Medical Billing and Coding Services

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How To Effectively Schedule Patient Appointment?

https://www.medicalbillersandcoders.com

Your front desk receptionist will most important factor for revenue growth through patient care and timely scheduling without any delay.

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Top 5 Challenges with Healthcare Revenue Cycle Management

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The non-medical works include taking care of all the documentation, eligibility verification, demographic entry, billing and coding and filing of the medical claims. If a single step is overlooked, the claim will be rejected. Thus, a disorganized revenue cycle management can lead to a stockpile of uncollectible with no proper process to streamline it.

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Understanding Medicare’s Outpatient Mental Health Treatment

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Unfortunately, when you offer mental health services to Medicare patients, your usual Medicare payments are reduced. By holding the patient responsible for the difference between the amount paid by Medicare and the full allowed amount, you still be able to collect what he usually would for the service.

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Ostomy Documentation Tips

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Medical records must contain adequate, clear documentation that supports the medical necessity of the amount ordered and billed. The quantity of ostomy supplies needed by a beneficiary is determined primarily by the type of ostomy, its location, its construction, and the condition of the skin surface surrounding the stoma.

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Critical Care Services and Medical Necessity

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Critical care services encompass both treatments of ‘vital organ failure’ and ‘prevention of further life-threatening deterioration of the patient’s condition.

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Self-Audits – Crucial for Your Medical Practice

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Auditing is important to evaluate the physician processes to make sure their compliance plan is operating correctly and to identify any inappropriate documentation, coding, and/or billing practices.

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POP for Simplifying Documentation Requirements

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Through ‘Patients over Paperwork,’ CMS established an internal process to evaluate and streamline regulations with a goal to reduce unnecessary burden, to increase efficiencies, and to improve the beneficiary experience.

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Modifier 50 Fact Sheet

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Bilateral procedures should be reported as a single unit on two separate lines or a single unit with “2” in the unit field on one line, in order for both procedures to be paid correctly. The multiple procedure reduction of 50 percent will apply to all bilateral procedures subject to multiple procedures discounting.

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Moderate (Conscious) Sedation Coding Guidelines

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Moderate sedation are services provided by the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports. They require the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status.

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Medical Billing for Therapeutic Shoes for Individuals with Diabetes

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Therapeutic shoes for diabetics are not DME and are not considered DME nor orthotics, but a separate category of coverage under Medicare Part B.

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