Medical Billing Blogs

  RCM solutions, particularly for physicians, nurses, and practices, have become vital elements in the planning and administration of healthcare organizations in the ever-changing digital context. Understanding the most recent technology and innovations can assist organizations in increasing operational efficiency while ensuring patients receive high-quality care at a fair cost. According to a survey, trends in RCM will continue to be a focus for healthcare organizations, from AI-powered billing systems to dynamic patient portals. So, don’t put it off any longer; let us assist you in uncovering the future of RCM trends and improving your healthcare business! Future of Work: Humans’ entire job equation is about to shift drastically. Let’s look at this in three dimensions. How work is done is changing.  The advent of the gig economy has resulted in a trend of traveling nurses and carers providing home and community-based services. Where you do the work is changing.  Changes...

  The landscape of mental and behavioral health is rapidly changing. In addition to the time-consuming effort of billing and coding, you must deal with constantly changing legislation, payment structures, and substance addiction billing software, as well as the issues of out-of-network billing. Billing concerns plague many drug and alcohol addiction treatment facilities, resulting in late payments and revenue loss. This is where the need for outsourcing substance use disorder billing comes in. Outsourcing medical billing and coding provides you with a team of skilled billers and coders who will tackle these problems on your behalf. A  substance addiction billing company  will also keep track of receivables, promote best practices, and boost reimbursements. Let’s see how billing companies transform billing for treatment centers: Increased Focus on ICD-11 According to the research, the most prevalent classification system, ICD-10 (International Classification of Diseases, T...

  Community Mental Health Centers (CMHCs) are indispensable in providing essential mental health services to individuals in need. These centers serve as vital resources for those facing mental health challenges, offering counseling, therapy, psychiatric care, and other supportive services. However, the financial viability of Community Mental Health Centers (CMHCs) can be hampered by a range of billing challenges . In this blog, we will delve deeper into the specific billing challenges faced by CMHCs and explore how partnering with “24/7 Medical Billing Services” can effectively address these obstacles. Complexities in Insurance Verification A major hurdle for CMHCs is verifying  patients’ insurance coverage . The landscape of insurance plans is diverse and dynamic, making it challenging for in-house billing teams to keep track of different policies, coverage limitations, and pre-authorization requirements. Incorrect or incomplete insurance information during the verification p...

  If you’re new to the healthcare industry, the complexities of medical billing may be overwhelming. It’s a struggle even if you’ve been here a while. There are numerous rules to follow to code for the services you provide to be reimbursed correctly. Here we can understand about best practices for Properly Utilizing the 8-Minute Rule in Physical Therapy Billing. You must ensure you do it correctly the first time to avoid claim denials. After all, you won’t get paid until the insurance company accepts your claim and reimburses you. To avoid typical insurance denials, you must optimize your bill submission process. But matters are further complicated as there are two distinct  CPT coding  methods for practitioners with direct contact with patients, notably physical therapists. Each CPT code is billed in either service-based or time-based units. Those that use time-based units necessitate more effort than just providing the length of the appointment. However, after you’ve un...

  Clinical documentation is a compilation of information and records pertaining to a patient’s medical care. This may include symptoms, medications, procedures, and examinations, among other things. Gathering and maintaining all these records gives healthcare practitioners a greater understanding of their patient’s health status, allowing for more informed decisions and, ultimately, better clinical outcomes. It is critical to constantly improve healthcare documentation since timely and correct documentation is essential to the performance of healthcare organizations. Improving medical records reduces costs while increasing output. Many hospitals and clinics utilize a clinical documentation improvement team due to the huge time savings that may be realized. To improve healthcare documentation and reporting for your healthcare organization, you must look at areas that may undermine excellent documentation. Clinical Documentation Improvement (CDI) Clinical documentation improvement (C...

  In recent years, the world of healthcare has witnessed a rapid surge in telebehavioral health services. With advancements in technology and the increasing demand for remote care, it’s crucial to understand the unique billing aspects associated with this growing field. At 24/7 Medical Billing Services, we strive to stay at the forefront of industry trends and provide comprehensive   billing solutions for telebehavioral health   providers. Let’s uncover surprising statistics related to billing for telebehavioral health, shedding light on the challenges and opportunities that lie ahead for healthcare professionals in this dynamic sector. Skyrocketing Demand for Telebehavioral Health The demand for telebehavioral health services has seen an unprecedented rise in recent years. According to a recent survey, over 80% of healthcare providers reported an increase in telehealth visits for mental health and behavioral health services. This surge can be attributed to various factor...

  Did you know? The new Medicare guidelines went into effect on January 1, 2021. It is now necessary to communicate a Standard Written Order (SWO) to a supplier before charging any durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items. Prior to the implementation of this new update requiring a SWO, a Detailed Written Order (DWO) was required. As a result of the CMS-1713 Final Rule, these new standards were renamed DWO to SWO. Overview of Standard Written Order (SWO) The SWO is an important document that serves as a prescription for DME and is required by Medicare and other insurance providers. It specifies the specific equipment, quantity, and period of use for each specified item. The SWO serves as proof that the DME supplier received a valid order from the treating healthcare provider. It assures appropriate documentation and aids in claim processing, lowering the chance of reimbursement denials or delays. Importance of Correct SWO Documentation It is cri...

  Compliance plays a crucial role in the accurate and ethical delivery of behavioral health billing services. Navigating the complex regulatory landscape while providing quality care can be challenging for behavioral health providers. In this article, we will explore essential guidelines for achieving compliance in behavioral health billing services, along with insights into the expertise offered by 24/7 Medical Billing Services. Stay Informed about Regulatory Requirements: To maintain compliance, it is essential to stay updated on federal, state, and local regulations that govern billing practices in the behavioral health field. Familiarize yourself with key laws such as HIPAA, MHPAEA, and ACA. By monitoring regulatory updates and aligning your billing practices with the latest guidelines, you can ensure compliance and integrity in your operations. Implement Documentation Best Practices: Accurate and comprehensive documentation is vital for compliant behavioral health billing serv...