Every medical practice needs to have effective processes and policies to maintain its financial well-being. That’s where success with claim submission plays a crucial role. However, denials are on the rise. According to a kff.org report, while on average,...
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Health Insurance Coverage and Care – The Shifting Landscape
The Patient Protection and Affordable Care Act (ACA) was implemented to enable easier and more effective healthcare access to millions of Americans. Presently, the health insurance marketplace is...
High Risk of Cardiovascular Disease in Women with Migraine
Cardiovascular disease (CVD) is the number one killer of both men and women in the United States. About 600,000 people die due to heart disease every year, that is, 1 in every 4 deaths. A new...
OCR’s HIPAA Audit Program to Return
Under the HITECH Act, the Department of Health and Human Services (HHS) is mandated to conduct periodic audits to ensure that HIPAA covered entities and business associates are complying with the...
Alzheimer’s Disease – Routine Tests Facilitate Early Diagnosis and Treatment
Alzheimer's disease is the most common form of dementia that causes problems with memory, thinking and behavior. Known as the 6th leading cause of death in the United States, Alzheimer's is a...
How to Avoid a RAC Audit?
Recovery Audit Contractors (RAC) audits, as physicians know, are part of the government's program to reduce fraud, waste, and errors in medical billing practices, especially Medicare and Medicaid....
Dermatology Payments Likely to Reduce in 2015 and Further
It's time to focus on your dermatology medical billing as new developments in the healthcare field implies a reduction in physician payment in 2015 and may be in the coming years. In October 2014,...
Primary Care Physicians Use More Diagnostic Codes – Finds Study
Primary care physicians play a major role in delivering definitive care to patients at the point of first contact and continue taking responsibility for the same. They provide care for a wider range...
Diagnostic Coding for Deadly Pandemics – An Overview
It is very important to assign accurate diagnostic codes for a pandemic, for correct medical billing as well as tracking the outbreak. When submitting claims for treatment, you should report the ICD...
Routine Lung Cancer Screening – Important Vis a Vis Early Detection and Treatment
Providers can use the new HCPCS code - S8032 recently released by CMS for medical billing purposes when reporting low-dose CT for lung cancer screening. Lung cancer is considered the second most...
2015 Physician Fee Schedule Includes New Code for Chronic Care Management
The Centers for Medicare & Medicaid Services (CMS) recently released the proposed physician fee schedule for the year 2015. This fee schedule includes a new code for chronic care management...