If your in-house billing team isn’t fulfilling the duties related to claims management or re unable to suffice the billing management you can’t rely on them. However, today with options to outsource and partnering billing agencies, the income cycle of your practice can steadily move and grow. Due to inefficiency and lack of knowledge towards
Ambulatory surgery centers (ASCs) have demonstrated an ability to control costs and save money with improved quality and customer services. ASC’s provide a lower-cost site of care as compared to hospital outpatient departments (HOPDs). There has been a reduction of more than $38 billion per year in the cost of outpatient surgery. Below are a
The radiation oncology bundled payment model has been proposed and would be mandatory, reimbursing providers in specific areas a prospective, site-neutral payment starting in 2020. This model aims to improve the quality of care for cancer patients undergoing radiotherapy treatment and reduce provider burden. This payment model shall test whether a prospective, site-neutral payment to
It is one of the most exasperating challenging tasks for physicians to obtain prior authorizations for prescriptions and testing in their services. In the physician’s percept, prior authorizations are nothing but it’s just insurance companies inserting themselves into the care decision-making process, creating problems for both doctors and patients. Physicians say they have to face
If you read the www.paymentaccuracy.gov website on the topic of ‘The Improper Payments and Elimination and Recovery Act of 2010’ it clearly defines an ‘improper payment’ as any reimbursement/payment which was incorrect or was nor made due to incorrect charge entry, contractual, administrative, or any other federal requirements. Calculating the Improper Payment Rate From a
The recent changes in the U.S healthcare system have brought with it variety of challenges for healthcare units, patients and insurance companies alike. Staying afloat in such a transition can be a tough task, while the frequent alterations of medical billing and coding rules and regulations, can cause income loss. Crossing the Hurdle Though economist
A timely turnaround time in claims cycle and fair payment is what almost all the healthcare service providers in the United States look for. And in order to achieve this target downcoding is something you need to avoid. Downcoding on the outset is a pure threat to your healthcare business as insurance companies down code
As ASCs observe a period of deteriorating reimbursement, regulatory changes and challenges, numerous ASC facilities are trying to guide their medical billing and coding team through budgetary crises. Experts in the field are looking for feasible solutions that will align their reimbursement with services provided. The first and foremost step to improving ASC billing and
We at Medisys understand that the revenue cycle management (RCM) for optometry medical practice has become complicated than ever before. With the on-going changes in insurance policies, federal policies, along with rigorous compliance regulations and healthcare reforms, it has become harsh for optometrists and medical billing staff to keep pace. The result, incorrect or delayed
For radiologists all over the United States, the medical billing and coding process is often viewed as burdensome. Most times it is difficult to remain up to-date on all the billing regulations and individual payer changes, with no time to understand them. But, it’s imperative for the radiology practice to thrive. Gradually more radiologists are