One of the major factors that keep both healthcare and medical claims billing operations running smooth and uninterrupted is chart audits. Many Healthcare Providers and Facilities think that auditing medical charts wastes their effort, money and time. However, they fail to realize the fact that t...

The transition from fee-for service to value based payment is presently a promising change in the healthcare domain. The main idea behind this transition is to deliver quality healthcare services to all US citizens at a lower cost. Before delving into this in detail, let us first understand the d...

Several factors influence insurance payments, of which prior-authorization seems to be one important factor that is often overlooked by Providers. What is Insurance Prior-Authorization? It is the process of obtaining an approval to cover specialty services, Durable Medical Equipment (DME) and spe...

The replacement of traditional billing methods by modern medical billing systems has taken physician practice management to a whole new level. In addition to reducing paperwork, easing patient information access, simplifying claims automation, the billing system has yet another advantage – Report...

The existing and recently-proposed healthcare reforms have been beneficial to the patient population of the US. However, what changes have they brought to Healthcare Providers? The answer is quite disappointing. There have been a lot of payment-cut proposals - some of which have already taken eff...

The recent healthcare reforms like Patient Protection and Affordable Act and HIPAA 5010 electronic transition along with the upcoming ICD-10 Implementation have already kept healthcare practices and Hospitals busy in the past few months. During this crucial time period, it is highly essential tha...

Healthcare Providers and Facilities realize that their medical billing and coding methodology have some serious issues only when claims get denied on a large scale. The biggest problem with inaccurate coding is that it can result in a chain of events where the claims get denied, billing amount is...

Ranging from correct physician billing to claims processing, several factors contribute to the welfare of a Healthcare Facility or Provider. Equal importance has to be given to each one of them to keep one’s Practice in fine fettle. Most Healthcare facilities and Providers take great care on thei...

Like bolts out of the blue, the US healthcare domain keeps witnessing lots of changes time and again. Like a coin with two sides, healthcare changes have their own pros and cons. Though these reforms are sure to benefit the lives of several uninsured and elderly US citizens, they have turned the ...

The US healthcare domain has witnessed a lot of changes over the last few years. Good news is that many uninsured Americans will be benefited by the newly introduced healthcare reforms from ‘Obamacare’. However, physicians will find a hard time adapting to these new changes - especially those who...