Blog on Medical Billing, Billing Outsourcing and Healthcare Billing
With the fast changes in the healthcare reimbursement domain, many of the US based medical billing companies are increasingly finding it difficult to service clients with just their internal resources. The best solution is subcontracting some of the medical billing functions to offshore medical billing vendors. Continue reading “Offshore Medical Billing – What are the Benefits?”
Medical Billing and Coding is not as simple as ‘shooting fish in a barrel’! This intricate process involves a host of services, including insurance verification, demo and charge entry, data conversion, indexing, claim submission, payment posting, and revenue cycle management to arrive at the desired result. Continue reading “The Importance of Correct Charge Entry”
In recent times, medical science has advanced to new heights, and numerous drugs are being invented to cure a broad spectrum of diseases. However, the simple fact is that we still watch swarms of patients crowded in hospitals. The reason is that new and challenging diseases develop as we eradicate the old ones. Continue reading “Importance of getting Old Medical Records Indexed”
With the adoption of the PPACA and the HITECH Acts as a part of the ARRA in 2009, the stage was set for the rollout and fast implementation of ACOs. The idea for an ACO was mooted only in 2006 and the very quick adoption and movement towards this model only highlights the importance of reigning in uncontrolled healthcare spending in the US (compare this to the almost 20 year delay in implementation of ICD-10!!!). Continue reading “ACOs – How does it change the healthcare landscape?”
Any physician would be happy to get maximum reimbursements for the service that he/she rendered. But, the present circumstances in the United States demands physicians not only be great healthcare professionals, but also be smart enough to earn maximum reimbursements in medical billing. Continue reading “Getting maximum reimbursements in medical billing”
With the medical billing and coding industry evolving and changing at an unprecedented rate, the focus has shifted from simple (paper?) to complex and complete documentation – be it on the clinical or process side. As and when new changes get announced, there is more and more emphasis on the necessity for proper documentation. Continue reading “Why is documentation crucial in medical billing and coding?”
If you are a medical practice that has chosen to outsource medical billing and coding functions, it is essential that you need to follow certain guidelines that will make outsourcing a success for you. Continue reading “Medical billing outsourcing – How to make it successful?”
The U.S healthcare industry is one of the most active segments in the world. The industry often faces great challenges of new process/software implementations while meeting the growing needs of healthcare. The current scenario in the industry requires the healthcare organizations to reduce costs and improvise the processes. Continue reading “Why outsource to medical billing specialists?”
After the chaos that the HIPAA 5010 implementation has created in the industry, there are multiple unanswered questions before us. It all revolves around two factors – Healthcare implementations and the day to day billing operations. Are we striking proper balance between the two? Are we taking the medical billing and coding implementations seriously? A genuine answer to the questions would be a big ‘no’ from most of us. Continue reading “Physician billing towards balanced work”
The Speaker of the House of Representatives has announced that the House GOP Caucus has agreed to pass the short-term (two month) SGR fix. The House could pass the legislation as early as tomorrow but it is also possible that the vote will have to wait until next week. The bill that is expected to be passed would continue the 2011 Conversion Factor for the Medicare Physician Fee Schedule until March 1. The Congress will have to pass another “fix” between now and February 29th in order to prevent an SGR related cut on March 1st. Continue reading “SGR – latest”