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How to Tackle the Medical Billing Claims Submission Errors ...

How to Tackle the Medical Billing Claims Submission Errors ... | Best Billing Practices | Scoop.it
Revenue cycle management is many-layered and a non-proficient medical billing company may easily lose its way within its maze, unless they hold the right map which may guide it unfailingly through its many pitfalls.
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Best Billing Practices
Medicalbillersandcoders.com brings to physicians across all 50 states the ‘Best Billing Practices’ guide for all their medical billing needs amidst the changing healthcare landscape. MBC to help healthcare providers has come up with this guide to let physicians decide which area of their practice needs the most attention, giving them a sense of control as they obtain feasible and cost effective solutions for these areas.
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MBC Helps Internal Medicine Specialists In Florida Tackle Medicare & Medicaid Fee Parity Initiative Challenges

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Providers Acquiring Medical Billing Services To Handle the ACA Impact on Revenue | Latest Updates about Medical Billing

Providers Acquiring Medical Billing Services To Handle the ACA Impact on Revenue | Latest Updates about Medical Billing | Best Billing Practices | Scoop.it
The Affordable Care Act has left the healthcare providers in the US worried. A survey conducted sometime back reported that 55% of hospitals expect a dip in their revenue while only 28% think that there would be an increase in revenue.
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Aligning Your Medical Billing Goals with Your Practice’s Goals! | Latest Updates about Medical Billing

Aligning Your Medical Billing Goals with Your Practice’s Goals! | Latest Updates about Medical Billing | Best Billing Practices | Scoop.it
A truly successful medical practice in today’s evolving healthcare industry is one that has its goals aligned with its medical billing goals.
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5 headaches to avoid in billing | Healthcare Finance News

5 headaches to avoid in billing | Healthcare Finance News | Best Billing Practices | Scoop.it
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Is Rare Blood Disorder Caused by HPV Vaccines?

Is Rare Blood Disorder Caused by HPV Vaccines? | Best Billing Practices | Scoop.it
Another autoimmune disorder may be plaguing recipients of HPV vaccines- Idiopathic Thrombocytopenia Purpura, a blood disorder that causes abnormal bleeding.

Via Sepp Hasslberger
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Sepp Hasslberger's curator insight, April 28, 2013 10:07 AM

Another side effect of the HPV vaccines - and it seems the FDA is just looking on, despite clear evidence of this in its vaccine adverse reporting database...

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Medical Billing | PQRS 2013 Incentives and Related 2015 Penalties ...

Most of our clients will likely report at the Individual Professional level.á Group Practices are limited to reporting for Individual Measures only and must report via Registry (see Measure Type and Reporting Mechanism ...
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How best are medical practices prepared to address HIPAA breaches?


Via Andersen Keen
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Andersen Keen's curator insight, April 12, 2013 4:41 AM

Contrary to the notion that government’s move to digitize healthcare information would enable healthcare providers, doctors, and insurance companies comply more aptly with HIPAA’s guidelines for patients’ privacy and security, there has been an upsurge in HIPAA breaches with providers being reported for breaches of some kind or the other. Electronic Health Record (EHR) systems, which are made mandatory for providers seeking to attain ‘Meaningful Use’ status, have shown propensity to be manipulated either internally or by unscrupulous external elements. Either way, providers have been held accountable and penalized for breach of HIPAA’s mandate for ensuring patients’ information safety and security. With the cost data breaches being unbearable and providers or doctors’ credibility at stake, it is inevitable that HIPAA breaches are responded instantly with remedial measures, such as:

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What Implication Will Reimbursement Cuts For 2013 Have on Radiology Collections?


Via Andersen Keen
Jacob Thomas's insight:

Radiology collections, which have been far from being impressive in the recent years, may further go down amidst a host of issues likely to surface throughout 2013. Significant of those issues is the reimbursement cuts, which is supposed to lead to a reduction of almost 19% in the collections of radiology practices. Further, a 25% cut in payments for imaging services has not gone down well with providers, who may eventually be discouraged to comply and continue with revised guidelines.

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Andersen Keen's curator insight, March 18, 2013 4:16 AM
Radiology collections, which have been far from being impressive in the recent years, may further go down amidst a host of issues likely to surface throughout 2013. Significant of those issues is the reimbursement cuts, which is supposed to lead to a reduction of almost 19% in the collections of radiology practices. Further, a 25% cut in payments for imaging services has not gone down well with providers, who may eventually be discouraged to comply and continue with revised guidelines.
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How to Insure Your Practice against an Avalanche of Gastroenterology Coding Challenges?

