End to End Medical Billing Solutions http://www. medicalbillersandcoders. com www. medicalbillersandcoders. com Copyright ©-2013 M. D. C. P. All Rights Reserved. Page 1 of 1 Negotiating Your Reimbursement Rates during this Phase of Payer Consolidation & Health Insurer Monopoly Power Physicians’ choice of health plans and contracts... More
This year’s CPT Manual has spelt out extensive coding changes and revisions to orthopedic surgical codes. In all, there are 500 code changes to the Category I codes, including 251 revisions, 151 new codes and 100 deletions. Moreover, there has been significant overhauling of nerve conduction studies, some... More
Till recently, cardiologists who were happy with their private practices have suddenly started exploring avenues to align themselves with hospitals. The change has been so dramatic that already around 15 percent of cardiologists across the U.S. have left their private practices in search of more secure positions in large... More
Stage 2 meaningful use guidelines are finally out, and radiologists may heave a sigh of relief since most of the ambiguity that existed in Stage 1 about their eligibility and the ways to approach the qualification criterion seem to have been made amply clear by CMS and the Office of the National Coordinator (ONC).
Contrary to the notion that government’s move to digitize healthcare information would enable healthcare providers, doctors, and insurance companies comply more aptly with HIPAA’s guidelines for patients’ privacy and security, there has been an upsurge in HIPAA breaches with providers being reported for... More
In 2010, Medicare improper payment amounted to $47.9 billion. Human and Health Services, in 2011, recovered $4.1 billion paid through reimbursements as a result of ‘fraudulent’ or ‘improper’ claims. You may be right if you think you won’t ever be among the fraudulent care practitioners who contributed to these figures because... More
The year 2013 is going to be quite significant to the U.S. health care industry in general and doctors in particular – it is the year when a host of health care reforms will be set in motion, and many clinical and operational experiments will get crystallized into norms to be complied with by the physician community.
Physicians, who are generally known for highest professional integrity, often have to live with the tag of ‘malpractice’ despite clinical errors being unintentional. While patients’ have every right to get indemnified for the grievance, physicians’ sole choice of protection against monetary liability.
Thoracic surgical specialty is one of those priority specialties that have always been in high demand across the 50 states in the U.S., and the forecast is for an increased incidence of thoracic surgical cases. While practitioners in thoracic surgical specialty may continue to be optimistic about their future practice,... More
Thoracic surgical specialty is one of those priority specialties that have always been in high demand across the 50 states in the U.S., and the forecast is for an increased incidence of thoracic surgical cases. While practitioners in thoracic surgical specialty may continue to be optimistic about their future practice,... More
Healthcare Reforms or Obamacare that had been facing a few political hurdles may have finally broken through all shackles and assumed greater acceleration. While healthcare reforms or Obamacare are largely perceived to pro-patient, physicians or medical practices have no option but to move with the requisite adaption.
Radiologists, who have been striving to maintain a balance between diagnostic priorities and operational compliance, may well find pulled further into a host of billing and compliance issues throughout 2013:
Medical practitioners, whose immediate concern has been quality patient care or clinical excellence, may be swayed away by a compelling healthcare regulatory compliance. While regulatory compliance may have been designed to rationalize the entire healthcare delivery, optimize medical expenditure, and improve outcomes for patients.
The emphasis on Revenue Cycle Management could never have been so high as it is now – as radiologists begin to comply with of the Affordable Care Act’s (ACA) requirements, they would realize the importance of reinvent their billing and revenue cycle management process to suit the bundled care, shared risk, and... More
One of the most exasperating occurrences during medical billing for a practice and its billers is a denied claim, as it equals to efforts resulting in non- payment as well as resubmission of the claims.
Orthopedic billing has its own share of challenges that seem to get complex with changes in orthopedic- specific CPT codes and modifiers every year or as deemed fit whenever by the governing body for monitoring and recommending coding changes.
It is an irony that Medicare and Medicaid, which reimburse more than the half of the nation’s total health insurance, have come in for heavy flak by physicians, who claim to have lost considerable revenues that they could otherwise have rightfully earned had they avoided seeing Medicare and Medicaid beneficiaries and favored patients... More
Gastroenterologists trade patient-centric information for a variety of purposes, and Medical Billing is one of them. While physicians clinical notes on gastroenterology procedures are made use of by coding and billing staff, there may be possibility, intentionally or accidentally, that vital patient-centric information being exposed to... More
I jacob Thomas, Currently Medical Billing Manager at Medical Billers And Coders, is the largest consortium of Medical Billers and Coders in the United States.
Hobbies:
Net Surfing, RnD on new topics
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