Changes in Medicaid, the Children’s Health Insurance Program (CHIP) and new rules governing employer-sponsored and marketplace insurance plans have improved access to necessary health care for children and young adults over the years. Preventative care protects...
Submitting claims with the right procedure and diagnosis codes is crucial for getting paid correctly. When it comes to Medicare Advantage (MA), payment depends on reporting care for patients with serious, complex conditions. The Centers for Medicare & Medicaid...
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...
Today, most general surgery practices and departments of surgery rely on experienced medical billing and coding companies to ensure that claims get paid. However, accurate documentation of procedures is necessary for coders to translate the services performed into the...
With the National Committee for Quality Assurance (NCQA) proposing several new Healthcare Effectiveness Data and Information Set (HEDIS) quality measures in 2017, payers and physicians need to focus on improving their quality scores and reimbursement with precise...
