Medical Billing Blogs

  The rising medical debt now stands at a staggering $140 billion, and it is the most enormous amount of debt for most US families. A large amount of this debt is direct because of the surprise billing. A third of the insured adults mention that they have received an unexpected bill in the last two years. What is not a surprise at all is that two-thirds of the US adults are simply worried about not being able to afford these surprising medical bills. It is a problem that concerns more patients and thus is also under the action of the state and the federal governments. Congress has signed a No Surprises Act into law to solve this problem. What is a Surprise Billing? The No Surprises Act is effective from Jan. 1, 2022. It aims to protect the consumers from unexpected bills from out of the network care in emergency and non-emergency situations. You will be surprised to know that at least a fifth of the emergency claims and a sixth of the in-network hospital stays include an out-...

  The years 2020 and 2021 were beyond imagination for the healthcare industry. Nothing could have prepared them for the huge hit to the economy due to the COVID-19 pandemic . With the start of a new year, here is a chance for medical billing providers to rethink and improve on their strategies for better revenue.   With the constant changes and the recent pandemic, the healthcare system always provides new challenges to patients and providers. Here are some tips to help you plan your strategy to generate more revenue in 2022.   Build a Strong Team   If you’re hiring, select the right people! The staff should be able to run the office while taking care of the patients. Your company should also be able to communicate well and maintain a good and stress-free working culture for the staff. Training staff is also essential. e.g., A training about the major change in 2021 about replacing Medicare physician fee schedule. It will be changing fee schedules and rei...

  Optometry centers cater to basic eye care with optometrists who can check, diagnose, and medically treat such eye conditions. The basics include providing vision tests, prescribing, and fitting corrective lenses, or diagnosing eye conditions. Though one of the most common and required fields, it can be quite a task to maintain the profits of an optometry center. Here are some tips to work on that Know the Optical Needs   It’s important to understand the needs of your patient base. In the case of an optometry center, you need to ensure the optical care needed for the type of patients you have. Have a conversation with patients to understand their preferences and make sure that they are available at the center. You may also give your customers the option to try out different procedures, etc. Remember to consider the costs involved in the treatment offered.   Invest in Limited Vendors   When you order more in one lot, you can easily negotiate for better disc...

  Pathology, being the medical science dealing with the cause-and-effect theory of diseases, is an important sector. Similarly, the medical billing and coding process is an important part of all medical practices, including pathology. It might be a small section but includes codes for numerous medical tests like blood tests, hematology, drug tests, urinalysis, etc. If it stays uncounted for, a lot of probable revenue can be lost. Also, there can be complex rules set by insurance companies to process pathology claims. Hence, it requires all the more attention to get accurate data and maximize revenues by auditing it regularly.   Pathology Billing Pathology billing includes anatomical, general, clinical pathology, and several other varied fields and sub-specialties. These include hematopathology, molecular pathology, surgical pathology, forensic pathology, cytopathology, etc.   Pathology includes two types of tests – qualitative and quantitative tests. Qualitativ...

  As a Chiropractor, you must concentrate broadly on modern advancements in your domain and techniques of improving patient care. But like most chiropractors, if you are also a clinic owner or private medical practitioner, much of your time must also be committed to your practice’s financial performance.  Chiropractic billing  can be complicated if the specialists are not doing it. Well-trained staff must perform  chiropractic billing services ,  having precise information about the billing system, and document the diagnoses and proper practice management. According to the latest industry report, few insurance collections are missed by chiropractic practices due to claim denials and filing delays. If you are admiring the resolution to deal with those challenges, then here are some steps that you can follow to overcome denials for your Chiropractic Practice: It is essential to use accurate coding:  Most chiropractic claims are denied d...