How Analytics Is The Answer To Compliant Coverage Identification for Medical Billing?

Today with the healthcare industry undergoing a huge change; adding up a lot of confusion and challenges that physicians practice, hospitals, labs, clinics, and durable medical equipment companies are finding it hard to cope. The liability of the self-pay accounts is a growing problem with the providers which is now incurring billions of dollars losses […]

Exploring the Supply Chain Management in Healthcare

Healthcare supply chain management keeps the regulation flow of medical goods and services from the manufacturer to the patients. Cutting down on healthcare costs has become imperative for physician practices, hospitals especially those places which start to tie to claim reimbursements. Whether it is a hospital, pharmaceutical manufacturer, drug distributor, or retailer, every link in […]

Key Takeaways For Physicians From Value-Based Reimbursement

In the rapidly changing healthcare landscape, payers are asking medical providers to shift from volume-based care; the fee for service to a value-based reimbursement structure. This evolution toward value-based reimbursement benefits the patient, the healthcare provider as well as the payers. Value-based reimbursement encourages healthcare providers to deliver the best care at the lowest cost. […]

Red Flags under Chiropractic Medical Billing you need to Watch Out For?

Exploring or examining the numerous unpaid or denied claims is an exasperating and time-consuming process. On average, more than 25% of the revenue loss faced by healthcare facilities occurs due to poor medical billing and revenue cycle management. According to the research report presented by the Medical Group Management Association (MGMA), the average cost of […]

Should Doctors Stand Against or with MACRA?

Ever since the election of President Donald Trump the healthcare industry is reeling under the pressure of changing regulations and norms. Right from small healthcare units to large medical facilities and from outsourced medical billing and coding companies to insurance providers, all are feeling the heat. However, the President’s succeeding choice of a former orthopedic […]

Guiding Principles Every Physicians Should Know About Patient Environment

Not to be confused with traditional ideas of patient care, patient-centered care pushes the boundary of healthcare to create systems and processes that are truly custom-made to enhance the health, well-being, and treatment plans for both health professionals and patients. Recently, the Mountain State Healthcare Alliance (MSHA) received the 2012 National Healthcare Award from the […]

Physicians achieving Better ROI with Claim Status Checking

A vital undertaking of any medical facility large or small – independent or outpatient is to track or check the claim status of a patient’s health cover. With having the knowledge of the claim status many healthcare units face revenue leakages, which in turn pushes them towards winding up their businesses (healthcare facility). How can […]

How Surgeons Should Code For Chronic Conditions In Value Based Reimbursement?

Surgical facilities coding for chronic conditions is now becoming a strenuous task as the healthcare landscape shifts towards value-based care. Value-based care implemented by the Center of Medicare and Medicaid (CMS) attempts in providing better care for individuals, improving health care strategies and reducing the cost of healthcare. A certified coder can be a great […]

What you should watch out as a Beginner in Optometry Billing and Coding?

Running an optometry business is not that difficult if you have the right kind of resources to complete all the tasks. Right from patient encounters to admissions and from checking their eye problems to getting reimbursed via perfect medical billing and coding is a work cycle. If you are new to the world of Optometry […]

Billing Guidelines For Your OB-GYN Practice To Follow

Obstetrics and Gynecology is one specialty that involves capacious claims filing. OB-GYN Practice Services are rendered for many family planning, obstetrics, gynecology, and anesthesia procedures. Yet, opportunities to maximize reimbursements are missed in virtually every family practice. Under-coding, omitting modifiers, and submitting claims without the documentation needed to support them are everyday events. The lost […]

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