Medical Billing Blogs

  You may feel overwhelmed, uncertain, or anxious about the process if you are new to mental health billing. Don't be concerned; this is normal! The majority of mental health professionals are not trained to navigate the medical billing landscape. After all, billing is more closely related to business administration and finance than it is to healthcare. Nonetheless, behavioral health practices across the country are learning best billing practices and keeping the revenue cycle churning, and you can too. Here's what every therapist should know before diving into billing: #1 Can the same client be billed for multiple sessions on the same day? It is strongly discouraged to bill the multiple intake sessions with CPT code 90791. This is because, most of the time, this CPT code would be incorrect after the first session, resulting in possible insurance fraud but, more likely, a claim denial. However, if a patient has seen another therapist during the billing year, it is recomm...

  Most providers involved in the field of orthotics and prosthetics are concerned about billing for orthoses. This is especially true for O&P providers because the burden of getting paid for services rendered frequently falls squarely on their shoulders. Such concerns would not have existed in a cash-only practice. But that is not the case. A modern practice must recoup costs from the patient's insurance provider. This includes preparing and submitting a formal claim for reimbursement. That’s why it is crucial to know everything about custom orthotics billing. Here is a glimpse of the orthotics and prosthetics providers: Custom Foot Orthotics Insurance Coverage: Custom foot orthotics insurance coverage varies by the insurance company and individual policy. Always check with the patient's insurance company to see if foot orthotics are a covered benefit. Often, you will discover that they are not covered and must be paid for in cash after a lengthy verification process. I...

  Undoubtedly, your in-house employees are critical to your overall success, whether you run a health center, a hospital, or a private practice. However, it can be difficult for time-crunched employees to keep up with heavy workloads and navigate the ever-changing tides of the healthcare industry. As a result, many healthcare providers outsource all or part of their medical billing to third-party providers. These highly specialized firms are experts with the experience and manpower to immediately improve revenue cycles while also maximizing your practice's financial health along with an improvement in your patient’s care. Outsourced Medical Billing Trends Did you know? The global outsourced medical billing market is expected to reach $19.7 billion by 2026, expanding at an 11.8% annual rate. -        According to the Report by Grand View Research According to the report, outsourced medical billing is expected to reach $25.3 billion by 2028. ...

  Medical billing outsourcing is no longer a novel idea. In fact, outsourcing is now as commonplace as it gets. Because of its streamlined processes, superior systems, cutting-edge technologies, economies of scale, and skilled labor laden with specialized knowledge and experience, it typically produces greater cost savings and outcomes. Successful management of medical billing and coding is proving to be a strategic advantage point for healthcare practitioners in today's complex and evolving healthcare marketplace. No surprise, doctors, healthcare centers, hospitals, and practice providers have all embraced billing and coding outsourcing as a trump card for improving bottom lines. Therefore, a professional and HIPAA compliant healthcare and health plan processing company, has become the ideal choice for hundreds of American physician offices, family practices, clinics, hospitals, and other healthcare providers. Medical billing outsourcing has not only gained a foothold as a co...

  Making a choice between in-house and outsourced revenue cycle management (RCM) has been a long topic of discussion. As an Ambulatory Surgery Center leader, you would have probably realized that the billing process is the lifeblood of your center. When it's working properly, everything seems to fall into place. Otherwise, you would have either witnessed or dealt with issues involving partial or non-collected payment, delayed payment, or finding (and retaining) capable local talent. This perplexing question has no one-size-fits-all solution. While both approaches have proven to be successful for many healthcare centers, your decision should be based solely on the age and size of your center, the costs associated with running the practice, volume metrics, and what your center requires. Are you still perplexed? Let's have a look at both the approaches: In-house ASC Medical Billing Pros ●         Flexibility You are in a better position t...