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Outsource Strategies International: Blogs

Medicare Consult Denials – Key Clarifications

Medicare Consult Denials – Key Clarifications

Starting January 1, 2010, Medicare stopped paying CPT procedure codes for consultation services CPT 99241-99245 – office or outpatient consultations and CPT 99251-99255 – inpatient initial consultations. A lot of confusion still prevails on the right codes to use for medical billing of specific services provided during the consultation. Here are some key clarifications on […]

How Physicians can Prepare for MACRA

How Physicians can Prepare for MACRA

The Medicare Access and CHIP Reauthorization Act (MACRA) which was signed into law in April 2015 will shift reimbursement from fee-for-service to pay for quality and value of services. MACRA rules apply only to medical billing for Medicare by physicians’ offices. Under the program, the U.S. Centers for Medicare and Medicaid Services (CMS) plans to […]

Real-Time Electronic Prescription Prior Authorization on the Cards

Real-Time Electronic Prescription Prior Authorization on the Cards

Insurance verification and authorization is the first and probably most important step in the medical billing process. Patient eligibility verification involves checking out the patient’s coverage before services are provided. While checking patients’ insurance benefits properly is crucial, recent reports show that getting prior authorizations from insurance for prescription drugs can prove even more time-consuming […]

New Study Finds Genetic Link to Depression

New Study Finds Genetic Link to Depression

Widespread but unrecognized in many cases, major depressive disorder is a common mental disorder that can negatively impact almost all areas of a person’s life. Symptoms include fatigue, irritability, difficulty concentrating, feelings of hopelessness or helplessness, social isolation, loss of interest in activities, insomnia or sleeping too much, appetite changes, sudden weight loss or weight […]