Medical Billing Blogs

  Neurology medical billing rules update each year, and it is vital to stay on top of the most advanced guidelines to avoid losing payments. Reworking inaccurate claims that payers decline can improve administrative nuisances as well as the operating funds. If you want to concentrate on patient care solely,  outsource neurology medical billing . Although, Medical billing is an essential part of your system. It is one of the critical aspects, which, if neglected or not managed properly, can even lead to the course ultimately facing closure. Healthcare providers manage their medical billing either in-house or by outsourcing. Nevertheless, the advantages of outsourcing your medical billing are considerably more than holding them in-house. Like including any additional change in the system, there are several misconceptions about outsourcing medical billing in neurology. Some of the significant common misunderstandings are listed below. Outsourcing Neurology medical billing wil...

  Telemedicine is one of the greatest achievements in the healthcare system at large since it's helping underserved communities in society get the medical attention they need even when a local doctor is unavailable or inaccessible. Telehealth has proven particularly important during the COVID-19 crisis as it allows healthcare providers to provide necessary medical services without becoming an additional burden on medical infrastructure or without disturbing social distancing requirements. Although telehealth is not so new in recent times it boosted in popularity due to the COVID-19 pandemic. It has led to more use and acceptance. The medical billing guidelines for telemedicine are still not concrete since they may change from payer to payer. If you are one of the medical practitioners who is currently providing or planning to offer this widely popular service, we, 24/7 Medical Billing Services are bringing some essential tips and telemedicine billing requirements to consider. ...

  Orthopaedics is the branch of medicine that deals with conditions related to the musculoskeletal system, which includes bones, ligaments, muscles, joints, and tendons. These conditions might be age-related, a result of an injury, or something present from birth.   Orthopaedic billing is quite complex compared to other specialties and has a high ratio of rejected or incorrect claims. Almost 35% of claims are reported to be incorrect and 25% of the claims get rejected, which makes it even more important to understand the guidelines for Orthopaedic billing . The medical billers need to know to code, understand the whole billing process, and keep specific guidelines in check.   Here are a few guidelines one needs to follow in Orthopaedics .   Code as Specific as Possible   Orthopaedic practices involve different clinical activities: Surgical like joint reconstruction and ankle, spine, shoulder, elbow, hand surgeries Non-surgical like ki...

  Insurance eligibility verification  is important for all medical practices or else they will end up with unpaid claims by the insurance company. In a worst case scenario, they might never get paid for the rendered services.  Since all medical practices run on money, it is very important to ensure consistent cash flow without claim rejections. This is possible only when medical billing is done successfully and for billing, accurate insurance verification is important. Why is eligibility verification necessary? Insurance eligibility verification is the first and most important step in the  medical billing  procedure. If the insurance coverage information provided by patients during visits is incorrect or inadequate or if the current coverage information isn’t updated by the practice, then it will lead to claim denials or delays in payment. If you run a medical practice and you don’t ensure adequate eligibility check, you will become prone to not getting pa...

  Hospital Billing Services include billing of services offered by hospital-based departments and an Ambulatory Surgery Center (ASC) billing includes that of stand-alone facilities. An ASC can come under Hospital Billing Services if they are within a 35-mile radius from a hospital and share the same financial/administrative contracts. Similarly, a hospital can also maintain an ASC status if it has its own Medicare agreement and is entirely financially and administratively independent. A Better Understanding of an ASC An ASC is an individual facility that focuses on providing surgical procedures for outpatients. Whereas hospitals provide services for outpatient, inpatient, or emergency procedures. This may include pain management, surgical care, etc. which are extensive but won’t require a night stay in the hospital. ASCs need to have an agreement with CMS which shows that they will abide by the rules and regulations of CMS and provide the specific services to patients. An ...

  Thanks to the new rules and regulations of private insurance, chiropractic billing has become quite challenging. Some chiropractors need to alter their income cycle technologies and billing workflows in the tech-oriented world to submit clean claims and minimize denials.  There are about 75,000 chiropractic physicians in the U.S. presently. With the government’s Meaningful Use EHR subsidies, this segment of the healthcare industry may grow by more than 15% over the coming decade. Over 20 million people are expected to seek chiropractors’ help in the near future, with nearly 80 percent of people who suffer from back pain seeking their help. And it is known that chiropractors already lose 10-30% of their gross revenues due to incorrect medical billing process. This results in a loss in billing and, therefore, in revenues. So in the above-given scenario, it is necessary to find ways to improve revenue and keep you stress-free. Some of the ways in which one can impro...

  Orthopaedic treatments look after issues like injuries, congenital deformities or abnormalities, and diseases pertaining to the musculoskeletal system. No matter what the nature of Orthopaedic specialization your clinic specializes in, successful billing practices need that your medical billing specialist is expert and experienced in completing the coding demands relative to the specialty field. Correctly interpreting the information and proper application of codes, modifiers, and extensions help creating and flawless functioning of proper revenue stream for the practice by reducing claim rejections and denials. Following every guideline put by CMS (Centers for Medicare and Medicaid Services), Orthopaedic specialist coders at 24/7 Medical Billing Services offer medical billing services to pump up your revenue cycle. Implementing ICD-10 has brought around 264 new codes, 143 deleted, and 134 revised codes that are applicable to coding for an Orthopaedic practice. New rules wit...