medical billing services

1

Understanding Medicare Non-covered Services

https://www.medicalbillersandcoders.com

In some instances, Medicare rules allow a physician to bill the patient for services in these categories. Understanding these rules and how to use them in your practice increases the likelihood of getting paid for the services your patients need, even if Medicare doesn’t cover them.

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1

Who does the Coding for Physician Services?

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The rendering provider is the only individual authorized to select and responsible for selecting a CPT code. CPT codes are physician procedure codes, found in Current Procedural Terminology, published by the American Medical Association. 

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1

Improving Pharmacy Claims Reimbursement for Community Pharmacies

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Prescription drug claims are the financial lifeblood of any community pharmacy. To ensure a steady and accurate flow of revenue, community pharmacies should use technology to improve their pharmacy claims management processes.

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1

Common Mistakes In Urgent Care Center Billing And How To Resolve Them

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As the healthcare industry is continuously evolving, there is growth in the number of urgent care centers. Their speed and efficiency in providing healthcare services at an affordable price are what makes them popular.

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1

Medical Billing for Pharmacists

https://www.medicalbillersandcoders.com

There are three main strategies for billing: becoming credentialed as a provider, obtaining preauthorization before submission, and submitting the claim without prior authorization. If a pharmacist is credentialed with the insurance carrier, he or she is already authorized to submit claims to the insurance company for those patients using the pharmacist’s program.

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1

Compensation for Cognitive Services and Insurance Carriers

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Private third-party payers may or may not choose to accept pharmacists as providers for purposes of compensation for cognitive services. There are some instances in which private insurance carriers have a payer relationship for cognitive services with pharmacists or pharmacies.

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1

How to Avoid Medicare Audits for ASC Billing Practice?

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Audits are necessary and might not be avoidable all the time. Hence, it is critical for the surgery centers to keep up with Medicare coding rules and guidelines, keep a track of denied claims and monitor audit focus issues, which are published regularly by the contractors. They also need to monitor previous audit results and work on avoiding the issue in the future.

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1

Differentiating between Medical Necessity and Medical Decision Making

https://www.medicalbillersandcoders.com

A firm grasp of the differences between medical decision making (MDM) and medical necessity can improve your claims payment rate, as well as make the external audit process much easier, should an audit occur. MDM is a key component of an E/M service, in addition to history and physical exam.

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1

How to Control Blood Sugar?

https://www.medicalbillersandcoders.com

Lifestyle choices can often help you manage your blood sugar levels. Eating a healthy diet with plenty of fruit and vegetables, maintaining a healthy weight, and getting regular exercise can help. 

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1

Educate Medicare Patients Using MSN

https://www.medicalbillersandcoders.com

The Medicare Summary Notice (MSN) is a summary of health care services and items patients have received during the previous three months. MSN is not a bill. This document is intended to help patients remember the physicians, specialties, supplies, and services involved in their care.

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