medical billing services

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.

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.

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.

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.

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.