Medical Billing Archives - Page 4 of 5

December 10, 2014July 24, 2018

CMS’ Health Surveys to strengthen PQRS

Consumer Assessment of Healthcare Providers and Systems:

This is a survey developed by CMS, to gain feedback from patients and their relatives about experiences with and ratings of their healthcare providers and plans. The survey includes hospitals, home health agencies, Doctors (single and groups), and health drug plans. The survey results are publicly shared by CMS, so Providers may have an impact due to ratings, because it is the feedback of the patients. Continue reading “CMS’ Health Surveys to strengthen PQRS”

October 29, 2014September 14, 2016

Ebola Scare in the US!

The growing panic among the US citizens over the Ebola virus has become the recent buzz in the country. The US Centers for Disease Control and Prevention (CDC, Atlanta) has estimated that by August 2014, approximately 68 Ebola scares were handled by US healthcare facilities and state labs. The numbers have doubled and tripled in the months of September and October. The latest news is that the deadly virus could reach Britain and France by the end of this month (October). The approximate number of people infected so far by this rapidly spreading virus is 7,200. Let us take a look at when and where it all started and how scientists and healthcare workers are struggling to contain a full-fledged outbreak: Continue reading “Ebola Scare in the US!”

March 24, 2014December 15, 2020

Why is India a Better Offshore Destination?

Lately, outsourcing medical billing has become a common practice in the US healthcare domain. To streamline the medical billing activities of a customer, US medical billing companies partner with offshore medical billing companies located in various countries, including India. Continue reading “Why is India a Better Offshore Destination?”

February 28, 2014June 29, 2016

It is Insurance Eligibility Verification time!

The effort taken by most healthcare entities in minimizing claim denials has become remarkable in the recent times. They pay more attention in documenting patient demographics, entering ICD & CPT codes, updating current charges, performing regular AR follow-up and more. However, their claims still get denied by the Payer. Continue reading “It is Insurance Eligibility Verification time!”

February 17, 2014December 15, 2020

Pros and Cons of Offshore Medical Billing

We all know that Healthcare Providers are trying their best to sustain their practice, especially after the new healthcare reforms. It is the same scenario with US based healthcare outsourcing companies as well. Since their end-clients are facing the changes, the healthcare outsourcing companies also face the same concerns. Continue reading “Pros and Cons of Offshore Medical Billing”

February 3, 2014December 19, 2020

How soon can you start saving when using Offshore Medical Billing?

Due to the recent changes in the US healthcare domain, the onus of providing medical billing services with consistent quality has increased for the US based medical billing companies. The offshore medical billing model has become a ‘hard to avoid’ option in recent times. Evidently, many outsourcing medical billing companies in the US consider it a better option than to expand their team of employees. Continue reading “How soon can you start saving when using Offshore Medical Billing?”

April 25, 2013July 24, 2018

HHS Sequestration – How does it Impact your Billing?

Recently, medical billing companies have been facing a tough time due to the payment reductions caused by the Patient Protection and Affordable Care Act. In addition, a new challenge – the HHS Sequestration has worsened the payment scenario. The Center for Medicare and Medicaid Services has brought into effect the sequester provision of the budget control law on April 1, 2013. According to this law, a 2% cut will be implemented on all Medicare provider payments. The impact is more since we are beginning to see that HMOs and some of the Commercial payers following suit. Let’s see how the HHS Sequestration Plan impacts the revenue cycle management of medical billing companies, Continue reading “HHS Sequestration – How does it Impact your Billing?”

April 6, 2013July 24, 2018

Denial Management – Check on the Web or Call?

Denials are a big problem faced by both healthcare facilities and individual physicians. Even though they take concerted efforts on medical claims processing, claims do get denied by the payer for several reasons. Claims can be re-sent to the insurance company but only on learning the status of the denied medical claims. Continue reading “Denial Management – Check on the Web or Call?”

March 19, 2013June 29, 2016

Importance of Modifiers

The importance of modifiers in Coding is that they play a vital role in medical claims processing. Therefore, Healthcare Facilities and Providers must show extra care while using modifiers in the medical billing and coding process. If they fail, then there could be serious repercussions concerning reimbursement. Continue reading “Importance of Modifiers”

December 5, 2012June 29, 2016

How promptly are your denials handled?

The prime hassle that most medical billing companies face from their clients is undoubtedly prompt handling and managing denials. “How promptly do you handle your client’s denials?” – When this question is asked, most of the billing companies indicate that this is their biggest pain-point. Continue reading “How promptly are your denials handled?”