Category: Blog

  • October 9, 2017

Get the Money You are Owed for the Services Provided

Correct coding is essential for the proper billing of your business to occur. When the wrong codes are put it, you can be missing out on hundreds of dollars per client every month. If you are struggling to do your own medical billing without the assistance of a professional biller, you may be in over […]
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Healthcare Coverage
  • September 8, 2017

5 Ways to Make the Most of Your Coverage

Now that you have health coverage, here is what you can do to put your health first and live a long and healthy life. 1. Confirm your coverage 2. Know where to go for answers 3. Find a provider 4. Make an appointment 5. Fill your prescriptions 1. Confirm your coverage: Be sure your enrollment […]
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  • September 8, 2017

Protecting the Patient’s Right to Privacy

One of the most basic rights that a patient has is the right to privacy. Patients have the right to decide to whom, when, and what extent their private individually identifiable health information is disclosed. This information includes but is not limited to medical diagnosis, treatment plans, prescriptions, health insurance information, genetic information, clinical research […]
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RR Insurance Verification
  • September 1, 2017

Insurance Verification: Avoiding Denied Claims

Imagine for a minute that you have received a denial in the mail for an insurance claim and it states that services are not covered or this procedure requires prior authorization. You think for a moment…why didn’t someone know about this ahead of time. Of course, someone would have known if your office had a […]
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Eight Steps To Improve Revenue Cycle Efficiency

Revenue cycle management refers to the business side of your practice—from verifying patient insurance eligibility to submitting claims to receive health plan payments and billing patients for their share of service costs. Although patient care will always be your top passion and priority, an efficient revenue management system is critical for your practice’s financial health […]
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How To Minimize Prior Authorization Delays To Provide Quality Care To Patients
  • August 10, 2017

How To Minimize Prior Authorization Delays To Provide Quality Care To Patients

Prior authorization steals time from physicians that would be better spent with patients and increases practice costs. The process can pose roadblocks to patient care, delaying much needed services or stalling the delivery of a patient’s treatment. These five tips can help you to relieve your prior authorization frustrations and better select a method that […]
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  • August 4, 2017

2019 Payment Adjustment Information – How to Avoid Medicare Payment Penalties

2019 Payment Adjustment Information – How To Avoid Medicare Payment Penalties With Basic Reporting. The Medicare Quality Payment Program (QPP) is designed to potentially reward physicians for providing quality, high-value care to Medicare patients. This is the first year physicians will need to report on quality measures under the new Quality Payment Program (QPP) from […]
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  • August 2, 2017

Medicare – New Cards To Provide Greater Protection

New Medicare cards offer greater protection to more than 57.7 million Americans.  New cards will no longer contain Social Security numbers, to combat fraud and illegal use. The Centers for Medicare & Medicaid Services (CMS) is readying a fraud prevention initiative that removes Social Security numbers from Medicare cards to help combat identity theft, and […]
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ICD-10 Coding Errors, Diagnostic Errors, Payment Reform. Coding Errors

ICD-10 So Far: Frustrations and Hopes

Billing Headaches: Is There a Code for That? Denials become even more of a threat as the finer points of medical coding and billing become overwhelming challenges for many practices. Under ICD-10, the stakes have never been higher. Recent research confirms that ICD-10 as currently implemented is seriously flawed. In 2015, the University of Illinois […]
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ICD-10 Coding Errors, Diagnostic Errors, Payment Reform. Coding Errors
  • June 15, 2017

ICD-10: Useful Detail or Overwhelming Noise?

It’s A Fact of Life Now, For Better or Worse. ICD-10, with its tenfold increase in the medical billing codes (MBC) that healthcare providers and payers depend on for every aspect of medical diagnostics, treatment, and compensation, has been in place for nearly two years now. How has it worked out so far? Well, that […]
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