Why You Should Understand the Basics Of Bundled Payment In Healthcare?

Bundled payments sooner rather than later, are likely to become a more common thing in the healthcare industry. Bundled payment policies are being leveraged to incentivize improved care coordination, quality, patient safety, and cost proficiency in a system which is badly in need of developments in these areas. Bundled Payments Is Catching Up With You […]

What Is The Key For Successful Medical Billing And Coding?

Running a successful medical billing and coding business carries a lot of responsibility. This role in a healthcare facility requires you to check with each patient about his/her insurance coverage. Additionally, you also require keeping a track of any procedures and diagnoses that occur during each visit, so that you can charge the patient’s insurance […]

Easy Steps for OB-GYN Facility to Boost Your Practice Revenue

All-day long, the healthcare professionals working in the Ob-Gyn specialty face perplexing issues of healthcare payer requirements which can affect their income cycle. Commercial insurance payers often change filing requirements, while in many states, the Medicaid reimbursements and follow-up processes are challenging, antiquated, or both. As a result, Ob-Gyn facilities often look for a medical […]

Chiropractic Billing Biggest Monthly Revenue Challenges

Chiropractic physicians are also known as wellness physicians. Insurance companies and patients are still jumbling through different contracts to pay wellness physicians. At Medical Billers and Coders (MBC) we cater to the requirement of more than 70 chiropractic physicians. Each physician has different requirements based upon the demography, payer contract, and patient care. Billers and […]

5 Steps Helping Optometrist Maximize Optical Profit

Industry benchmarks help optometrists maximize their profit through different product sales. Eye-wear and contact lenses hold 61 percent of the optometrist gross revenue with eyewear sales alone accounting 43 percent. The Median Gross Profit margin on an eyewear sale is 61 percent and as we see the eyewear market expanding we would be seeing an […]

How Can You Reduce Your Costly Billing Mistakes?

Out of 10, every 8 medical claims are rejected because of the medical coding errors. For end number of reasons, the primary ones are physician has wrongly transposed a CPT or ICD-10 code or inserted the wrong two-digit modifier at some time or another, and insurance companies are quick to let you know you if […]

Risk Adjusted Hierarchical Condition Category (HCC) Coding

HCC is a payment model created by the Balanced Budget Act of 1997. Implemented by the Center for Medicare and Medicaid Services in 2003, the payment model will identify the individual with chronic illness and assign them to a risk factor score. This risk factor score gives CMS a specific plan out that channelizes the […]

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. […]

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