This article helps you understand the importance of insurance contracts and its implications in insurance verifications and claims submission.
Growing Significance of Mobile Applications for Healthcare Industry
Medical mobile applications are empowering physicians as well as patients and playing an important role in the healthcare system. Mobile apps have changed the way diseases are diagnosed, monitored and the way healthcare services are delivered. A recent survey from the...
Dangers of Erroneous Submission of Medicare Claims
Erroneous submission of Medicare claims can be dangerous. To avoid this, hire a medical billing company offering professional billing and coding services.
Medicare Payment Reductions to Affect Doctors and Beneficiaries
Medicare beneficiaries, doctors and other healthcare providers are in for quite a tough time thanks to rising healthcare costs not coinciding with a proportionate increase in income for the latter. The tough economic situation, which is not only an American but also a...
How to Bill Observation Codes
The main objective of observation is to allow the physician to decide whether to admit the patient in the hospital or send the patient home. Even if the patient is made to lie in an inpatient bed, observation is an outpatient status. Issues with regard to observation...
Transitional Care Management – Getting it Right
Two new CPT Transitional Care Management (TCM) codes have been created to ensure better coordination of care and to provide better incentives so that patients are treated in a primary care physician (PCP). Codes 99495 and 99496 became available to PCPs in January this...
Proper Appointment Scheduling Can Help Lower Patient Wait Time
According to healthcare experts, making relevant changes in scheduling and managing patient workflow can minimize the average patient wait time for a new appointment from eleven weeks to two weeks. Researchers at The Children's Hospital at Montefiore (CHAM) have...
Healthcare Providers Awaiting Elimination of Medicare SGR
Healthcare providers are now hoping that Sustainable Growth Rate or SGR will be eliminated. Introduced by Centers for Medicare and Medicaid Services (CMS), SGR is used to control Medicare spending and to fix physician payment, so that Medicare spending does not exceed...
Stick to Incident-to Billing Norms for Maximum Reimbursement
If you are a Medicare physician, it’s important that you get maximum reimbursement for the services provided to keep your practice afloat. To get 100% reimbursement from Medicare, services and supplies must be properly provided and properly billed incident-to a...
How the 2% Medicare Reimbursement Reduction Will Affect ASCs
The debt-ceiling crisis in United States during 2011 paved way for the imposition of Budget Control Act of 2011. The measures to reduce discretionary spending kicked off in January 2013 with the objective of eliminating the $1.2 trillion in federal spending over the...