Medical Billing Blogs

Gone are the days when the organizations used to rely on their in-house employees as the people driving the business’s success, and the same is the story for medical practices. Despite their talent, capability, and skills, they often fall short in managing the time and keeping up-to-date with the frequent changes in the healthcare industry, mainly the medical billing and coding system. Hence, a comprehensive plan for the practice must be put in place to warrant the successful financial growth of the organization. One of the best ways to ensure that efficient and effective medical billing processing is done with the assurance of 100% reimbursement is by outsourcing medical billing and coding.  However, the idea of giving the responsibility by the practices of such an integral part of the healthcare system to an off-shore medical billing and coding company can be pretty daunting. But if you follow this detailed guide on why and how to  outsource medical billing  proper...

  Most large medical practices often offer in-house pharmacy services. But while you are offering the service for the convenience of the patient, doctors, and health staff, it is quite natural that your pharmacy billing collection is below the expectation. Several factors can lead to revenue loss regarding pharmacy billing services. But with so many effective medicines and pharmaceutical companies in the market, if you are losing revenue due to faulty billing, it will impact your organization. The revenue loss will result in low productivity of the facility, but it also loses focus on the patients by failing to give them the proper care. This article will discuss five causes that can challenge the revenue collection in pharmacy billing and ways to overcome the low collection. Top 5 Challenges in Pharmacy Billing Collection There are quite a few reasons for your facility failing to make the optimum revenue collection in pharmacy billing. Some of them can be due to the issues...

  Undoubtedly, the average denial rate was 11.1% in the third quarter of 2020 which was further increased to 23% with increasing burden of low reimbursement If you do not want to be part of this number, prevention is the key to keep your medical billing and coding better to avoid the increasing claim denials. Unless you prevent it from the beginning, it will seriously impact your practice. Obviously, payers would love to delay or reject the payment, and they will do it when you give them an excuse. So, while you lose your revenue, it will eventually hinder your productivity and time lost in claim investigation and resubmission. But don't worry because 90% of the denials are preventable with best practices and one can work proactively to prevent such rejections. While putting the proactive process into action can be challenging, simple operational changes can help you save money and time. Here are six proactive ways to avoid claim denial in your practice. 1. Educating and ...

Out of numerous changes in the healthcare industry, CMS has added another one by including Tele-Health services in the Medicare Payment Protocol as part of the healthcare emergency services during the COVID-19 pandemic . As a result, Tele-Health clinics and healthcare providers have been facing a few challenges. And, the biggest concern is relating to the accurate Tele-Health billing and coding to get no or less denials. Moreover, it adds on more immense problems for the practices to stay afloat especially when Tele-Health clinics are struggling with the telemedicine services. Hence, it is essential to know how to code and bill the telemedicine services accurately. But have you ever analysed the reasons for such challenges? The challenges faced by the Tele-Health clinics are arising usually due to the drastic changes occurring in the Tele-Health policies. It is combined with the staff lacking the experience in keeping up to date with these changes and documentation. If you are ...