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revenue cycle management

How Are You Handling Patient No-Show?

How Are You Handling Patient No-Show?

Patient no-show is a recurring problem for any medical practice or healthcare facility. As per the recent study, no-show rates in an outpatient setting can range between 22 percent and 35 percent, resulting in a loss of 15 percent of anticipated daily revenue. In terms of dollars, patient no-show can cost individual physicians as much […]

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10 Tips to Reduce Claim Rejections

10 Tips to Reduce Claim Rejections

A rejected claim contains one or more errors found before the claim was processed. Errors will prevent the insurance company from paying and the rejected claim is returned to the biller to be corrected. A rejected claim may be the result of a clerical error or a mismatched procedure and an ICD code. A rejected […]

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Have Your Patients Got New MBI (Medicare Beneficiary Identifier)?

Have Your Patients Got New MBI (Medicare Beneficiary Identifier)?

The Centers for Medicare & Medicaid Services (CMS) is mailing the new Medicare cards with the (MBI) Medicare Beneficiary Identifier in phases by geographic location. There are 3 ways you and your office staff can get MBIs: Ask your Medicare patients: Ask your Medicare patients for their new Medicare card when they come for care. […]

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Improved Acute Myocardial Infarction (AMI) Guidelines

Improved Acute Myocardial Infarction (AMI) Guidelines

ICD-10-CM implementation brought several significant changes to the OCG (Official Guidelines for Coding and Reporting) with regard to Chapter 9 (Diseases of the Circulatory System) I.C.9.e Acute myocardial infarction (AMI). Preparing yourself for coding updates based on MI type is not sufficient. You also must learn how to apply these new codes using OGC for […]

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3 Ways for Health Care Providers to Get Patients MBIs

3 ways for health care providers to get patients' MBIs

Medicare has come up with a new revelation this time. It is taking steps to remove Social Security numbers from Medicare cards. A health care providers also are any provider from whom the employee’s group health plan will accept medical certification to substantiate a claim for benefits. The initiative from Medicare, the Centers for Medicare […]

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2019 NCCI update impact on medical billing and coding

2019 NCCI update impact on medical billing and coding

NCCI – National Correct Coding Initiative promotes the correct coding methodologies. Furthermore, it controls inappropriate coding leading to wrong payments in Part B claims. The CMS annually updates the National Correct Coding Initiative Coding Policy Manual for Medicare Services. The Coding Policy Manual should be utilized by carriers and FIs as a general reference tool that […]

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Top 5 Questions Regarding Outpatient Reimbursement for Wound Care

Top 5 Questions Regarding Outpatient Reimbursement for Wound Care

Do outpatient reimbursement for Wound Care challenges frustrate you a lot? Medicare reimbursement regulations that are currently impacting wound care practices. Wound care professionals still have to follow the coding, payment, and coverage regulations for submitting claims to traditional Medicare. Issues in Outpatient Reimbursement for Wound Care: Q. 1: Why it is crucial to know […]

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Why documentation of procedure holds the key in Radiology Medical Billing?

Radiology-Medical-Billing-documentation

Documentation of procedure is key in Radiology Medical Billing The brilliant principle for therapeutic charging has dependably been “If it’s not archived, it wasn’t finished.” For demonstrative imaging focuses, that is particularly valid, where exact repayment relies on very exact documentation and coding. What’s more, in case you’re not hitting the nail on the head, […]

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