Medical Billing Blog: Section - General Info

Archive of all Articles in the General Info Section

This is the archive containing links to all articles written in the General Info section of our blog.

Click any of the article links below to read the entire article or browse another section to the right to read articles on another subject.

Physician credentialing – What Is Involved in the Process: Part 2

Physician credentialing – what is involved in the process: Part 2 will discuss the application package and everything that you will need to know about it. After your interview was made, usually the recruiters will send the physician an application package with everything needed to apply for the job. If you are going to submit an application, you will need to make sure that you send in all of your information that of which includes: all of your personal information, both of your undergraduate and graduate degrees, your licensure as well as your certification, you will need references, malpractice history and disciplinary proceedings and last but not least, also be

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Physician credentialing – what is involved in the process: Part 1

Physician credentialing – what is involved in the process you ask? There are several steps and processes involved in physician credentialing, so hang tight. The first thing that I feel that I should mention to you, is that when you are selecting what we refer to as a “locum tenens company,” you should always, and might I repeat always, make sure that the company/firm will be dedicated to providing you with “risk management.” You need to make sure that you have risk management for the client that is recruiting the physicians, as well as the physician themselves. You must absolutely not have a brief interview, and consider everything to turn

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Exactly What Is Medical Billing, Anyway?

Medical billing and coding is how healthcare providers, big and small, get paid for services rendered. Over the past decades, medical billing has become more and more complicated. The practice of assigning this important task to a receptionist, administrator or bookkeeper has all but fallen by the wayside, with healthcare providers opting to hire specially trained personnel instead. The reason is simple. In today’s highly litigious society, it behooves medical practitioners to make sure their medical billing and coding work is accurate and correct. Only in this manner can a lawsuit or a messy claim be avoided. The physician, hospital, or HMO can then get back to their real business:

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Healthy Insurance Claims

These days, when it comes to medical billing and coding related practices, health providers must sit up and pay attention…or risk paying a high price. To be effective, medical billing and coding must be accomplished by a professional trained for the job. Creating the patient account, charge entry, payment posting, denial posting, reconciliation, returned mail, refunds, provider data bases and updates, adjustments and write-offs, are just the tip of the iceberg in this important field. Accurate, transparent billing and coding methods minimize provider risk and result in fewer claims denials. A trend is fast developing to assign these demanding medical billing and coding related tasks to companies that specialize in

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Mistakes Made in Medical Billing and Coding

Medical billing and coding errors are a serious ordeal in the medical world. Mistakes can cause confusion for the physician’s staff, insurance company, and patient. Accuracy is very important in the medical world. Mistakes made in medical billing and coding not only effect the worker, but patients as well. If the person doing a doctor’s medical billing and coding codes the case wrong the insurance company’s system will not pay. It will usually automatically deny the claim. This is a very common problem in medical coding and many blame poor training for errors like these. The medical coding system is so intricate that many who do it daily do not

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Medical Billing Appeal Problems

Medical billing and coding is an exciting medical career many choose to participate in. Though this career is highly rewarding and lucrative, there are problems that you will run into.The most reported problem for those in the medical billing field is denial claims. It is sometimes difficult to get a claim paid at all, much less on time. Sometimes a denial program will help you with such a program and increase your cash flow. Appeallettersonline.com is a tool that many in the medical billing and coding field initiate to help them with their billing and collecting. Appeallettersonline.com uses the latest technology to help with payer’s denial claims. They help bridge

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Where To Train For Medical Billing And Coding

Careers in medical billing and coding are becoming more popular every year. There are several institutes that offer medical billing and coding training online so that you do not have to quit your day job to go to school. You can still earn money through your full time job and take courses online until you are certified and can make the career switch. Most schools that offer online courses can be completed from your house. Once registered with the school of your choice they will send you all the materials you need. You will do lessons and take tests online and then earn your certification or diploma. The time it

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Proper Coding Equals Paid Insurance Claims

There are a number of reasons insurance claims remain unpaid. To understand them, let’s look at one very important aspect of the medical billing process. Proper coding. This is one of the most important, and one of the most complex, aspects of medical billing. There is a number, or code, assigned to each and every medical condition and procedure imaginable. This procedure was put in place to standardize the industry. Although it seems to complicate things, the codes are meant to make it easier for medical providers, insurance companies, and the government to communicate efficiently. This standard language can provide an easy snapshot of an individual’s health and healthcare, and

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Find an Outsourcing Hero

A truly capable and knowledgeable outsourcing partner/vendor will always obtain enough information to define your problem(s) and needs in order to develop and deliver possible solutions. Once identified ask for a vendor track record of fixing the problem. The vendor should be able to add value to your processes or products; not just improve the bottom line. Industry experts say that defining the problem is 50% of the solution. The vendor you are shopping should assist you to get your needs and then partner together with the end goal in mind. An outsourcing hero will educate the client during the process of delivering the solution. The vendor should always have

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Indian police make arrests in outsourcing fraud – News – CNETAsia

Indian police make arrests in outsourcing fraud By Dinesh C. Sharma, Special to CNETAsia Monday, April 11 2005 9:09 AM NEW DELHI, India–Police have arrested former employees of an Indian call center that handles U.S. customer accounts for allegedly stealing consumers’ funds. The suspected gang members arrested by police in Pune included three ex-workers of Mphasis BPO. Police said the employees allegedly stole customers’ personal account information and transferred around US$350,000 to fake accounts in Pune. Sanjay Jadhav, the assistant commissioner of police, said about US$23,000 (1 million Indian rupees) of the fraud money has already been recovered. The call center workers left their jobs last December. “The detection systems

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