Medical Claims denied is something we never wanted to see, which is equally frustrating and need to tackle the medical claim process again which is time-consuming along with it reduces your revenue for the practice over time. A recent survey suggested that an average medical practices spend over $17,000 on the calls, works on claim […]
CMS has issued the final rule for 2018 for the Quality Payment Program (QPP). The QPP program is in the second year of implementation continually trying to adjust the QPP to become more comprehensive and offer better incentives for the providers. Changes in MACRA will be affecting the reimbursement for the providers here are some […]
Are my resources performing optimally and will they perform to reduce my overhead cost? These are a few questions asked by a urologist as they gear up for the next year. Most of the urologist is looking towards the high overhead cost of running an individual practice or few urologists asked us to do auditing […]
Health insurance plans and the new bundled payment systems for physical treatments including cardiovascular procedures shift from time to time. This scenario has presented hospitals and physicians to rethink their strategy when it comes to proving services to an individual with cardiology issues. The medical billers and coders who work on such claims need to […]
Getting paid by insurance timely and accurately in any medical specialty including orthopedics is a vigorous process. The introduction of new billing and coding rules is a regular part of all practices, and billers and coders must aware of all coding updates, policies, and conventions required for coding aptly for accurate reimbursements. There are numerous […]
In the rapidly changing healthcare landscape, payers are asking Podiatrists to shift from volume-based care fee for service to a value-based reimbursement structure fee for value with a population health approach. This evolution toward value-based reimbursement benefits the patient, the healthcare provider, and the payer. Value-based reimbursement encourages healthcare providers to deliver the best care […]
OB-GYN is one of the fast-growing practices and keeping up with it is a challenge. As per the recent report from Medscape, the OB-GYN medical specialty reported nearly a similar income in the year 2013 as they did in the year 2012 with only just 0.5% increase in two years, but there was tremendous growth […]
Education and training are the two differences considered primary between ophthalmologists and optometrists. While an ophthalmologist is the physician who “specializes in the refractive, medical and surgical care of the eyes and visual system and in the prevention of disease and injury”; an optometrist “examines the eye for vision prescription and corrective lenses and examining, […]
In the rapidly changing healthcare landscape, payers are asking providers to shift from volume-based care that is a fee for service to a value-based reimbursement structure with a population health approach. This evolution toward value-based reimbursement benefits the patient, the healthcare provider, and the payer. Value-based reimbursement encourages healthcare providers to deliver the best care […]
Providing people with health insurance improves access to care by reducing financial barriers, which are most evident at the point of care — that is when people try to get health care services. For decades, government plans such as Medicare and Medicaid have typically paid doctors and hospitals less than private plans, and even less […]
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