Patient billing and payment are significant revenue cycle management (RCM) challenges that practices and medical billing companies face. High-deductible health plans require members to make...
Medical Billing Expertise for Success in Value Based Payment Models
The tide of health care revenue cycle management (RCM) is changing with the switch to value-based reimbursement. Physicians can benefit from the support of an expert medical billing service provider...
Ensuring Accurate Claim Submission for Transitional Care Management Services
Medical billing and coding companies receive a large volume of Transitional Care Management (TCM) claims to process. TCM services help reduce readmissions, which are a huge cost for the health care...
What are Anesthesia and HCPCS Modifiers and When to Use Them
Understanding the use of anesthesia and HCPCS modifiers is critical to communicate specific information to payers about the procedure or service provided. Expert coders in medical coding companies...
Trigger Point Injections – Know Payer Policies for Appropriate Reimbursement
Knowing Local Coverage Determination (LCD) policies is crucial for appropriate reimbursement for trigger point injections. The CPT codes for injections into trigger points for myofascial pain...
Strengthen Your Revenue Cycle by Improving Medical Coding Operations
As the complexity of the medical coding process increases with the transition to ICD-10 and annual CPT code updates, there is a need for revenue cycle management solutions that will promote accurate...
M.E.A.T. is at the Heart of HCC Coding and Clinical Documentation
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...
Implications of Coding and Payment Reform for Radiology Medical Billing
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...
Is Your Medical Practice prepared for HCC Coding?
The Centers for Medicate and Medicaid (CMS) developed the Hierarchical Condition Categories (HCC) to calculate risk scores and adjust capitation payments made for beneficiaries enrolled in Medicare...