Did you know that 4 in 10 people have delayed or totally skipped healthcare in the past two years due to cost concerns? Now, imagine a scenario where a patient who has undergone treatment receives a medical bill that is not only unexpected, but incomprehensible. This...
Healthcare providers in any medical specialty should submit claims with appropriate medical codes and modifiers to receive proper reimbursement for services provided. This holds true for the...
Pre-existing condition exclusion signifies a limitation or exclusion of benefits for a health condition on the grounds that it was present before the coverage begins irrespective of whether any...
A recent report CNNMoney report states that physicians in the U.S. have started selling their private practices to big hospitals because of rising business costs and falling reimbursements from...
According to a new study by Accenture, the number of retail clinics will increase rapidly over the next few years as the Affordable Care Act (ACA) seeks to extend heath coverage to millions of...
The AMA Current Procedural Terminology (CPT) lists a term ‘Separate Procedure’ under surgery guidelines. The term refers to the procedures and services performed as integral components of a total...
The Obamacare Employer Mandate, one of the most vaunted provisions of the Affordable Care Act (ACA), was supposed to come into effect in 2014. The mandate insists that companies with more than 50...
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...
