Like every medical practice, managing and running revenue management cycles smoothly are the essential functions of orthopedics and any other medical practice alike. By managing your billing practices effectively, revenue will continue to reach on time while minimizing delays and improving cash flow limitations. When it comes to orthopedic medical billing, orthopedic practitioners need to … Read more
No matter what practice you are associated with, billing and coding for the claims can be daunting and become challenging within no time. Similar goes with optometry, learning billing and coding optometry can take time and give you a toll if the differences aren’t learned about applicable copays for visits, valid fees for appointments, and … Read more
For the past few years, the healthcare industry has been under continuous evaluation. Not just the regulations amended for insurance providers and healthcare providers but patients as well. People visit doctors for their tailored needs, however, visiting a physical therapist needs serious bodily pain, injury, or sprain. To reimburse the treatment, practitioners need to use … Read more
To combat fraud related to the False Claims Act, “the Centers for Medicare” and “Medicaid Services (CMS)” implemented the three-day rule, also known as the “72-hour rule”. This rule requires that all outpatient diagnostic or some other medical services delivered within 72 hours of hospital admission be bundled and billed collectively rather than individually. This … Read more
ERA stands for Electronic Remittance Advice and is used by means of electronic communication where the need for EOB Explanation of Benefits becomes negligible. But what is ERA in medical billing? Medical healthcare providers always wish to have claim acceptance in the first go. And it becomes essential for the providers to reduce/eliminate the recurring … Read more
A clearinghouse in medical billing reserves a special place in terms of clearing and forwarding reimbursement claims for practices and hospitals. As the process of reimbursing claims and providing financial security to healthcare providers are essential steps in medical billing, clearinghouses play a key role in the healthcare billing process which is undeniable. What is … Read more
The coordination of benefits is defined by the Centers of Medicare and Medicaid Services as the process by which the patients are allowed to choose who is responsible for their financial medical liability or insurance. This means that through COB, CMS permits patients to have more than one payer or insurance provider. However, through COB, … Read more
Like any other practice, chiropractors also need to adhere to the important set of codes called CPT codes. AMA maintains chiropractic CPT codes – American Medical Association and is regularized by the CMS across the chiropractic providers. Chiropractic CPT Codes 2021 comprises five alphanumeric typo scripts used to evaluate, describe, and diagnose all the treatments … Read more
The medical industry has been affected by scams and fake medical bills for ages and till now there have been no easy solutions for the prevention of manipulation and tempering of such issues at the receiver’s end (i.e. hospitals and providers) or the processors’ end (i.e. insurance companies). The Healthcare industry needs a quick solution … Read more
If you’re in the medical billing field, you know that condition codes are an important part of coding and billing procedures. But what exactly are condition codes, and how do you use them correctly? In this blog post, we’ll explore everything you need to know about condition code, from what they are to how to … Read more