Medical Billing Blogs

 In the previous year, 63.8 million adults aged 18 and up in the United States had either a substance use disorder or a mental illness. In fact, one in every 12 adults had a substance use disorder, and one in every five adults had a mental illness. Approximately 12% of these adults (7.9 million) had a substance use disorder and a mental health problem. This is referred to as a co-occurring behavioral health disorder. Amidst all these issues, healthcare providers in the US also face various  substance abuse disorder (SUD) billing  challenges adding emotional issues to business profitability. Every healthcare system needs help with bill issuance, follow-up, and payment. Some issues are with patients, while others are with healthcare institutions. In any case, they all require modern and innovative solutions. But before that, let’s have a look at a few potential areas of concern: Burnout: Healthcare providers, particularly those in high-pressure fields such as s...

 Between 40 and 50 million significant procedures are performed annually in the United States. Many people who have these surgeries are given anesthesia before any treatment, so they do not experience any pain. As a result, almost every healthcare facility has an anesthesia section specializing in providing anesthesia. Not only this, but this department is also usually in charge of Medical Billing for Anesthesiologists. Being part of the anesthesia department of a healthcare facility, you must be familiar with the medical billing procedure. By taking the appropriate approach to billing, you can boost revenue each revenue cycle. Let’s have a deep understanding of the dos and don’ts of  medical billing for anesthesiology practice : Dos of Medical Billing for Anesthesiologists: Use the Correct Anesthesia Codes When filing claims with health insurance companies, you must include several codes used in the medical billing field. You must educate yourself on the exac...

  The DME billing procedure is entirely different than that of the other medical billing and coding processes. DME has been classified under the HCPCS level II codes. These codes are of 5 digits and come in a combination of alphabets and numeric. Adhering to these codes requires domain-specific expertise. There are multiple steps involved in coding the DME billing. The process consists in getting the prescription from the medical practitioner, assigning the codes, and processing the billing for claims from the insurance payer. Finally, getting it distributed to the patient. What are the Rules & Regulations that can Impact the DME Medical Billing   Process in 2021? Do you know that COVID-19 has not only brought medical emergencies worldwide but also impacted the DME Suppliers by waiving off certain requirements? These rules and regulations have changed the entire outlook of the DME Medical Billing Process as impacting the DME suppliers would mean directly affecting the DME ...

Many people rely on mental and behavioral health services for their well-being and emotional recovery. These services and treatments cover many components required to ensure a smooth process. However, if there are system errors, inaccurate or inefficient paperwork, or pre-authorization problems, behavioral health billing can frequently impede treatment. One or more of these issues and a variety of other factors can make it challenging for mental and behavioral health providers to run their practices efficiently. Filing a claim with medical billing for behavioral health treatments takes a lot of time and energy, which takes time away from patients. Therefore, you need to be aware of various  behavioral health billing  tips to help you spend more time with your patients and deal less with inconvenient discrepancies. Let’s have a deep insight into why behavioral health billing is so complicated and how you can overcome billing restrictions as behavioral health providers: Why Can ...

Isn’t it reasonable to investigate the various types of medical billing that soar in the healthcare industry before implementing a billing strategy? Before beginning the billing process, it is critical to understand the differences between physician billing and hospital billing. Before submitting a claim and following the steps required for the medical billing process, it is essential to determine whether the claim fits under hospital billing or physician billing. To begin with, you should know that physician billing is termed “Professional Billing,” whereas Hospital billing is “Institutional Billing.” However, these two are part of the overall healthcare billing process. Healthcare professionals in the healthcare industry distinguish between these two terms depending on their intention and the services involved in the billing process. Let’s have a deep insight into what makes physician billing different from hospital billing: Physician Billing Medical billing is also referred to as p...

  Due to the regulatory compliances, the DME has been undergoing perennial renovations. As a result, it can prove to be a challenge for you to keep updated with the constantly changing  DME billing  landscape. Did you know? The DME consists of 2% of the annual expenditure for Medicare. That’s why claim denials are one of the most challenging causes for healthcare professionals when it comes to  billing Durable Medical Equipment . This means that not all  DME billing claims  offer revenue reimbursements. Though the reasons and causes may vary, there is one similarity that they indicate a major change in the revenue cycle for a healthcare provider. Therefore,  DME billing services  should be taken care of with a lot of precision and accuracy, as even a slight mistake can lead to slow productivity and loss of revenue. What is DME Billing and Coding? Durable Medical Equipment refers to the therapeutic equipment prescribed to patients suffering from ce...

  Telemedicine  is the act of medication utilizing innovation to convey care with distance whereas Telehealth refers to a huge chain of collection of telecommunications and electronics that assist services and health care delivery from distance. Usually, Telehealth involves virtual education, medication and telemedicine support the relationship between doctor and patient through video calls or audio calls. Here are some of the modifiers that you should know  – Coding Modifiers in the sector of Medicare Telehealth industry: In this dynamic world, changes in regulation are taking place now and there are specific changes that can affect the code for the services of telehealth. Much of the time, charging for telemedicine looks a mess like charging for face to face assessment and medication the board. But adding modifiers help a lot to overcome the complexion Modifiers for Telehealth: GT Modifiers GT is the most preferable modifier that is most usually utilized for telehealth ...

 When contemplating orthopedic billing outsourcing, you must ensure that it is the best option for your practice. While orthopedic billing outsourcing isn’t right for every practice, it does provide a far more confined and sustainable solution to revenue cycle management. The true value of outsourcing for prospering or expanding practices is its long-term viability. An outsourced orthopedic billing and coding company can maintain greater consistency (and control) of a medical practice’s cash flow than an overloaded internal team as staffing levels, patient load, and other dynamics evolve. Indeed, the advantages of outsourcing orthopedic billing are numerous and apply to all aspects of your practice. But do you think outsourcing orthopedic billing is an easy decision? It seems so, but in actuality, it is not. So, let’s consider the top factors to consider for your practice while outsourcing orthopedic billing and coding by asking the following questions: Who will Ha...