Often, a seemingly routine preventive visit or minor surgery can take an unexpected turn when a patient mentions a new concern, such as “Oh, by the way…” If a physician provides additional care beyond the originally scheduled service, you may be able to bill for a separate evaluation and management (E/M) service using modifier 25. […]
The medical billing industry, while complex and often mired in regulatory hurdles, is experiencing a period of growth and transformation. A recent survey conducted by healthcare software company, a digital health operating system company, revealed that 65% of medical billing companies hold a positive outlook on the industry’s future. This optimism is fueled by several […]
Inaccurate medical bills can be a frustrating and costly experience for patients. From coding errors to duplicate charges, these mistakes can lead to financial strain and unnecessary stress. Understanding the common causes of Medical billing errors and taking proactive steps can help you avoid these issues. Common Causes of Inaccurate Medical Bills 1. Medical Coding […]
Medical billing is experiencing significant changes as the healthcare industry rapidly evolves. Healthcare providers are facing new challenges managing their revenue cycles as the sector becomes more complex. The future of medical billing services is not without obstacles. However, medical billing services play a critical role in ensuring providers receive timely and accurate reimbursement for […]
Medical billing is at the forefront of a transformational industry in healthcare. Medical billing trends 2024 promise to make this a pivotal year for medical billing due to rapid technological advancements, regulatory changes, and evolving patient expectations. Providing insights that can help healthcare providers, billing professionals, and administrators navigate these changes effectively, this newsletter explores […]
A medical record is systematic documentation of a patient’s medical history and care. It usually contains the patient’s health information (PHI) which includes identification information, health history, medical examination findings, and Medical billing information. Medical records were traditionally kept in paper form, with tabs separating the sections. As printed reports were generated, they were moved […]
The medical billing process is a complex system that requires various steps to ensure accuracy and efficiency. Medical billing services work hard to make sure that medical bills are processed quickly and accurately, allowing for timely payments from insurance companies. 1. Patient Registration The medical billing process begins with patient registration, where the patient’s demographic […]
The administrative burden of accurate coding is a major contributor to physician burnout, a problem even worse since the COVID pandemic. Studies consistently show it’s a leading cause of stress for doctors and staff. Incorrect coding, including medical coding mistakes, can have serious financial consequences for medical practices. Denial of claims, reduced reimbursements, and audits […]
Medical claim clearinghouses enhance the efficiency of claim submissions for healthcare providers, thereby reducing costs and improving payment accuracy. Each year, healthcare payers and providers exchange billions of claims to finalize patient encounters, a number that continues to rise. As claim volumes increase annually (except for a dip in 2021 due to the COVID-19 pandemic), […]
While revenue cycle management (RCM) involves many steps, payment posting processes often gets overlooked. Optimizing this process acts as the cornerstone for smoother billing, reducing administrative burdens, and uncovering new revenue streams. By providing a clear view of daily income, accurate payment posting helps practices proactively address errors that could otherwise complicate medical billing and […]