Medical Billing Blogs

  In today’s ever-evolving healthcare landscape, multi-specialty clinics are at the forefront of providing comprehensive medical care. These clinics offer a wide range of specialties under one roof, catering to diverse patient needs. While multi-specialty clinics excel at delivering high-quality healthcare, they also face unique challenges in medical billing and coding due to the complexity of their services. Efficient and accurate medical coding is critical for multi-specialty clinics. It ensures proper reimbursement, compliance with regulations like the Health Insurance Portability and Accountability Act (HIPAA), and an overall streamlined revenue cycle. To meet these challenges, multi-specialty clinics are embracing technology trends that are transforming coding practices. In this blog post, we will explore some of the latest technology trends in  medical billing and coding for multi-specialty clinics  and how 24/7 Medical Billing Services is leading the way. Artificia...

Using non-physician practitioners (nurse practitioners, physician assistants, clinical nurse specialists, and so on) to boost productivity in a medical practice is an effective strategy to do so. However, covered services delivered by non-physician practitioners (NPPs )   are reimbursed at a lower rate (85% of the fee schedule amount) under Medicare rules. The “incident-to” billing for services rules provide an exception, enabling 100 percent reimbursement for non-physician treatments that meet the guidelines outlined in Chapter 15, Section 60 of the   Medicare Benefit Policy Manual . The term “incident to” a physician’s professional services denotes that the services or supplies are provided as an integral, although incidental, element of the physician’s professional assistance during the diagnosis or treatment of an accident or sickness. However, the ability to use “incident to” charging is subject to several constraints and limits. Let’s have a look at such complexities: Co...

  The prices that your medical insurance will reimburse for the services or goods you’ve received are listed on an EOB, which is a report from the insurance company. When your health provider submits a claim for the care you received, the EOB is produced. With the help of your explanation of benefits, it helps you to keep an adequate record of all the health services you received and their associated cost and expenses. Is The Explanation Of Benefits (EOB) The Same As a Bill? No, your EOB is not the same as a bill. Your EOB simply contains the statement of the health care services you received, the cost, and how you are to share the cost with your plan. The EOB cannot be used to clear previous debt or outstanding bills. How Does An Explanation Of Benefits (EOB) Work? When you receive medical care, a healthcare worker will submit a claim to your health insurance agency. You will then get an EOB. You might get a different bill for the sum you might owe later. Your bill will specify wh...

Imagine you run a small clinic with complementary specialties. You're just getting started, so you've recently invested heavily in your business hardware and software, medical equipment, offices, furniture, marketing, medical staff, and the practice.  You're excited to start seeing more patients and building your practice.  However, you are observing an income shortfall, despite an increase in the number of patients. Surprised! It may be that a few of your beloved patients are not paying their bills on time. Or maybe payments from Medicare, Medicaid, and other health insurance companies are slow to arrive due to errors in coding or filling out billing forms or any other medical billing work? It’s nothing new in this! Reimbursements in the healthcare industry have been declining while HIPAA-compliant paperwork has been increasing. You might be thinking how small or medium-sized medical practices like yours can remain profitable when operating costs are so high, and most fees...