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Is it required to shift Value-Based Care in Primary Care Staffing Model?

Is it required to shift Value-Based Care in Primary Care Staffing Model?

The medical assistant is the only model for primary care staffing can be the most cost-effective for practices relying on fee-for-service revenue. But the this model will not be able to support value-based care and other sophisticated revenue arrangements, Premier recently reported. Physicians will have to reevaluate and tweak the arrangements of their clinical care

Strategies to maximize the effectiveness of Prior Authorizations

Strategies to maximize the effectiveness of Prior Authorizations

Using automated systems, proactive checks, and expert and dedicated staff are three ways that providers can reduce the bad effects of prior authorizations. Prior authorization is a strategy that payers use to control cost and ensure that their insured members receive medically necessary care. Advance approval from payers is required to deliver specific services or

Ambulance reimbursement: How to strengthen your Ambulance Billing?

Ambulance reimbursement: How to strengthen your Ambulance Billing?

The alterations between medical and ambulance coding are many. Not only are the procedure codes and documentation unique, but things that doctors and hospital coders take for granted do not apply in ambulance medical billing and coding. Ambulance medical billing service presents a unique set of compliance challenges. The ambulance industry over the past few

Basics of documentation for Mental Health Specialty

Basics of documentation for Mental Health Specialty

Mental health billing documentation has specific responsibilities to perform in order to receive reimbursement from the Medicare program. Medical billers have to ensure that the claims submitted are true and accurate, while justifying the medical record documentation for billed services. Mental health billing documentation is simple terms is the process of recording details about a

Tips to increase collection in Chiropractic Medical Coding and Billing

Tips to increase collection in Chiropractic Medical Coding and Billing

To become successful in chiropractic medical billing and coding practices have a number of elements to look into. This includes a savvy practice management, strong accounts receivables, a well trained staff, and the capability to properly code and document diagnoses. As a well-established chiropractic medical billing and coding company we have compiled our best resources

The Do’s and Don’ts for Urology billing and coding

The Do’s and Don’ts for Urology billing and coding

Urology medical billing and coding is a precise work undertaking which should be handled by a team of professionals. If a urology facility fails to meet required regulations by all the concerned parties, you might face a negative income cycle. If you look at the history of urology medical billing and coding, one can rectify

Medical billing performance metrics

Medical billing performance metrics

If you are a medical practitioner are feeling overwhelmed adjusting with medical billing performance metrics the first thing to do right now is to focus on quality coding and track KPIs which will heavily impact your financial performance. The current billing landscape is not a road for many medical practices to navigate. The transformation of

How to improve the Prior Authorization process of your oncology practice?

How to improve the Prior Authorization process of your oncology practice?

Oncology Prior Authorization in medical billing service is an integral part of the cancer facility, to stay steady in the business. If not done precisely, one might end up losing cash.  In a recent survey conducted on oncologists, they said that prior authorization is a vital part of their process and needed by health insurance payers,

Cardiology Insurance verification services in Houston

Cardiology Insurance verification services in Houston

If you own or run a cardiology facility in Houston insurance verification service becomes an integral part to your medical billing procedure. And if not done precisely, incorrect details cause cost you delayed and denied claims. Often the healthcare staff forgets to update the information and these directly result in your healthcare facility losing out

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