Minimize 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 ArticleHere’s Why Medicare Isn’t Paying You?
There are two main categories of services which a physician may not be paid by Medicare: Services not deemed medically reasonable and necessary Non-covered services In some instances, Medicare rules...
View ArticleWhat is Medical Auditing? How it can be Performed?
Medical auditing entails conducting internal or external reviews of coding accuracy, policies, and procedures to ensure you are running an efficient and hopefully liability-free operation. Quality...
View ArticleHow to code CPT 99490?
Chronic Care Management (CCM) services are generally non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more) chronic conditions expected to last at least 12 months,...
View ArticleOIG Compliance Updates for Medical Billing Companies
Health care providers are relying on medical billing companies to a greater degree in assisting them in processing claims in accordance with applicable statutes and regulations. Additionally, health...
View ArticleThe Ins and Outs of Data Security for Medical Practices
According to research published in 2016 from the Ponemon Institute, criminal attacks have increased by 125% since 2010 and now represent the leading cause of healthcare data breaches. What’s more,...
View ArticleIncreasing Productivity of Therapy Practice
The schedules of physical therapists tend to be extremely busy. With the digital age being in full swing, your attention and focus can be pulled in many different directions affecting overall...
View ArticleRelieving Regulatory Burdens on Small Practices and Solo Providers
Regulatory burdens on small practices and solo providers have never been greater, including MIPS/MACRA, HIPAA, patient-centric engagement, as well as the need to comply with fee-for-service and...
View ArticleMedicare Advance Beneficiary Notice – 5 Tips for Reimbursement Success
An Advance Beneficiary Notice (ABN) is a waiver of responsibility that is issued to a patient to make sure you receive payment for services and items that are usually covered by Medicare but are not...
View ArticleCardiology Coding Got You Down? Use These 5 Tips For Success!
Your cardiology practice isn’t alone if you’re concerned about overcoming reimbursement hurdles in the coming year. Apart from nailing down CPT, ICD-10, and HCPCS code changes, you’ll also need a firm...
View ArticleAmbulatory Blood Pressure Monitoring (ABPM) Coverage Expanded by CMS
Centers for Medicare & Medicaid Services (CMS) finalized its national coverage policy for Ambulatory Blood Pressure Monitoring (ABPM) on 02nd July 2019. ABPM is a non-invasive diagnostic test that...
View ArticleBasic Guidelines for Billing Nebulizers
Nebulizers can be covered if the member’s ability to breathe is severely impaired. Lung diseases such as chronic obstructive pulmonary disease (COPD) and asthma are characterized by airflow limitation...
View ArticleBasic Guidelines for Inhalation Treatment Billing
There are many services and products that may be billed when a patient presents with chronic asthma or other serious respiratory conditions or acute exacerbation of related symptoms. Physicians must...
View ArticleChanges in RT and LT Modifier Usage
The Durable Medical Equipment Medicare Administrative Contractors (DME MAC) are changing the requirement that medical coders to use the right (RT) and left (LT) modifiers for certain HCPCS codes, and...
View ArticleGlobal Surgery and Billing Guidelines
The global surgical package, also called global surgery, includes all the necessary services normally furnished by a surgeon before, during, and after a procedure. Medicare payment for a surgical...
View ArticleImportance of Medical Audit
The medical audit is the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and...
View ArticleKey Points for Assistant-at-Surgery Billing
Assistant surgeon billing can seem overwhelming, so it’s crucial to take it one step at a time. But there are several key points to remember that will make it much easier to understand. Assistant at...
View ArticleModerate (Conscious) Sedation Coding Guidelines
Moderate sedation are services provided by the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports. They require the...
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