What is a Medical Clearinghouse Service? Clearinghouse services in medical billing refer to third-party solutions that act as intermediaries between healthcare providers and payers for processing healthcare transactions. A clearinghouse is responsible for receiving...
The Healthcare Effectiveness Data and Information Set (HEDIS) is set of norms employed by most of the healthcare plans in the US for measuring performance in relation to service and care. HEDIS was...
Timely and proper reimbursement is crucial to the survival of your practice. If you are doing your medical coding on your own, it’s likely that one of the reasons for your falling revenues is...
It is expected that millions of uninsured Americans will enroll into Obamacare when the insurance exchanges opens on October 1, 2013. The U.S. Department of Health and Human Services (HHS) has...
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...
If there is something that doctors and healthcare professionals cannot quite manage, it is going through detailed documentation. They have important tasks at hand, providing life saving care to...
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...
The faulty submission of medical claims can get you into serious financial trouble and adversely impact the bottom line of your practice. A recent example is the case of the St Luke’s University...
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 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,...
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...
