In medical practices documentation, billing, coding, compliance, and auditing have become buzzwords after ICD-10. Cardiology billing and coding is one of the most complex billing and coding procedures for billing experts and physicians. It comes with numerous process rules, continuous changing of codes, and contractual adjustments. Some of the challenging factors occurred while coding and
As we know the world is going through the crisis of COVID-19 and the government of every country is urging people to stay at home. On the other hand, healthcare providers are battling on fields to mitigate the intensity of novel coronavirus. According to the latest data by world health organization (WHO), globally there are about
DEMPOS stands for Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS). The DEMPOS competitive bidding program was set by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA). In order to become Medicare contract suppliers, under the DMEPOS Competitive Bidding Program, DMEPOS suppliers compete with each other by submitting bids to provide certain
End to end revenue cycle management deals with the distribution of cash flows and accelerate the reimbursement process. Apart from this, it also helps hospitals and healthcare service providers in order to handle the complexity of the revenue cycle, which ultimately raise their bottom lines. In today’s era decreasing reimbursement, changing health plans and industry
With the advancements in medical professions and medical emergency throughout the world with COVID19 infections, a lot of researches have come to light. Let us understand the diagnosis coding for ICD-10-CM. International Classification of Disease ICD stands for International Classification of Disease, a technological innovation that helps to spot health trends, statistics and new diseases
Revenue cycle management (RCM) is the backbone of the healthcare industry as every healthcare organization needs to develop successful processes and policies for financial stability. The healthcare RCM begins with patients appointment to seek medical services while ends on settlement of claims and payment collection. The key stakeholders in this healthcare RCM are Physicians, patients,
The noble cause of saving lives and treating patients is the prior most aim of the healthcare providers like doctors, physicians, imaging centers, emergency and intensive care centers, pharmacies, etc. Perfect financial management, tools and techniques to meet inevitable crises and expertise are needed to run and flourish the healthcare industry smoothly. So, the healthcare
Medical bills in the notoriously twisted health insurance matters are at times quite confusing for the patients. Sometimes, patients may grumble to visit back if they are confused about what they owe or what their insurance can pay for. They may fear for going ahead for further treatment, rather may not approach either. The reason
Medical billing and coding are the backbone of the healthcare revenue cycle. It ensures payers and patients reimburse providers for services delivered. Medical billing and coding interpret a patient come across into the languages used for claims submission and reimbursement. Billing and coding are separate processes. But both are crucial to receiving payment for healthcare
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
Get a Quote