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8 May, 2023 Category : Medicare

Posted By : Admin

Avoiding Common Pitfalls in Medical Billing and Audit: Best Practices for Success

For medical billing organizations, incorrect billing and audit can result in significant problems, including lost revenue and fines from regulatory bodies. As a medical billing company, you should look for ways to drive more revenue, increase customer satisfaction, and avoid errors. This will help you avoid trouble with authorities while protecting your reputation.

What Is Medical ...

1 May, 2023 Category : Medicare

Posted By : Admin

Ensuring Compliance: The Importance of Accurate Medical Billing and HIPAA Certification

As a healthcare professional, you know how vital correct medical billing is to the success of your practice. The risks of reimbursement rejections, fines, penalties, and in extreme circumstances, even loss of licensing or legal action increase when you don't comply. All these can affect your practice. As a result, you must ensure compliance.

What Is Medical Billing ...

3 April, 2023 Category : Medicare

Posted By : Admin

Maximizing Your Revenue Cycle: Tips for Effective Medical Billing and Audit Strategies

Medical billing and audit techniques in healthcare firms are crucial parts of the revenue cycle. Increased patient satisfaction, better operational efficiency, and enhanced cash flow can all be the outcomes of a successful revenue cycle management strategy.

However, revenue cycle management is challenging and necessitates a thorough knowledge of payer policies, healthcare regulations, and billing standards. In order to ...

23 February, 2023 Category : Medicare

Posted By : Admin

Medicare Replacement Plans: Advantages and Disadvantages

A Medicare replacement plan is a great way to get your original Medicare benefits and, in most cases, prescription drug coverage from one provider. Medicare Replacement Plans are referred to as Medicare Part C or Medicare Advantage Plans by some people.

What Are Medicare Replacement Plans?

9 February, 2023 Category : Medicare

Posted By : Admin

Medical Billing Audit: Everything You Need to Know

Medical billing auditing is something that everyone in healthcare is doing at the moment. Surviving in such a competitive industry is necessary to help people stay compliant. Healthcare organizations process many documents, and errors have a substantial financial impact. A practice must regularly audit its medical billing to determine its efficiency and effectiveness in claims.

What ...

1 February, 2022 Category : Medicare

Posted By : Admin

No Surprise Billing Act: What You Need to Know

The No Surprise Billing Act (NSA). You might have heard of it. You might have even tried to read the thing. In my opinion, it may be the most poorly written, difficult to understand set of regulations I have encountered in my career. Much of the guidance, especially from the Chiropractic Community, is misleading, if not entirely wrong. Here is a summary of what you need to know. Does NSA Apply to Clinics? It does, in part. This is one of the more confusing areas, and many sources ...
28 July, 2021 Category : Medicare

Posted By : Admin

CALIFORNIA MEDICARE AND BALANCE BILLING

First, what is Balance billing? When healthcare providers bill patients for charges that exceed the amount that Medicare reimburses for that service, or in other words, contractual write-offs. If the provider is participating in Medicare/ Medi-Cal balance billing, is illegal. Doctors that aren’t participating with Medicare, but they also haven’t opted out (non-participating) can balance bill you, but the total charge can’t be more than 15% than Medicare will pay. Providers that have ...
28 July, 2021 Category : Medicare

Posted By : Admin

CHIROPRACTORS! MEDICARE IS DENYING…

Medicare is now enforcing their protocol on secondary diagnosis codes and re-evaluation visits. Providers will need to make sure that they’re aware to schedule patients for their re-evaluations exams once they have met the diagnosis visit limit. Expect denials from Medicare if you are not following the guidelines within Short-Term, moderate, and long-term treatment codes. Please refer to the list of codes and how many visits coincide with that diagnosis to determine your
28 July, 2021 Category : Medicare

Posted By : Admin

WHAT IS A MEDICARE REPLACEMENT PLAN?

Medicare is now enforcing their protocol on secondary diagnosis codes and re-evaluation visits. Providers will need to make sure that they’re aware to schedule patients for their re-evaluations exams once they have met the diagnosis visit limit. Expect denials from Medicare if you are not following the guidelines within Short-Term, moderate, and long-term treatment codes. Please refer to the list of codes and how many visits coincide with that diagnosis to determine your