Gastroenterology codes, like other specialty-specific codes, have regularly been subject annual revisions. During the course of such revisions, many new CPT codes have been added corresponding to modifications in gastroenterology procedures while a few irrelevant codes have been taken off. As a result, physicians’ billing offices or coding staff have had to adapt themselves subtly to these inevitable changes in order to effect accurate gastroenterology coding. Even as physicians’ coding have shown admirably flexibility to imbibe these coding revisions, there is an avalanche of coding revisions waiting to unleash itself on gastroenterology practitioners – ICD-10 in itself would bring forth extensive increase in gastroenterology codes as well their specificity.

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Medical Billing Agencies | Medical Billing companies | Medical Billing Online | Billing Services Provider

 

The Medpro ideal is the one of the best medical billing agenices in california, We are providing services billing services provider, medical billing company, medical billing online (Medical Billing Agencies | Medical Billing companies | Medical Billing...

Jacob Thomas's insight:

The Medpro ideal is the one of the best medical billing agenices in california, We are providing services billing services provider, medical billing company, medical billing online (Medical Billing Agencies | Medical Billing companies | Medical Billing...

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Reforming Nursing Facilities Medical Billing Amidst Dwindling Reimbursements


Via Andersen Keen
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Andersen Keen's curator insight, January 30, 2013 2:18 AM

Nursing facilities across the U.S. have somehow endured a series of Medicare/Medicaid cuts thus far, but the latest move by CMS to reduce reimbursement for so-called Medicare “bad debt” – Medicare co-payments not made by beneficiaries or state Medicaid programs – may bring them on the threshold of a major operational crisis.

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3 ways doctors can protect against social media fraud - amednews.com

3 ways doctors can protect against social media fraud - amednews.com | Best Billing Practices | Scoop.it
By taking a few precautions, physicians can ensure that they don't feel damaging effects from online imposters and false comments.

Via Dr Veronica Anderson
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How can A Medical Billing Service Help in Increasing Revenue at Your Practice?

Quality and cost have been inseparable. And, as U.S. health care industry is defined by new quality benchmarks, cost of administering medical services too seems be rising proportionately. While physicians continue to respond with appreciable clinical efficiency, they seem to have lost ways to find sustainable existence and growth. The existence of intense competition has forced them to operate at the most competitive prices, and off-set with volume. But, volume has failed to generate real revenues due to several reasons. As a result, many practices have either been forced to wind up operations or sell off.


Via Andersen Keen
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Do Medical Billing Reports Work as a tool for your Profitability?

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With ever changing healthcare regulations and evolving high tech healthcare industry, the profitability of your practice can vary dramatically based on how attentive you are to your medical billing reports.

 

Medical billing involves payment for your services by the patient or reimbursement by claim carriers like insurance companies, Medicare, Medicaid, etc. The entire process of medical coding, billing and filing claims involve constant scrutiny and technical knowledge at every step. Most physicians attempt to maintain in-house billing and coding, in order to keep losses and costs on a tighter leash. However, simple outsourcing and simpler analysis of regular medical billing reports can work wonders for your profitability.

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How Vital Is an Effective and Efficient Medical Billing and Coding ...

Thoracic surgical specialty is one of those priority specialties that have always been in high demand across the 50 states in the U.S., and the forecast is for (How Vital Is an Effective and Efficient Medical Billing and Coding in Preservin…...
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Physicians Prefer Hiring Certified Billers and Coders to Avoid Various Coding Errors and Increase Revenue at Their Clinic!

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Providers and patients both are acutely aware that medical coding errors are the core of many billing issues. Medical coding and billing is becoming increasingly complex, and at times larger hospitals require more than 200 people involved to generate a single medical bill.

As certified coders provide proof of coding knowledge and competence; healthcare facilities to increase their revenue, prefer to hire a certified coder to avoid unnecessary coding errors.

Industry Standards State

A survey result depicted certified billers and coders earn approximately 20% more than their non certified counterparts

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HRAAs Industry Pulse Nation-Wide Survey Identifying ICD-10 Dual Coding Efforts

A recent survey of hospital administrators, hospital health information professionals and compliance employees found that one in five small- and...
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An Efficient Medical Billing System Can Avert 90% and also Recover 67% of Your Denials!

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Denials make up an important part of the cost of running a practice as services provided but not paid can significantly affect the profitability of a practice. But the increasing complexity of insurance contracts, falling reimbursements and claims denials are a harsh reality for most practices today.

