getting credentialed with the right insurance panels is key to growing your practice revenue. However, Credentialing for Optometry Practices can be a daunting task. Are you aware that a Medicare application is a minimum of 30 pages for a solo provider and may surpass 50+ pages if you are a corporation or group practice? Even […]
Healthcare is an evolving industry and the tribulations faced in this volatile industry are immense. There are new diseases being discovered which have to be diagnosed and battled. With technological advancements, it is observed that physicians are spending less time with patients and more on the billing aspect. Hospitals are not paying as high as […]
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