What is a Medical Clearinghouse Service? A healthcare clearinghouse is a third-party service that acts as an intermediary between healthcare providers and payers for processing healthcare transactions. The clearinghouse is responsible for receiving claims from...
What is ERISA? ERISA is something your practice needs to know about. ERISA, or Employee Retirement Income Security Act, is a 1974-enacted Federal Law conceived to protect the pension plan of an...
The federal government has a new concern to deal with – a cloning feature in electronic health records which enable physicians to cut and paste from the previous visits of patients. The cut and...
Compliance with Medicare is one of the most important challenges associated with medical billing. Using the right Medicare modifiers is essential for timely and accurate reimbursement. When...
Among the measures taken by Medicare to save money spent unnecessarily was its 2008 policy to stop paying hospitals extra to treat certain hospital acquired preventable conditions including UTIs or...
Medical billing is one of the most significant business functions of a medical practice. Efficient billing practices save costs and generate revenue. One of the most debated questions is whether...
Modifier 59 is a Level I CPT code used to report that a particular procedural service was carried out. It should typically be applied to the secondary code in a pair of codes and not added to...
The pressures associated with heavy patient inflow, patient scheduling, medical emergencies, and general administration makes it difficult for healthcare practices to give patient care and back...
Any hospital or clinic would want to reduce office expenses, speed up the rate of reimbursement, do away with claim denials, limit aged receivables and improve cash flow and profit. That’s why...
Medical billing and coding are vital processes in a medical practice, and often busy physicians struggle to find the time to do these. Being highly complex, medical coding and billing demands minute...
