HIPAA Compliance Redux

Today I picked up a couple of prescriptions from the pharmacy. Again it hit me how no one seems to really be paying attention to the privacy rules-oh if you ask them they show you all of the systems they have in place to meet those compliance standards, but those are quite simply just systems… Continue reading HIPAA Compliance Redux

Updating Your Fees

How often do you update your fees? What resources do you use to update them?These two questions are very important in running your practice. Today I was looking at the reimbursement for 93970. I was comparing the current Medicare allowed for the professional component (26) to the Medicare allowed in 2006. Although the Fed has… Continue reading Updating Your Fees

Deductibles in Depth – Understanding Medical Deductibles

A deductible is a set quantity of medical bills a affected person should pay to grow to be eligible for insurance coverage advantages beneath an insurance coverage program. What does that imply precisely? It implies that earlier than an insurance coverage firm begins to make funds for a affected person, the affected person should meet… Continue reading Deductibles in Depth – Understanding Medical Deductibles

Medical Billing Can’t Succeed With out Powerful Denial Administration

It has been precisely acknowledged that you simply can not handle what you don’t measure. That is notably true within the area of medical billing denials. With no robust Income Cycle Denial Administration system in place you can not correctly handle this essential component of medical billing. If you’re not managing your denials then you’re… Continue reading Medical Billing Can’t Succeed With out Powerful Denial Administration

E&M Medical Necessity

E&M medical necessity denials, what can that mean?On the surface, what could not be right about an E&M code?A lot of the rejections come from an office visit and another procedure performed on the same day. In many of the practices where we take over the medical billing, the physicians have lost money by not… Continue reading E&M Medical Necessity

Dedication & Accountability For Medical Billing, Half II – Accountability & Assist

Workbench and AccountabilityOnce the employees is dedicated, they should be actively managed and made accountable. A technique {that a} Billing Community can guarantee employees accountability is to supply a rigorous mechanism for data alternate between the observe and the billing service. As an alternative of calling the observe and leaving messages when widespread billing points… Continue reading Dedication & Accountability For Medical Billing, Half II – Accountability & Assist

Single Provider Practices

Today I read an op-ed article from a provider lamenting the eminent demise of the single provider practice. His feeling was that the single provider would need to be replaced over time by a multi-specialty practice due to economic realities. As I read the article, I understand why he thinks so, but believe his basic… Continue reading Single Provider Practices

Keep away from Delays in Your Medicare Software by Finishing Types Appropriately

When making use of to turn into a Medicare Supplier it’s essential that you simply full the right varieties and that you simply full them accurately. If you don’t full the right varieties accurately it may trigger delays in your utility and might even trigger your utility to be closed. In case your utility is closed you… Continue reading Keep away from Delays in Your Medicare Software by Finishing Types Appropriately

9 Largest Errors Well being Care Suppliers Make That Lead to Shock Visits From Fraud Investigator

It is no secret for in the present day’s well being care supplier that investigators from regulatory boards, insurance coverage corporations and regulation enforcement businesses are on the prowl in search of suppliers who will not be following the legal guidelines & guidelines – with a significant concentrate on well being care fraud!And, these investigators,… Continue reading 9 Largest Errors Well being Care Suppliers Make That Lead to Shock Visits From Fraud Investigator