Complete Revenue Cycle Management for
Medical & Dental Clinics, Practices and Hospitals
Healthcare providers and medical coding companies had a one-year grace period for ICD-10-coded medical claims. According to a recent report in Physicians Practice, claims statistics showed improvement in Q4 2016 after the end of the ICD-10 grace period in October...
Costly chronic conditions of ICD-10-CM have been classified by CMS into Hierarchical Conditional Categories (HCCs). Patients with HCC conditions require more resources and disease intervention. The Risk Adjustment process identifies patients who are more costly to...
Obstructive sleep apnea (OSA) is a common condition treated by primary care physicians, sleep specialists, surgeons, dentists, mental health professionals, and ear, nose and throat physicians. This chronic breathing disorder is diagnosed through an in-lab sleep study...
Several audits of the claims submitted for chiropractic services have found inappropriate payments. According to a recent report, the Centers for Medicare and Medicaid are continuing to deny chiropractic claims because they fail to meet Medicare requirements....
Claims status inquiries and eligibility and dental insurance verification are two of the important tasks that dental practices need to handle. Dentists' offices need to work with carriers to process claims and keep their patient base viable. They need to be aware of...
Today, an increasingly large number of chiropractors are choosing to outsource their billing and coding tasks. Experienced medical billing companies provide chiropractic billing services to ensure compliance with payer mandates, ensure appropriate claim reimbursement....
In a world of value-based care, the need for quality reporting by physicians is growing in importance. Accurate documentation and HCC coding (Hierarchical Condition Categories coding) is necessary to report medical care for high-risk, high-complexity conditions. Since...
Changes to health care regulations and policies have impacted the business of radiology quite significantly. Though efficient radiology medical billing and coding services are available, providers still have to grapple with growing regulatory demands and adapt their...
In 2017 and beyond, dermatologists need to keep track of ongoing and subtle medical code changes in order to avoid denials and a reduction in reimbursement. There are several complexities involved in using ICD-10 and CPT codes for this specialty, which is why opting...
Hearing loss may be caused by caused by noise, aging, disease, and heredity. Trouble hearing has far-reaching impacts on social interaction, family connection, and workplace productivity. According to the National Institutes of Health, approximately 15% of American...