It doesn’t matter whether a medical biller is brilliant, or how brilliant they are; while working on daily claims all day, it’s only human to have some claims get downright rejected. Sometimes, it’s the medical insurance company at fault; at other times, it’s because some vital information got left out. To not let the latter
A lot of medical practices are choosing to outsource their medical billing. Many are still on the sidelines, trying to decide whether or not it’s necessary; whether or not it would be worth it. To answer both questions, it’s important one knows that a third party medical billing company is supposed to have a team
MACRA, that is the Medicare Access and CHIP Reauthorization Act has finally replaced the old, and some would say, flawed SGR (Sustainable Growth Rate). Under MACRA, we get the two-track QPP (Quality Payment Program) which aims to put emphasis on payment models that are based on value. It’s an opportunity for entities to receive funding
The proposed rule for MACRA implementation includes provisions for MIPS, APMs, and other value-based care activities. More than a year has passed since Congress voted to enact the Medicare Access and CHIP Reauthorization Act of 2015 and the Department of Health & Human Services issued its notice of proposed rulemaking for MACRA implementation. At its
until now, It has been difficult to find one place to solve problems for medical billing for Oncology specialties, problems such as insurance coverage, Medicare & Medicaid, Co-pay assistance program, drug coverage, diagnosis, drug authorizations and other resources. Our goal is to provide a road map to get payment for all oncology claims. We will
Proven Experts in Internal Medicine RCM With the emergence of ACOs, narrow network health plans, medical homes, and declining reimbursement, independent internists are working harder, but too often making less. As independent physicians look for ways to remain financially strong, working with an RCM partner is often a way to gain expertise and reduce costs.
Anesthesia billing differs from all other medical specialties – time unit calculations, anesthesia specific modifiers as well as concurrency and medical direction nuances frequently leave practices under qualified and understaffed to bill effectively. These complexities combined with declining payments, increasing patient responsibility and operational costs demand efficient and accurate billing to maximize reimbursement.
Navigating nephrology coding and billing can be quite complex and requires an in-depth understanding of federal guidelines and requirements, as well as variations in local carrier coverage determinations (LCDs). EHealthSource offers these nephrology unique seminars to equip you with a greater understanding which CPT codes to use for various scenarios and how to transition from
Accurate medical billing and coding for gastroenterology is challenging and requires a high level of knowledge to ensure maximum reimbursement. These challenges include billing for colorectal cancer screenings vs. colonoscopies, motility and GI function studies, documenting proper levels of evaluation and management services, category III codes for treatment of GERD and applying the use of
Pulmonary medicine deals with many diseases and conditions, including: Acute Respiratory Distress Syndrome, Asthma, Chronic Obstructive Pulmonary Disease, Cystic Fibrosi, Interstitial Lung Disease, Lung Cancer and some others. In an effort to support clinical income, our Revenue Cycle Management team has developed a reference tool with answers to common coding and billing queries. We have
As a HIPAA Compliant Billing Service dedicated exclusively to chiropractors, we use our years ofchiropractic medical claims billing andcollection expertise to get your chiropractic insurance claims processed quickly and effectively. This means maximum reimbursements for you! WHAT WE OFFER: • * Electronic Claim Submission • * Paper Claim Submission on Approved Forms (when needed) •
EHealthSource’s Medical Billing Services combines the expertise of EHealthSource’s seasoned team of medical billers and coders with our powerful electronic health records and practice management system for a trusted, affordable billing service that increases revenue and improves efficiency for your podiatry practice. Reasons podiatrists like EHealthSource’s Billing Service: Expertise of best practices related to podiatry