In the current demanding healthcare environment a good billing system which can accurately recognize denials, denial trends and their causes is a requisite to high productivity and reduced costs.

 

Industry Averages

Preventable Denials = 90%Denials that are Recoverable = 67%

 

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Protect Your Medical Practice in Uncertain Times with a Medical Billing Specialist | Latest Updates about Medical Billing

Protect Your Medical Practice in Uncertain Times with a Medical Billing Specialist | Latest Updates about Medical Billing | Best Billing Practices | Scoop.it
The healthcare reforms brought by the Obama administration have in many ways been an industry-churning affair.
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Demand for Gastroenterology Services to Impact Medical Billing in Clinics and Hospitals?

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The consistent rise in demand for Gastroenterology services has really been a boon for clinics and hospitals. But the growth has been so overwhelming that it started affecting their reimbursements in a big way. While practitioners have generally been preoccupied with clinical duties, their medical billing staff have found the voluminous growth simply hard to cope with. As a result, there may been considerable delay in processing claims, leaving physicians’ bills to pile up as ‘account receivables’.

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Doctors need to explain to patients why they use high-tech diagnostic tools

Doctors need to explain to patients why they use high-tech diagnostic tools | Best Billing Practices | Scoop.it

In an experimental study, psychologist Victoria Shaffer compared the ratings patients give to physicians who didn’t ask for advice, physicians who asked another expert for advice, and physicians who used decision-making software for treatment advice.

 

“Patients had no problem with [physicians who seek] consulting advice from an expert,” Shaffer said. “It was really the use of the computerized decision aid that makes them most concerned.”


Via Andrew Spong
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Andrew Spong's curator insight, April 8, 2013 4:05 AM

Everyone wants the fastest, most accurate diagnosis they can acquire (although they may also want a second decision). Clinical decision support tools can help deliver on this requirement in a timely manner.

 

To me, this article is suggesting that there is an educational need for doctors who use diagnostic tools to explain to their patients why they are using them, *not* a suggestion that they stop using them.

Deborah Verran's comment, April 9, 2013 1:40 PM
Important that everyone in the healthcare system understand what are the challenges with conveying why this technology is being used, to the public
Steve S Ryan, PhD's curator insight, April 16, 2013 6:34 PM

[SSR: Never underestimate the value of asking for expert advise. It makes you look smart to use multiple resoucres.]

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Herzing, Owens sign reciprocity agreement - Toledo Free Press

Herzing, Owens sign reciprocity agreement - Toledo Free Press | Best Billing Practices | Scoop.it
Herzing, Owens sign reciprocity agreement
Toledo Free Press
Health care programs in health information management, health care management, insurance billing and coding, medical assistance services and surgical technology.
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Would Dwindling Medicare and Medicaid Payment Rates Turn Providers to Private Insurance Beneficiaries?

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It is an irony that Medicare and Medicaid, which reimburse more than the half of the nation’s total health insurance, have come in for heavy flak by physicians, who claim to have lost considerable revenues that they could otherwise have rightfully earned had they avoided seeing Medicare and Medicaid beneficiaries and favored patients with private health insurance policies.

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Scientists Point Out Corruption in Vaccine Promotion

Scientists Point Out Corruption in Vaccine Promotion | Best Billing Practices | Scoop.it
Some scientists are speaking out against Big Pharma-governmental corruption regarding the pushing of Merck's Gardasil. Here's what they have to say.

 

"Keeping in mind that “the primary interest of a pharmaceutical company is developing and selling pharmaceutical product,” one must ask whether rational vaccine policy decisions should be based on conclusions derived from an uncritical acceptance of flawed vaccine safety and efficacy estimates provided by the vaccine manufacturer."


Via Sepp Hasslberger
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How to Manage the Stress of Uncertainty

How to Manage the Stress of Uncertainty | Best Billing Practices | Scoop.it

Via Daniel Watson
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Daniel Watson's curator insight, February 4, 2013 3:48 PM


Starting any business is a great leap of faith, and with everything usually on the line, stress can become a negative factor that may prevent a business owner from succeeding with the new enterprise.


The major stress that impacts on new business owners, is the stress associated with the level of uncertainty involved, and learning how to cope with this particular stressor, is an important step on the road to success.


This excellent article, suggests that experienced entrepreneurs think and act in ways that virtually negate the stress of uncertainty, and it identifies four ways that experienced entrepreneurs go about negating the stress associated with uncertainty.