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Outsource Strategies International: Blogs

Uninsured Patients – Need for Ethical and Error-free Payment Collection Strategies

Uninsured Patients – Need for Ethical and Error-free Payment Collection Strategies

Hospitals and physicians’ practices need accurate and ethical medical billing services to capture collections from those with and without insurance coverage. Medical billing errors and overcharging can lead to dire legal consequences for healthcare providers. According to a Kaiser Family Foundation report, while the Affordable Care Act led to significant coverage gains, there were still […]

Spine Surgeon Alert: Increase Revenue by Reporting Consultations of Non-Medicare Patients

Spine Surgeon Alert: Increase Revenue by Reporting Consultations of Non-Medicare Patients

Increasing revenues for non-Medicare patients for Spinal practices or for medical billing outsourcing companies dealing with medical billing for spinal surgeons is always important. While spinal practices are well aware that Medicare eliminated consultation codes effective January 1, 2010, the fact is that though many private payers may follow these Medicare’s rules, they are actually […]

California’s New Medical Billing Law Draws Attention to Insurance Eligibility Verification

California’s New Medical Billing Law Draws Attention to Insurance Eligibility Verification

California’s new insurance reform law, AB 72, draws attention to the significance of insurance eligibility verification, which ensures transparency about patients’ financial responsibilities before medical services are provided. Many patients who receive out-of-network services end up receiving surprise bills. AB 72 is meant to ensure that consumers are not unduly burdened by surprise bills from […]

Documenting and Coding Behavior Change Interventions – Smoking Cessation

Documenting and Coding Behavior Change Interventions – Smoking Cessation

Behavior change interventions are crucial to address lifestyle modification for disease prevention, long-term disease management and addiction. Every year usually brings important changes in family practice medical billing and coding as well as payment for these services. Revisions to CPT Preventive Service Guidelines in 2016 In 2016, changes were made to the Preventive Medicine Services […]

Learn About the 2017 CDT Codes Eligible for Medical Cross Coding

Learn About the 2017 CDT Codes Eligible for Medical Cross Coding

The need for dental-medical cross coding is growing in dental practices as many dental procedures can be billed to medical insurance. Cross-coding dental to medical codes involves coding and submitting medically necessary dental procedures to insurance. Today, many dentists rely on an experienced dental billing company to implement cross coding for accurate claim submission, thereby […]

Be Proactive about Patient Collections with Insurance Eligibility Verification

Be Proactive about Patient Collections with Insurance Eligibility Verification

The increasing adoption of high-deductible health plans (HDHPs) with rising out-of-pocket costs has changed the medical landscape as patients’ ability to meet their responsibility is falling. In the current scenario, physicians need to revamp their collections process with strategies like insurance eligibility verification to manage their operational expenses and remain viable. With HDHP’s, the consumer […]

Shoulder Surgery Coding and Billing – Points to Note

Shoulder Surgery Coding and Billing – Points to Note

One of the main reasons why the coders in established medical coding companies are able to ensure error-free clinical documentation is because they have a strong foundation in anatomy, physiology, related medical terminology, disease processes and procedures for different body systems. They are also knowledgeable about Medicare coding guidelines and those of leading industry associations. […]

ICD-10 Surgery Codes – Essentials for Appropriate Reimbursement

ICD-10 Surgery Codes – Essentials for Appropriate Reimbursement

Today, most general surgery practices and departments of surgery rely on experienced medical billing and coding companies to ensure that claims get paid. However, accurate documentation of procedures is necessary for coders to translate the services performed into the correct codes for appropriate reimbursement. The American College of Surgeons reported that the results of private […]