21 Jan 2017
Avoiding medical billing detail
Avoiding Medical Billing Denial Best Practice Medical billing denial is the refusal of an insurance company (payer) or carrier to honor a request by his or her provider to cover the cost of healthcare services. It is actually no secret that the relationship between health care providers and insurance company is complex. A lot of Medicare providers [...]
18 Jan 2017
Collecting patient payments

Collecting  patient payments is not always the most fun part of the job. But, with more than 23 percent of total revenue in health practices coming from patient collections, according to the Medical Group Management Association (MGMA), few can deny that managing patient payments correctly is a significant priority for practices and medical billing services. […]

18 Sep 2016
macra-101

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) perpetually removes sustainable growth rate (SGR). MACRA also eliminates SGR’s annual threat of physician payment cuts. The American Medical Association provides physicians with vital tools to be successful through this long-term transition period. Two options of physician payment currently exist. They are the Alternative Payment […]

08 Sep 2016

Introduction Outsource your billing or keep the procedure in-house? This is the dilemma facing doctors and healthcare providers everywhere. The correct solution varies from practice to practice based on many different variables including: business age, size of local labor market, and the state of the practice finances. Other than practicing medicine, billing and revenue cycle […]

18 Apr 2016
  In 2015, Medicare began paying for Chronic Care Management (CCM) under code 99490: chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month. The services require: The patient to have two or more chronic conditions that are expected to [...]