Medical coding and billing are not famous professions but the demand for them is on a constant rise and is seen over the past few years. There are questions popular in medical billing and coding: “Do you have to be a medical graduate to become a biller or coder?” “Is learning the terms hard” “Are …
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Medicare and Medicaid are the two government payers who make up the greater portion of which a medical biller and coder will work with to provide payments to the provider. They are actually very high payers every day and are the ones who set the standards for most coding and billing procedures in use for …
Practice Management Company A practice management or a billing company may also hire their own medical billers and coders. One advantage of this is the various and wide administrative support. Saying this, a newbie in the field of medical billing and coding is advised to start with this kind of setup since he will get …
Like one foreign language to another, a revenue cycle is similar to translating the work performed by a physician provider into payment. The entire process involves coding the appropriate diagnosis and procedures, billing, filing, and sending the claim to the corresponding payers, and if all went smoothly, receiving the payments from these insurance companies or …
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Soft collection is a process of reminding clients about their overdue payments to prevent legal action, which is termed on other hand as a hard collection. A collector can do this by either calling them on the phone, leaving them messages or simply by email. Only a certain amount of time can be allowed for …
Introduction Starting a private practice may seem scary and is really a business risk a physician needs to take if he wants to separate from the busy environment of the hospital. Here are some simple steps to guide a physician as he ventures more into his career on his own. Choosing the right place – …
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Medical Auditing is done at the final part of the revenue cycle management wherein a systematic assessment performance is made. It is done to identify errors and create or revise ways to prevent fraud in healthcare and can protect the organization. Function: Reviewing the quality of healthcare provided to the patient Educate providers on documentation …
What is Medical Adjudication? The adjudication process in medical billing lies on the paying insurance’s end wherein it will determine the responsibility of paying to the provider. It is like an “obstacle” that every claim will encounter and with help from a skilled and experienced medical coder, it can go through it smoothly and easily. …
Healthcare fraud and abuse are illegal practices targeting private health insurance companies that mainly aim to incur great amounts of money from claims that are falsified. The US Department of Health and Human Services Office of the Inspector General suggests a 7 step Compliance Program that may protect physicians from committing violations that may be …
Paper-based medical billing was previously used almost three decades ago and demanded a great amount of time and effort but had coped up and adapted with the advances in technology. Medical Billing Software has increased workload productivity and lessened the turnaround time in the revenue cycle management The billing technology-enabled medical billers and coders to …
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