Technology is constantly changing. Especially within the healthcare industry. While you wouldn’t think twice about upgrading your Android or iPhone to take advantage of new features, you would be much more hesitant to change or consolidate your EHR systems (Electronic Health Record). Of course, this makes sense on a fundamental level. Decisions about your EHR […]
After several years of losing money based on aging accounts receivables, Dr. Nuzhat Ali, owner of a single provider pediatric practice, was ready for a new revenue cycle management solution. “I had gone through three billing companies all with poor customer service and poor results. I needed to find a company that was responsive and […]
What is HCC Coding? In medical terms, Hierarchical Condition Category (HCC) coding is a common non-proprietary system used by the Centers for Medicare & Medicaid Services (CMS) for Medicare Advantage and the Comprehensive Primary Care Plus (CPC+) program. Medical practices need to follow the International Classification of Disease, Tenth Edition (ICD-10) rules when selecting diagnosis codes for […]
With the increase in medical insurance plans with high deductibles, most medical practices have a significant amount of patient accounts receivables. Practices send statements monthly but do not see the return on investment based on the amount of money it costs to send statements and the time it takes to review an account prior to […]
Resolving insurance claim denials can be a time-consuming process that often gets placed at the bottom of the to-do list. Below are two common claim denials, how to resolve them, and how to avoid them in the future. 2 Common Insurance Claim Denials Patient not Eligible This claim denial is a result of the front desk […]
Team Approach. Many physician practices have one or two medical billers. Think about the progress that can be made reducing your outstanding claims with a team of people working on them. Outsourcing your billing comes with a team approach. Multiple people are available to clean up accounts, review claims and post payments. Their priority is […]
