Tag Archives: Specialized Medical Billing & Coding Resources

Final rule for Medicare Advantage and Medicare Part D plans

Final rule for Medicare Advantage and Medicare Part D plans

The CMS (Centers for Medicare & Medicaid Services) issued a final rule on May 16, 2019 that modernizes and improves the Medicare Advantage and Part D programs. Now patient will have transparency into the cost of prescription drug in Part D and will also allow Medicare Advantage plans to negotiate better prices for physician-administered medicines

Oncology Care – Precision Medicine Can Lower Drug Cost

Oncology Care – Precision Medicine Can Lower Drug Cost

There is a lot of connection between the terms “precision medicine” and “personalized medicine.” According to the National Research Council, “personalized medicine” is an older term with a meaning similar to “precision medicine.” Precision medicine is a method to patient care that allows doctors to select treatments that are most likely to help patients based

TOP HEALTHCARE REVENUE CYCLE RISK IN 2019

TOP HEALTHCARE REVENUE CYCLE RISK IN 2019

According to recent research from public accounting, consulting, and technology firm Crowe, patient access and medical billing and collections are among the top healthcare revenue cycle risk areas for healthcare providers in 2019. Hence, early detection and preparation is the best way to alleviate these risks. The researchers defined a risk area for hospitals, physician

How to squeeze full reimbursement in Optometry Billing?

How to squeeze full reimbursement in Optometry Billing?

Optometry includes curing vision-related problems, fitting of lenses, diagnosing and treating certain ailments of the eye, sight testing, and correction by the initiation of diagnosis, treatment and the supervision of vision changes. Having its own set of issues with billing and reimbursement, Optometry must focus on receiving the entire payment for treatment provided. The following

Healthcare Spending to Rising by 5.5% Annually in the USA

Healthcare Spending to Rising by 5.5% Annually in the USA

National health expenditures are projected to grow at an average annual rate of 5.5 percent for 2018-27 and represent 19.4 percent of the gross domestic product in 2027. Following a ten-year period largely influenced by the Great Recession and major health reform, national health spending growth during 2018-27 is expected to be driven primarily by

How to choose a medical billing service firm?

How to choose a medical billing service firm?

Outsourcing your medical billing is a huge decision with potentially far-reaching financial and legal implications. Choosing a reputable medical billing partner is critical to ensuring your practice’s financial success. When selecting a medical billing service, there are a few things to keep in mind. Price Choosing a vendor solely on the basis of a low

Best Practices of Medical Billing

Best Practices of Medical Billing

The medical billing process is arguably the most crucial business operation for many hospitals, ambulatory surgery centers, or other healthcare facilities. Inefficient billing practices, billing mistakes and ineffective follow up can add up quickly, costing hospitals and healthcare facilities thousands of dollars in lost revenue. The good news is that there are steps you can

Medical specialties facing coding challenges and tips to overcome them

Medical specialties facing coding challenges and tips to overcome them

As intricate and complex as medical billing and coding can be, it is completely possible for things at your medical practice to actually run smoothly and go as planned. And when this happens, a claim is generated and only has to go through the process once instead of having one or several repeated steps. This

Benefits you get when you outsource optometry billing

Benefits you get when you outsource optometry billing

A financial plan must be set aside for an optometry billing solution provider, and you may then wonder if such services are worth springing for. However, when you have the right billing partner, the benefits of outsourcing optometry billing far outweigh the costs of these services. Here are some benefits of outsourcing optometry billing Don’t

Patient Collections: Strategy to success for DME suppliers

Patient Collections: Strategy to success for DME suppliers

DME suppliers are living in an era where increasing patient liability is adding to the growing struggle to maintain a positive cash flow and keep their businesses afloat. There has been no easy button, but until now. One of the biggest mistake DME providers do is that without proven methods to identify patients, verify insurance