Tag Archives: medical billing services

Prior authorization represented the biggest cost-saving opportunity for providers

Prior authorization represented the biggest cost-saving opportunity for providers

Prior authorization is a check conduct by some insurance companies or third-party payers in the United States before they agree to cover specific prescribed medications or medical procedures for patient. Prior authorization costs accounted for approximate two percent of overall medical industry spending on administrative transactions in last year 2019. Analyzing data from medical plans covering

How Do Oncology Practices Affect Mandatory Bundled Payment Models?

How Do Oncology Practices Affect Mandatory Bundled Payment Models?

One of the new bundled payment models from the Centers for Medicare & Medicaid Services (CMS) that is the Oncology Care Model has increased the interest and doubled the participation numbers among healthcare providers as many medical organizations participating than initially expected. Research-based study shows that many organizations are experimenting with value-based payment models that

Get Ready for Radiology Billing Changes in 2020

Get Ready for Radiology Billing Changes in 2020

The Centers for Medicare & Medicaid Services (CMS) recently published the final Medicare Physician Fee Schedule for 2020, drawing positive and negative reactions from various radiology groups. The American College of Radiology, said it was “disappointed” that CMS chose to finalize plans to implement a upgraded coding structure for office/outpatient evaluation and management (E/M) services.

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

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

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