When it comes to collecting co-pays, checking in patients and verifying insurance, the front desk staff has a vital role to play. The front desk also has a role to play in medical billing and collections for the practice. But even the back office does a lot of heavy lifting for billing and [...]
For healthcare providers, the medical billing cycle is based on code sets, especially the ICD-10 code set. There are several steps involved in the billing cycle, registration of patients, conformation of financial responsibilities, patient check-in and check-out, preparation of claims, checking [...]
Strategies implemented by Medical Billing companies can vary depending on the practice they are working for. Not every practice is the same and therefore, the same set of strategies is not applicable for all. However, there are certain best practices they implement to get their clients paid, such [...]
Do you have an effective patient payment strategy in place? If you wish to maximize collections and streamline your practice workflow, then make sure you are serious about patient collections. According to a survey conducted by MGMA (Medical Group Management Association), approximately 25% of [...]
When was the last time you reviewed financial reports for your practice? If you can’t remember, then now is the right time to start because handling the business end of healthcare is equally important. If you don’t have a good understanding of financial reports, then you will be missing out on [...]
Private practices across the US are bracing for another series of changes from the CMS (Centers for Medicare and Medicaid Services). Changes like new legislations, more inpatient codes, compliance demands, cuts to Medicare physician fee payment rates and performance-based incentives and reporting [...]
If you are a practice that wishes to contract with third-party payers, then it is necessary that you attest to the qualifications and competencies of your physicians. This needs to be done through a process of source verification, data collection and committee review. If the physicians are not [...]
Medical industry is moving fast forward at present days and many new types of equipment are found to make everything simple and painless. The Durable Medical Equipment is one of the important aspects when it comes to treating patients for various therapies. They are useful for patients to save [...]
The most successful insurance companies all through the nation in our time issue denials for different reasons. Some of these denials do not indicate about the claim cannot be paid. However, such claim needs corrected or additional details before it has to be processed. Some of these details are [...]
In the modern world everything is getting converted from manual mode to electronic world and so are the medical records of patients. Nowadays most of the doctors relay on EHR (or) EMR for their patients records. EHR (Electronic Health Record) Electronic health record is a way to record all [...]
