Understanding How to Work with Workers’ Compensation Claims

During a typical employment tenure with an organization, the relationship between the employer and an employee is always considered to be professionally streamlined. Workers’ compensation claims are a natural extension of such a relationship. Workers’ Compensation is a form of insurance that provides earnings substitute and medical benefits to employees injured during their tenure of…


Five Ways to Instantly Improve Your Medical Billing Practice

When, the U.S. healthcare sector is booming, payable medical bills are also becoming equally surprising and very expensive, some are even getting so expensive people are having to declare bankruptcy and having to file chapter 7 in North Carolina. Your practice is receiving an upsurge in medical bills and clerical work and they are not…


Why Choosing an ISO 27001:2013 Certified Medical Billing Company is so Important?

One of the pillars upon which the entire US healthcare industry is founded is trust. Beyond trust, some may say that it’s about privacy and confidentiality. Understanding the sensitive nature of patient-data, maintaining strict confidentiality of patient records, complying with the stringent demands of HIPAA (Health Insurance Portability and Accountability Act) that, among other things,…


How to Overcome the Common Challenges of Billing for Worker’s Compensation Claims

Billing for medical services rendered can be a challenging job during many times. When it comes to seeking compensation from insurance companies, accurate billing is of utmost importance. If you are not careful, you could easily end up with a rejected or denied claim in your hands. All insurers have set rules and regulations about…


Understanding Denial Management in Orthotics & Prosthetics Billing

Absent or incorrect data frequently drives payers to deny claims for repayment. Try not to leave cash on the table, primarily because your staff doesn’t have sufficient energy to defeat the installment detours. Wiser medical billing offices understand the worth of a decent framework for their practice. A strong Revenue Cycle Denial Management system offers…


The 4-minute Guide to Choosing the Best Healthcare Outsourcing Company in 2016

The healthcare sector is currently confronting lessening primary concerns and expanded administrative consistence. Confronted with regularly expanding costs, outsourcing in the medicinal services part is undergoing exponential development as many healthcare businesses have now started to increasingly outsource a wider range of administrative chores for better operational advantages. Earlier, the healthcare industry restricted its outsourcing…


Medicaid Home Health Appointments Using Telemedicine Get Official Approval by CMS

The Centers for Medicare and Medicaid Services (CMS) has mandated close and personal visits before home health services for Medicaid patients, a guideline that as of now exists for Medicare patients. The standard likewise involves permitting those face to face visits to be directed through telemedicine. The announcement by CMS is about the face-to-face experience…


The Impact of UHC CPAP Pre-authorization Mandate on Your DME Billing Staff

Pre-authorization requirements on CPAP devices have changed for Medicare Solutions and Connect plans, as reported by Network Bulletin of February 2016. Till now, the billed amount on the claim requires pre-authorization (or, to be precise, any CPAP/BiPAP claim which is over $1,000). Come May 1, 2016 and CPAP claims of all values will fall under…


Healthcare Reforms Proposed to Save Medicare

We all know that change is constant. It is also necessary for survival. This is possibly the biggest reason why public healthcare, undoubtedly a major pillar of the U.S. economy, needs change to keep functioning properly and stay competitive and useful to the people it aims to serve. The Centers for Medicare and Medicaid Services…


Revenue Cycle Management: Increasing Control in the New Fiscal Year

The new fiscal year in the U.S. healthcare market is undoubtedly very challenging. Considering the year 2016—a year for the U.S. presidential election to be held — the focus is to build a more streamlined healthcare system. It is slated to usher in a new phase in the U.S. healthcare system. Revenue cycle management, an…