Medical Billing and Coding Services

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Appropriate Use Criteria Program

https://www.medicalbillersandcoders.com

Under this program, at the time a practitioner orders an advanced diagnostic imaging service for a Medicare beneficiary, he/she, or clinical staff acting under his/her direction, will be required to consult a qualified Clinical Decision Support Mechanism (CDSM). CDSMs are electronic portals through which appropriate use criteria (AUC) is accessed.

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Medical Record Documentation for E/M Services

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Medical record documentation is required to record pertinent facts, findings, and observations about an individual’s health history including past and present illnesses, examinations, tests, treatments, and outcomes. The medical record chronologically documents the care of the patient and is an important element contributing to high-quality care.

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Medical Coding for Group Visits

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Many physicians are interested in providing group medical visits. Whether the drop-in group medical appointment (DIGMA), chronic care health clinic (CCHC) or other model is delivered, the coding and billing of these services raise questions about codes and payment policies.

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Telemedicine Expanding Access And Dictating Reimbursement Policies

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Providing patient care utilizing electronic means is represented by the AUA Telemedicine Workgroup as an electronic revolution that is changing the very embodiment of how doctors conduct their practices.

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Boosts your Medical Reimbursement with Effective Revenue Cycle

https://www.medicalbillersandcoders.com

The healthcare sector in the United States has a huge infrastructure that is required to maintain every aspect of patient treatment. With the cost of operations go up by the day, medical facilities have gradually started to offshore various sectors to other dedicated companies like Revenue cycle management specialists, who are solely focused on providing medical billing services.

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How Analytics Is The Answer To Compliant Coverage Identification?

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Implementing an innovative combination of advanced analytics combined with the rich data enables providers to trace and undisclosed the coverage furthermore; determining the eligibility for the financial assistance without compromising on the compliance.

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How Can You Reduce Your Costly Billing Mistakes?

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Medical billing and coding rules and payer requirements have become more and more detailed and restricting. The margins within which physician practices operate continue to decrease. Electronic medical records, practice management systems, and other automated tools used by practices require too much time and manual effort to use correctly.

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Key Takeaways For Physicians From Value-Based Reimbursement

https://www.medicalbillersandcoders.com

In the rapidly changing healthcare landscape, payers are asking medical providers to shift from volume-based care; the fee for service to a value-based reimbursement structure. This evolution toward value-based reimbursement benefits the patient, the healthcare provider as well as the payers.

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Why You Should Understand the Basics Of Bundled Payment In Healthcare?

https://www.medicalbillersandcoders.com

Bundled payments sooner rather than later, is likely to become a more common thing in the healthcare industry. Bundled payment policies are being leveraged to incentivize improved care coordination, quality, patient safety, and cost proficiency in a system which is badly in need of developments in these areas.

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Risk Adjusted Hierarchical Condition Category (HCC) Coding

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HCC is a payment model created by the Balanced Budget Act of 1997. Implemented by the Center for Medicare and Medicaid Services in 2003, the payment model will identify the individual with chronic illness and assign them to a risk factor score. This risk factor score gives CMS a specific plan out that channelizes the payment method for the risked beneficiaries enrolled.

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