Medical Billing Blogs

  It’s the outpatient surgical services that are primarily provided by ASCs (Ambulatory Surgery Centers). Such services can be a part of big hospitals or operate as standalone surgical centers. Although Ambulatory Surgery Center (ASC) Billing claims seem to be alike regular medical claims, they are quite different in terms of filing. ASC billing claims are filed on the HCFA 1500 or 837P, whereas  UB-04 or 837I  is used to file the hospital outpatient surgical claims. ASC billing requires extra caution as even minor errors can result in massive claim denials. Here we discuss about ASC billing ensure accuracy in bills and smoothness of claim reimbursement. Let’s take a look at the different ways to improving Ambulatory Surgery Center Billing: Clarify the Collections Process Communication with patients must be open and transparent if  ASC medical claims billing efforts are to be more efficient. Make sure that new patients are aware of their financial respo...

  Is it surprising to you that 80% of medical bills in the United States contain errors? As a healthcare professional, you may find it difficult to issue bills, collect payments, and obtain timely reimbursements. How you resolve your medical billing issues that can have a significant impact on the practice's revenue. In previous years, the billing for conventional medical practices was handled internally. However, nowadays the scenario has changed completely. It’s the outsourcing medical billing companies that now provide medical billing and coding solutions to help healthcare providers avoid the headache of managing their claims. Are you in a dilemma of whether outsourcing billing and coding services are worthwhile, or is it preferable to carry out tasks the traditional way? The evidence suggests that outsourcing medical billing is preferable to handling it internally or in-house. Let's see how outsourcing medical billing can help you and your practice: ●   ...

  Durable Medical Equipment billing is complex as it requires a detailed understanding of how to code claims, what to bill for, and when to submit claims. Recently, there have been several cases of incorrect DME billing, either due to a lack of knowledge or a fraudulent attempt to make money. DME billing fraud comes in a variety of shades and colors. Billing for items that were not ordered or received is a common type of fraud. The discrepancy is revealed in the paperwork known as the Explanation of Benefits (EOB) or Medicare Summary Notice (MSN) . Sometimes fraud occurs when a patient receives equipment not prescribed by the doctor. Other types of fraud include receiving a phone call from someone unrelated to the physician's office requesting Medicare information, billing for duplicate orders, higher-than-normal rental charges for equipment, etc. Insurance companies detect fudged billing with great expertise, regardless of how it is committed. However, they can result in heavy...

  Running a DME medical practice is a huge responsibility that requires you to juggle a plethora of tasks that are not only related to healthcare but also various other administrative functions. Dealing with mundane and complex tasks like DME medical billing takes time for a DME practitioner. You would rather spend your time taking care of your patients.  Because of growing compliance issues, complex coding requirements, stricter timelines, and increasing regulations, the DME medical billing process has become more confusing and complicated.  Outsourcing DME medical billing provides numerous benefits to DME medical providers as the outsourced DME billing service handles all coding and billing requirements timely and per the regulations. In this blog, let us know how outsourcing DME medical billing can help you with more accurate DME medical billing and improve the financial health of your clinic. ·          Professionals with exce...