Medical Billing Blog with Medical Billing & Coding Info & Articles
Our blog contains news and articles relating to numerous healthcare sectors including revenue cycle management, medical billing, medical coding, ICD, HIPAA, practice management functions and more.
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 …
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 …
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 …
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 …
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 …
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 …
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 …
Three Medical Billing Outsourcing Myths
Myth #1: You will have a higher rate of reimbursements, if you only work with an established medical billing outsourcing company. Their longevity points to a wide range of experiences and expertise, to handle the complexities of your billing problems.However, a company’s length of service in the medical billing industry is not the only measure of reliability or expertise. There are “toddler” medical billing companies which are owned and managed by executives, or medical billing experts who’ve branched out from the older firms. They bring their experiences and a significant amount of knowledge to the new business. To get a better assessment, you should request the prospective firms for a …
Medical Billing Software Consultants?
Are you planning to install medical billing software in your practice? Whether you have a small practice or are part of a national health care provider organization, this is a crucial buying decision, as it affects your revenues. In addition, there are serious legal ramifications from making incorrect patient claims, and if the software is not HIPAA compliant. Together with these considerations, you’ll need to partner with a medical billing software vendor, who has excellent customer support. This is not about limited toll free numbers or multimedia presentations or online help menus. Get acquainted with the consultants of this organization and find out how they can help. There are four …
DME Supply Prior Authorization?
Why is it that a DME supplier can go through the proper channels, get a DME supply authorized by an insurance adjuster and/or case manager, get a negotiated non-reviewal price for this equipment and then have to waste a great amount of expensive time to fight for what was agreed upon in the beginning? I’m finding out that more times than not, this authorization isn’t worth the paper it is written on. You have to appeal a payment with the claim payor that has been significantly reduced from the negotiated, non-reviewable fee. Sometimes, after being persistent and getting berated by these adjusters, who now say it’s not their problem, you …
