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
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,
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
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
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