Get positive ROI on every patient through outsourced optometry billing services!
Every moment when you think that your optometry billing and coding prerequisites are under control, new reimbursement and claims submission guidelines, coding alerts, or dedicated staffing roadblocks...
View ArticleASC Medical billing and coding: The fastest growing Healthcare service!
The Ambulatory Surgical Center (ASC) as a healthcare service market has grown rapidly in recent years. As insurance limitations get more stringent and health costs increasing by the day, more and more...
View ArticleProminent Ambulatory Surgery Center medical billing functions are affecting...
Compliance guidelines that govern the Ambulatory Surgery Center’s reimbursement are wide-ranging, complex and ever-changing. Hence, it’s important for ASCs to hire or partner with Ambulatory Surgical...
View ArticleCAQH and Insurance Credentialing
What is CAQH? Council for Affordable Quality Healthcare, Inc. (initialized as CAQH) is a non-profit organization incorporated in California as a mutual benefit corporation. It is essentially an online...
View ArticleWhat is the Insurance Credentialing Process?
Credentialing is a process that the insurance companies use to verify your education, training, and professional experience and to ensure that you meet their internal requirements for serving as an...
View ArticleCorrect Coding for Pre-operative Clearance
Primary care physicians are often asked to evaluate a patient prior to surgery at the request of the surgeon. Patients at an advanced age and those with significant medical problems face increased risk...
View ArticleEssential Tips for Handling Cardiology Coding and Billing
Cardiology billing and coding comes with multiple procedure rules, complex contractual adjustments, and codes that change regularly. CPT code assignment has the potential to be challenging,...
View ArticleHow to Deal with Patient Responsibility?
As patient responsibility balances climb, practice owners are seeking effective methods of collecting outstanding patient balances and ways to collect more payment at the time of service. Estimating...
View ArticleTime-Based Billing for CPT Evaluation and Management
Within the guidelines of the CPT code book, CPT has stated; “When counseling and/or coordination of care dominates (more than 50%) the physician/patient and/or family encounter (face-to-face time in...
View ArticleEasy Tips for Quick, Accurate and Simplifying the Provider Credentialing Process
Medical Credentialing is a process whereby insurance networks check to make sure that the provider meets the standards set out by the insurance company. In this process, they review a range of...
View ArticleTop 5 Compliance Issues for Ambulance Biller
Ambulance service billing involves a host of unique compliance challenges. The ambulance industry has seen a significant number of false claim cases, fraud investigations, Medicare audit activity, and...
View ArticleTop 3 Radiology Claims Denials and How to Avoid Them?
The goal of a well-managed radiology billing operation is to submit claims for services promptly and receive reimbursement as quickly as possible. Timely submission and prompt payment enhance the...
View ArticleCommon Denials for SNF and How to Avoid Them?
Denial 1: Certification or Recertification Statement (Missing/ Lacked Information) From 2012-2014 the percentage rate of improper payments to SNF almost doubled all stemming from failure to obtain...
View ArticleUnderstand Basics of Optometry E/M Coding
Typically, eye care practitioners don’t use the E/M codes for what most optometrists consider a general eye examination. They are more typically used for patient encounters where the patient presents...
View ArticleWhat is MIPS and How it Affects My Practice?
What is MIPS? On November 1, 2018, CMS released revisions to payment policies under the Medicare Part B physician fee schedule for the Quality Payment Program (QPP) for the calendar year 2019. In...
View ArticleUnderstand Payment Rates and Basics of ASC Billing
An Ambulatory Surgical Center (ASC) is defined by CMS as a facility with the sole purpose of providing outpatient surgical services to patients. ASC is a facility that, very simply, specializes in...
View ArticleReceived Payer Request for Medical Records? Keep Calm and Take These Steps
If a letter were to arrive at your organization in an innocuous-appearing envelope, you may be afraid to open it. It’s unsettling for a payer to request medical records for claims that have already...
View ArticleWhat 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...
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