Are You Ready for Value-Based Payment Model?

The Centers for Medicare & Medicaid Services (CMS) has introduced value-based programs, aiming at reducing the cost of care delivery, ensuring better care for individuals and better health for the population. Value-based care model has been devised to replace the conventional fee-for-service model to shift the paradigm from quantity to quality. The payment model includes …

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Quick Facts – The Medicare Access and CHIP Reauthorization Act (MACRA)

The Medicare Access and CHIP Reauthorization Act (MACRA) is a final rule issued by the Centers for Medicare & Medicaid Services (CMS). The MCARA final rule has replaced the sustainable growth formula and consolidates many existing programs into one. Let’s wrap up a few quick facts about the Medicare Access and CHIP Reauthorization Act (MACRA). …

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Denial Management TIPS on How to Improve the Process

A denied medical claim can be stressful and disappointing for medical billers and physician practices as well. A denial of any medical bill can happen due to the following reasons: Error while typing due to carelessness No or less working experience in related field iii. Misinterpreting the information Coding in an inappropriate manner Insufficient or …

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Four Key Significances of Medical Billing Outsourcing

As more and more healthcare providers i.e. hospitals, physician practices, and clinics are seeking to outsource their medical billing services. Medical billing professionals are hard to find, and seeking one with specialized services is even harder. The reason is that most skilled medical professionals now operate their own firms. They prefer working on projects instead …

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The Benefits of Electronic Medical Billing

Recent advancement in technology has transformed the Healthcare industry and the medical billing process i.e. Electronic Medical billing. It is a term that is highly used these days, it a process in which a healthcare provider submits a bill or claim to the health insurance companies and keeps the follow up in order to receive …

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Out-of-Pocket Costs Catching up with Medicare Beneficiaries

Although Medicare has been a trusted health organization for almost half a decade. It covers 60% of the hospitalization, almost 80% of the doctor’s bill, and other precautionary services. However, now its beneficiaries are facing higher costs for the benefits it offers. Medicare prescription drugs should not be of out-of-pocket costs; this facility should be …

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Here Is How To Reduce Your Risk Of Bad Receivables

Reduce bad receivables through these simple tips. Medical companies often find themselves strangled with bad debts. The reasons are simple: the claims are rejected; the insurance companies don’t deem the services payable, or the medical staff wasn’t trained well to collect payments. But these bad debts can be minimized through these simple ways. Reducing Claim …

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