Tag: Medical Billing

Medical Coding Automation

How Medical Coding Automation Enhances Primary Care Practices

Physicians are currently facing challenging times. The existing shortage of doctors, compounded by the pandemic, has exacerbated the patient-to-physician ratio. With an increase in patients, there’s a corresponding surge in administrative tasks for doctors. Consequently, this diminishes the time available for patient care and heightens stress levels among physicians. Furthermore, this situation often leads to […]
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Bill Minor Procedure

How to Bill an E/M With a Minor Procedure

To determine the appropriate use of modifier 25, review this case study in otolaryngology. The Cigna Group has delayed the requirement for submitting documentation with claims that involve a 25 modified offices or other outpatient evaluation and management (E/M) service (CPT® 99212-99215) and a minor procedure. Despite the payer not enforcing this requirement, physician practices […]
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Top 6 Medical Billing Changes

The Top 6 Changes in Medical Billing

Table of Contents The Top 6 Changes in Medical Billing Implementation of ICD-11 Increased Use of Telehealth Services Changes in Reimbursement Rates Increased Focus on Patient-Centered Care Greater Emphasis on Data Security Focus on Price Transparency The healthcare industry is constantly evolving, and medical billing is no exception. With the ever-changing landscape of healthcare, it’s […]
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cigna-updates-modifier-25-reimbursement-policy

Cigna Updates Modifier 25 Reimbursement Policy

Find out what you must do to get significant, separately identifiable E/M services paid. The Cigna Group recently updated its reimbursement policy for modifier 25. Effective May 25, if you are billing this health insurance company for an evaluation and management (E/M) service and a minor procedure, you may need to do more than append […]
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5 Qualities of a Great Physician Billing Solution

Discover the Top 5 Qualities of a Great Physician Billing Solution

Ensure you make a well-informed choice when selecting a company to manage your reimbursements. Physicians seeking to improve their reimbursement rates, financial performance, operational efficiency, or focus on patient care should consider outsourcing their billing needs. However, choosing the right physician billing service for your practice can be a challenging task, as not all services […]
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Tips to Optimize Cardiology Billing and Coding Process

Top Tips to Optimize Your Cardiology Billing and Coding Process

Cardiology Medical Billing and Coding Process: To effectively handle these changes, cardiology practitioners might have to keep themselves informed about the modifications in payment regulations, modify their billing procedures as needed, and employ novel methods to enhance their compensation. Cardiology billing and coding can be challenging due to various factors, such as the complexity of […]
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Updates to UnitedHealthcare's Reimbursement Policies

UnitedHealthcare Implements 9 Changes to Reimbursement Policies for May

On May 1, UnitedHealthcare made nine changes to its reimbursement policies for its commercial, individual and family, and Medicare Advantage plans. Some of the changes go into effect June 1, while others will begin August 1. Here are nine UnitedHealthcare reimbursement changes happening in the coming months: Commercial plans: Molecular pathology policy, professional and facility: […]
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Advantages-of-Medical-Billing-Outsourcing

Top Reasons and Advantages of Outsourcing Medical Billing Process

Outsourcing the medical billing process reshapes healthcare sectors by building better and more stable revenue cycle management systems and helps businesses in the long run. Additionally, outsourcing pulls down the operating costs and strengthens the efficiency of the revenue cycle parallelly. Outsourcing medical billing services to a reputable medical billing company brings about a range […]
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Fight Back Against Denied Insurance Claims: 5 Steps

Appealing a denied insurance claim can be frustrating, but don’t give up! By following these steps and understanding the process, you can increase your chances of getting the coverage you deserve. Here’s a detailed guide: 1. Understand Why Your Claim Was Denied (and Know Your Rights) Review the Denial Letter Carefully: This document should clearly […]
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