Outsource Your Medical Billing to Avoid Issues Installing a cost-effective, effectual medical billing team is one of the biggest challenges for any healthcare provider. Whether you’re a behavioral health provider, genetic testing lab or an opioid treatment facility, it isn’t easy to create, maintain and scale your own internal medical billing team. Below, some of […]
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Medical Billing Software and Productivity Questioned Does technology really benefit us? The right technology can make our lives easier; however, if they don’t have the right features, they can end up hurting us more than benefiting us. Medical billing software has revolutionized the medical industry. With easier retrieval of medical histories and reduced paperwork, using […]
claim denial manager, e-prescribing, healthcare analytics, Medical Billing, medical billing software, patient portal, voice recognition
Choose a Qualified Medical Billing Group Since there are a large number of companies offering medical billing services, it’s often difficult for a healthcare provider to choose the best-fit, third party billing group for their organization. Healthcare providers have to ask billing companies the right questions on systems and services rendered, thereby making it much […]
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A Comprehensive View on How Medical Billing Works What is Medical Billing? (downloadable PowerPoint, with 67 slides) What is Medical Billing? A Comprehensive View on How Medical Billing Works. (YouTube video) How to prepare medical claims, patient eligibility, example insurance cards, Medicare / Medicade, authorization of services, charge entry, fee schedules, claim submissions, posting ERAs […]
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What a Recession Could Mean for Healthcare It’s looming, in the coming months or next year, many financial experts foresee an inevitable recession in the United States and elsewhere. A large downturn in the economy will adversely affect the aspect of most people’s lives. Their finances, lifestyle and healthcare. Initially, the effect(s) of a recession […]
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Medical Billing Techniques that Can Be Installed to Help Your Medical Practice Health care providers should periodically review their financials and revenue cycle, so that they can take corrective measures at the earliest if required. A great deal of medical offices / health care providers find that medical billing is one area which could be […]
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Revenue Cycle Challenges Frequently Experienced by Hospitals Data suggests that many hospitals find it increasingly difficult to scale and guarantee high revenue cycle performance. As we all know, hospitals have a large number of expenses. It’s crucial that they receive prompt patient payments from insurance companies, etc. It’s vital for all hospital departments to work […]
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Denied Medical Claims Prevention It’s approximated that $3 trillion worth of medical claims are submitted every year to insurance companies, etc., with $262 billion worth of these claims denied. Approximately 65% of the denied medical claims are not resubmitted to the organization which denied the claim. Statistical data indicates that commercial payers are denying 58% […]
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Why Outsourcing Your Behavioral Health Billing is Advantageous Healthcare in a digital environment is complicated, particularly with the numerous regulations that seem to be constantly rolling out additional layers. Healthcare providers are spending more time and resources as they organize patient care, and this time could be put to better use. Using a qualified, outsourced […]
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What distinguishes us from our competitors? There are a number of details that separate us from our competition, both on the medical billing and credentialing side, but specifically for credentialing the following eight processes: Primary source verification: we are alerted to any changes in the providers license, credentialing, DEA, CAQH, NPPES etc., the same day it […]
Credentialing, medical credentialing, medical practice credentialing
Outsourcing your medical billing and coding to a qualified medical billing staff provides your office with the following: Decrease in office overhead, as outsourcing to our billing team saves time and money Support with operating and setting up Electronic Health Records (EHR) Medical Billing Software Utilizing online portals for electronic billing and health record management […]
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Your Medical Credentialing Questions Answered Credentialing for providers, large groups, or facilities can be a tedious task that can often require a team of specialists to handle all the on-boarding information as well as updates throughout the year. As of April, 2018, CMS now mandates that providers maintain accurate information and timely updates. Providers and […]
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MACRA is Coming in 2019 How you and your practice get paid is soon going to change. The Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, is remodeling the way providers are reimbursed for Medicare services. While this may not affect everyone who bills for Medicare services, it will greatly impact smaller offices […]
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New Medicare Cards are set to arrive in 2018 Due to the rising issues of identity theft in the country, the Social Security Administration fears that the current Medicare cards labeled with beneficiaries social security numbers are a high risk. A bill signed in 2015, by President Obama gives the Department of Health and Human […]
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Medical billing and credentialing for medical providers are two different categories in the healthcare world. Before any medical billing can even be completed, the healthcare provider needs to be credentialed with insurance companies in order to be an approved provider of services. Becoming credentialed as an in-network provider dictates the set amount of reimbursement that […]
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Information for medical providers, including links to NPI, CAQH and ICD-10 resources. Medicare: https://www.novitas-solutions.com NPI Registry portal: https://npiregistry.cms.hhs.gov CAQH provider portal: https://www.caqh.org Free ICD-10 lookup tool: https://www.icd10data.com Navinet Provider portal: https://navinet.navimedix.com 2017-2018 CDC Flu Vaccine Information: https://www.cdc.gov/flu/about/season/flu-season.htm Follow my blog with Bloglovin
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