Following the complex chiropractic billing and coding requirements, keeping in tandem with the state regulations, along with timely claims submissions is something that practitioners should always remember. All this will only ensure timely reimbursements for your facility. However, as a Chiropractor, striking a fine balance between patient care, and maintaining a healthy income cycle can
Electronic health records (EHRs) are the most important means whose implementation can be widely helpful to improve the safety, quality, and efficiency of health care. This digital makeover of the health care revolution gives scope for personal health information for no direct uses as well, such as research, analysis, public reporting, provider certification and authorization
Using modifiers accurately is an important component in medical coding, billing, and reimbursement. Applying modifier 22 (Increased procedural services) can help increase reimbursement. Modifiers indicate that the work done by the provider does not exactly correspond to the CPT code descriptor. Appending incorrect modifiers or not appending the correct modifiers can attract audits, and lead
Medical Payments and Billing are also an aspect of Patient care. A negative payment experience could impact a patient’s overall impression of a healthcare organization. Improving patient satisfaction can benefit in patient retention, accelerating revenue flow and improving patient health. SIMPLIFY BILLING: A complex billing process is a significant hurdle in the collection. Complicated billing
Healthcare and medical organizations with the understanding of the importance of procedures perform streamlined and straightforward business operations to ensure that the services are executed effectively, securely thereby, following the substantial regulations of the healthcare industry. HIPAA compliance is very important regulation in healthcare industry. Fax services should have HIPAA compliant in medical billing services.
The first piece of prescription-drug pricing legislation emerged from a unanimous vote on the House Ways & Means Committee in April. That means the Prescription Drug Sunshine, Transparency, Accountability and Reporting (STAR) Act is well on its way to passage in Congress, either on its own or in any larger health care bill the House and
Why is credentialing important? Credentialing is the process of gaining, verifying, and assessing the qualifications of a practitioner to provide care or services in or for a health care organization. Industry-recognized credentials help employers to validate the information and skills of potential employees and save time in selection of the skilled physicians for jobs applications.
Accountable care organizations (ACOs) are part of the foundation of the healthcare industry’s transition to value-based care and purchasing. The federal government says ACOs could do more to reduce costs and improve care quality. And the organizations can achieve the goals through downside financial risk. ACO programs with higher financial risk levels compared to the
Diagnosis coding is becoming more and more important. The shift from volume to value requires HCC coding for patient acuity not just diagnosis coding for medical necessity. As the healthcare reimbursement process shifts towards a Value-Based model, Fee-for-Service will continue. However, there are many other reporting mechanisms that will now utilize diagnosis codes. DEMOGRAPHICS +
Low-value health payer plans and short-term health plans are just to attract consumers for profits with fewer services being provided shortly. Those individuals who were between jobs or in other situations in which they could not obtain their health payer coverage were attracted by such short term health plans. But at least there is an