Healthcare Evolution Increases Medical Coding Jobs

Healthcare Evolution Increases Medical Coding Jobs

Healthcare in the United States is an increasingly evolving industry. Introductions in technology like Electronic Health Records and Telehealth are challenging the way providers provide care. Specialized technology and reimbursement programs are increasing the number of people needed in the field. This healthcare evolution is shifting where people are working in the field. Providers are outsourcing jobs like medical coding …

Medical Practice Three Ways to Increase Profitability in 2018

Medical Practice: Three Paths to Increased Profitability in 2018

2017 is ending in just a few weeks. The New Year brings new resolutions. Practices and providers everywhere are searching for methods that lead to increased profitability. The profitability of your practice depends on many factors and tools. Some of these tools are easy to implement, and others are much more difficult. Developments in technology and information are always changing …

The Pros and Cons of Health IT

Health Information Technology (Health IT) makes up the whole of technology used by health care providers and practices. It includes software like the electronic health record (EHR), telehealth, and practice management software. Providers used Health IT endlessly within the industry. While the addition of this technology is constant throughout the United States, it comes with solid challenges as well. The …

6 Traits Medical Billing Specialists Need for 2018

6 Traits Medical Billing Specialists Need for 2018

For those searching far and wide for a job in the healthcare industry that is perfect for them, it’s time to consider becoming a medical billing specialist. Behind the scenes, these individuals work to make sure the submission of insurance claims are correct and prompt. Equipped with character and drive, medical billing specialists work to dispute claims. Along with following …

ICD-10 Code

2018 ICD-10 Code Changes Are Now in Effect – Are You Ready?

ICD-10 is the system used for coding the process of symptoms, diagnoses, and treatment. Before 2017, providers functioned using ICD-9. The systems are similar but the main difference in ICD-10 is that it has almost 22 times more procedure codes and 5 times the diagnostic codes than ICD-9. This allows for more precise tracking of medical treatment from start to …

Medical Billing

Medical Billing in 2018: Outsourcing Might be Best

When searching for ways to increase productivity and efficiency at your practice, outsourcing comes to mind often. If your team is working at their best, keeping some procedures in-house might be in the best interest of your practice. However, there are some processes that, no matter how hard you try, can be almost impossible to keep functioning at a high …

Inefficient Medical Billing that Could be Harming Your Practice

Inefficient Medical Billing that Could be Harming Your Practice

Making the decision to change methods at your practice may seem daunting. Any change comes with uncertainty, but traditional, sometimes inefficient medical billing may be causing your practice more harm than good. Development of new technology continues to push the way we process and exchange information. This does not exclude the healthcare industry, who largely has a reputation of sticking …

Why you should Understand Your Clean Claims Rate

Why you should Understand Your Clean Claims Rate

A “clean” claim is a claim sent the first time with no mistakes. The means the payer could process it accurately and on time. The clean claims “rate” is the rate at which your practice gets a claim paid the first time they send it to the payer.  Understanding what the clean claims rate of your practice is will help …

Common Terms Relating to RCM

4 Important Terms Relating to Revenue Cycle Management

Revenue Cycle Management is a broad term/process that involves everything from the patient setting their appointment to the point where they completely pay off their medical expenses. It is important to the success of all healthcare practices.  For new staff and providers, knowing the relevant terms can help you understand the health of your practice’s finances.  In this article, we …

Surgeon Sued for Accepting Kickbacks for Living in Fiancés House Rent Free

The False Claims Act (FCA) is a statute that imposes liability on persons and companies that defraud government programs, and the Anti-Kickback Statute (AKS) is a statute that prohibits the exchange or offer to exchange of anything of value in an effort to induce or reward the referral of federal health care program business. There are certain cases that are …

Specialists Offer Chronic Care Management Services

It would seem to many providers that Chronic Care Management (CCM) services make the most sense for Primary Care Physicians (PCP). After all, they are the clinicians that manage a multitude of ailments for their patients, specifically those with multiple chronic illnesses.  However, general practitioners are not always on board with adding Chronic Care Management to the services they offer.  …

New Billing Codes for Chronic Care Management Attract Specialists

In 2015, the Centers for Medicare and Medicaid Services (CMS) recognized the need for Chronic Care Management (CCM) services.  In response to the overwhelming research showing the impact that CCM was having on patients around the world, they introduced billing code 99490.  Though the reimbursement rates vary from state to state (some as high as $50 and others as low …

Texas Healthcare in Light of Harvey

Our hearts and prayers are with the many people who are currently suffering in Texas. In addition, we recognize and thank the many people who live in Texas as well as many others who have traveled to Texas along with the many organizations that have pitched in to try to alleviate this unfathomable catastrophe. Ultimately, and unfortunately, the healthcare needs …

Getting Reimbursed for Telehealth

In 2016, telehealth became the No. 1 regulatory concern for health boards across the nation.  Most of their attention was focused on practicing across state lines.  In other words, is the patient located in the state where the provider is licensed during the telehealth visit?  If not, that’s an issue.  While lawmakers and physicians are fighting it out, they are …

Three Billing Challenges for Pain Management

Getting paid for pain management procedures can be a frustrating, sometimes overwhelming process that can take as much as six months thanks to ever-changing restrictions and regulations. Sometimes a claim can be denied because payers deem it “not medically necessary” or “experimental” in nature. Of course, the opioid epidemic brought with it more concerns about overprescribing pain medications and resulted …

Mental Health

Mental Health Parity Continues to Struggle Through 2017

Despite the passing of the Mental Health Parity and Addiction Equity Act (MHPAEA) in 2008, clinicians in the field of mental health continue to struggle with less favorable benefits, higher co-pays and challenging pre-authorizations required to treat their patients.  Although the MHPAEA was meant to reduce the burden for patients to receive appropriate mental health treatment, healthcare plans continue to …