What is an ideal denial percentage? Yes, there will always be some denials
The denial rate represents the percentage of claims denied by payers during a given period and quantifies the effectiveness of your revenue cycle management process. A low denial rate indicates a...
View ArticleHow to read a complicated AR report very easily?
Medical billing reports are a key barometer for understanding what’s going on in your medical practice. Without good reporting, it’s difficult to determine whether your practice is making money or not....
View ArticleMinimum 4 Monthly reports your Billing Company should be sharing with you
As a physician, you need a reliable and efficient business intelligence system that provides automated revenue reports of your practice. These reports will provide you with accurate information...
View ArticleMinimize Your Losses in Medical Practice by Focusing on AR Bucket
Accounts receivable or AR is a term used to denote money owed to your practice for services you have rendered and billed. Any payments due from patients, payers, or other guarantors are considered AR....
View ArticleMaximizing Family Practice Revenue by Implementing These Strategies
Since family practices are facing a lot of factors that make it more difficult to get paid, it’s more important than ever to get proactive about billing procedures. Being proactive and prevent problems...
View ArticleIf You Can Fill and Track These Reports, Your Practice Will Never Face Losses
Creating medical billing reports can help you diagnose the health of your practice. Reports can show you how your practice is performing on important revenue cycle metrics, whether claims are being...
View ArticleAcquaint Yourself with 9 New HCPCS Modifiers
A modifier is a two-digit numeric or alphanumeric character reported with an HCPCS code, when appropriate. Modifiers are designed to give Medicare and commercial payers additional information needed to...
View ArticleEVALUATING YOUR AMBULANCE TRANSPORTATION MEDICAL BILLING PROCEDURE
Ambulance medical billing has been under the lens of Medicare for a very long time due to the fabrication of medical charges and unreasonable billing rates for the patients during an emergency. In...
View ArticleTop 5 Outpatient reimbursement questions for Wound Care
Do outpatient reimbursement challenges frustrate you a lot? Medicare reimbursement regulations that are currently impacting wound care practices. Wound care professionals still have to follow the...
View ArticleTop 7 Challenges with Wound Care Medical Coding
Medical necessity denials traditionally focus on high-dollar MS-DRGs, such as those for hip and knee replacements; other MS-DRGs may also soon become targets. We have identified some of the challenges...
View Article2019 NCCI update impact on medical billing and coding
NCCI – National Correct Coding Initiative promotes the correct coding methodologies. Furthermore, it controls inappropriate coding leading to wrong payments in Part B claims. The CMS annually updates...
View ArticleImproved Acute Myocardial Infarction (AMI) Guidelines
ICD-10-CM implementation brought several significant changes to the OCG (Official Guidelines for Coding and Reporting) with regard to Chapter 9 (Diseases of the Circulatory System) I.C.9.e Acute...
View ArticlePrior Authorization and It’s Impact on Practice Collection
Prior authorization is a check run by some insurance companies or third-party payers before they will agree to cover certain prescribed medications or medical procedures. There are a number of reasons...
View ArticleHow to Avoid Common Medical Billing Compliance Pitfalls?
There are several major issues facing compliance officers today, such as HIPAA, Stark Law, and Anti-kickback Statute issues, as well as many billing compliance issues. Billing issues continue to appear...
View ArticleHow to Manage Incoming Calls at Your Medical Practice?
Medical Practice complains about the volume of incoming telephone calls and how much time their employees spend handling them. Why is your Medical Practice getting so many calls? It is the only way...
View ArticleImpact of High-Deductible Health Plans (HDHP) on Medical Practices
High-Deductible Health Plans (HDHP) have become increasingly popular since the Medicare Modernization Act of 2003 authorized portable, tax-advantaged health savings accounts (HSAs) designed to be...
View ArticleWound Care Billing Guidelines 2019
Not only is wound coding and documentation is a daunting task, but also attracts intense inspection from auditors, with severe financial penalties for mistakes. And it’s only gotten more challenging...
View ArticleStreamline Orthopedic Billing in Florida with Professional Medical Billing...
Orthopedic practices in Florida face numerous challenges when it comes to managing their medical billing processes effectively. From complex coding requirements to dealing with insurance companies and...
View ArticleClaim Scrubbing in Medical Billing: Streamlining Accuracy and Efficiency
The medical billing process plays a crucial role in the healthcare industry, ensuring that healthcare providers receive proper reimbursement for the services they provide. However, the complex nature...
View Article