Medical Billing Blogs

  Both Obstetrics and Gynecology are two different specialties. Obstetricians are physicians who specialize in pregnancies and postpartum, while gynecologists specialize in the female reproductive system. Even though both Obstetricians and Gynecologists deal with female reproductive organs, these fields are very distinct from each other. As both of these are two different specialties, the billers and coders should have expert knowledge regarding billing and coding. They need to be aware of OBGYN medical billing procedures, devices used, medicines, and the injectable since they are mostly billed as packages. Quite a lot of Ob-Gyn are currently facing issues with medical billing and coding procedures because of the 2014  Current Procedural Terminology (CPT)  and Medicare code change. These changes include new codes for image guided fluid drainage, clarification of who should be billing discharge-day management, new codes for fibroid embolization, the addition of inter-pro...

  Just like the field itself, cardiology billing and coding are complex for so many reasons. Cardiology billing services need specialized personnel to handle its important procedure rules, complicated contract adjustments, and codes, and these are the few reasons while using the modifiers requires attention. But we know the complications of this specialty and with a variety of happy clients, 24/7 Medical Billing Services has focused on offering accurate cardiology billing services by keeping up with new, deleted, and revised cardiology codes. We have an informed staff with us trained on current documentation standards, along with an eye on providing our clients with relevant and matching recommendations to the bill to the highest degree of specificity. There's always a chance for upcoding and under-coding a procedure in cardiology billing. As regular changes in codes occur in procedures like angioplasty, iliac repair, ECG recording, and stent replacement, etc., cardiology is a p...

  The conventional meaning of a medical billing denials for DME Billing is “the refusal of an insurance company or carrier to accept a request by an individual (or his or her provider) to spend for healthcare services received from a healthcare professional.” As a financial administrator for a clinic or health practice or their operating procedure, you understand medical billing denials as continuous headaches that negatively affect your organization’s revenue, cash flow, and operational performance. Figures represent the account. We have an industry benchmark for medical billing denials is 2% for dispensaries. Medical billing denial rates range from 5-10%, with more extraordinary performers equating 4% in  medical billing process . Some groups even see denial rates on initial billing as great as 15-20%. For these providers, one out of every five medical claims must be revised or reviewed. Rework costs average $25 per case, five and success rates differ from 55-98%, depe...

  As a speech-language therapist or other medical service provider specializing in speech therapy or the evaluation of speech, you come across various challenges with billing. Or are you just starting with your practice? If your practice is fully up to date on ongoing changes in speech therapy medical billing, you still need to go through this article as we are throwing light on some insights like how medical billing codes change all the time. Even experienced coders and billers have sometimes difficulty clearing reimbursement from insurance carriers. Once you start digging deep, you'll find tons of CPT (current procedural terminology) codes to choose from, some being so similar. To bring efficiency in your practice, it is necessary to have a strong and thorough knowledge of medical codes for speech therapists. But, once you get started with coding and billing for your speech therapy practice, do you often get enough time for your practice? Coding gets complicated once you ...

  Provider credentialing is a popular term among those who want to start their own  durable medical equipment (DME) billing  business. Starting a  DME billing  business is not as easy as you see it. Like other businesses, DME billing also incurs a lot of groundwork and neat establishment. But one good thing with this business is unless you get everything right, you may not be able to start with. So in the future, you need not break your head with any complexities involved in the business. In today’s scenario, the biggest challenge that you may face with  DME billing  is collecting payments from your clients /patients. Due to the number of companies offering insurance with a wide range of benefits to their employees, it becomes a hard task for  DME billing  companies to deal with. But, even success also lies in the same factor. Therefore, you will likely be handling the burden of accepting the insurance, billing the insurance company, and...

  These are the crucial times where providers need to give more attention to patient collection and balances since there is now a situation with more financial responsibility from insured patients. This is a direct impact of high dollar deductible health plans related to health saving accounts or tax-advantaged medical savings accounts. Proven patient collection strategies are about the basic concept of good communication and education of medical debt owed. These strategies for patient collection are meant to solve one of the greatest challenges that patient collection costs two to three times as much to collect from patients as it does to collect from payers. Hence, practices need to avoid costly measures that result in ineffective statements and calls that don’t pay off. This Article Talks About 5 Ways to Increase Patient Payments and Boost Practice Revenue Patient payments are an important element of every practice’s revenue cycle management, but when patients avoid taking...

  Medical credentialing has an important role in impacting your  medical billing process since it stands the main reason for building patients’ trust upon your practice with the communication you maintain between your patient and the insurer. Credentialing is considered as high priority and has to be performed before hiring a healthcare provider or during the hiring process, to make sure all the information is up-to-date with your provider. Why Credentialing is important? # Improves trust among patients Trust plays a crucial role between you and your patients since they believe that you are high professionals and take better care of them. If patients do not know their doctor’s qualification, they may not gain complete trust in the health care given by doctors to them. Therefore, assessing and verifying your qualifications and experience in the specialization create confidence in patients and allow them to develop trust on their select healthcare providers. # Avoi...