According to recent reports, chiropractic practices received denials from Blue Cross and Blue Shield (BCBS) for claims billed with modifiers. Medical billing outsourcing companies that provide chiropractic billing services found that most of the claims denied were...
Steps to Ease the Dental Eligibility Verification Process
According to a study in Health Affairs, patients reported that they did not get the dental care they needed because of cost, fear, inconvenient locations or appointment times, and trouble finding a dentist who accepts their insurance. One of the main challenges facing...
How the 2018 CMS Final Rule will impact Orthopedic ASCs
On November 2, 2017, the Centers for Medicare & Medicaid Services (CMS) issued the final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after...
Save Time and Money by Outsourcing Dental Eligibility Verification
According to a report in Dentistry IQ, dental insurance checks make up approximately 50% of the income of most dental practices. It is therefore essential that dentists have dedicated and efficient insurance management strategies in place. One of the most important...
Some Unique Aspects of Chiropractic Medical Billing
Chiropractic medical billing is not just the use of the familiar CPT codes 98940, 98941 and 98942. The appropriate modifier that describes the services, Medicare or any specific insurance guidelines, proper revenue cycle management, HIPAA compliance and on-time filing...
Imaging Use Takes a Tumble with Coding and Reimbursement Restrictions
Most radiology practices and imaging centers choose to outsource medical billing and coding to stay up-to-date on all the regulations and individual payer changes. This allows them to submit claims accurately and ensure proper reimbursement. Several factors have...
Avoid Improper Claim Submission with Chiropractic Billing Services
Several audits of the claims submitted for chiropractic services have found inappropriate payments. According to a recent report, the Centers for Medicare and Medicaid are continuing to deny chiropractic claims because they fail to meet Medicare requirements....
Dental Insurance Verification – Overcome Claim Denials due to Eligibility Issues
Claims status inquiries and eligibility and dental insurance verification are two of the important tasks that dental practices need to handle. Dentists' offices need to work with carriers to process claims and keep their patient base viable. They need to be aware of...
Implications of Coding and Payment Reform for Radiology Medical Billing
Changes to health care regulations and policies have impacted the business of radiology quite significantly. Though efficient radiology medical billing and coding services are available, providers still have to grapple with growing regulatory demands and adapt their...
Dental Billing Fraud and Abuse – Know the Facts
Dental practices are under increasing scrutiny by Medicare, commercial insurance companies and regulatory bodies after recent reports of dental billing fraud and abuse. While partnering with a dental billing company can help maintain practice integrity and compliance,...