Pre-existing condition exclusion signifies a limitation or exclusion of benefits for a health condition on the grounds that it was present before the coverage begins irrespective of whether any...
Insurance Contracts and Its Implications in Insurance Verifications
If there is something that doctors and healthcare professionals cannot quite manage, it is going through detailed documentation. They have important tasks at hand, providing life saving care to...
Growing Significance of Mobile Applications for Healthcare Industry
Medical mobile applications are empowering physicians as well as patients and playing an important role in the healthcare system. Mobile apps have changed the way diseases are diagnosed, monitored...
Transitional Care Management – Getting it Right
Two new CPT Transitional Care Management (TCM) codes have been created to ensure better coordination of care and to provide better incentives so that patients are treated in a primary care physician...
Healthcare Providers Awaiting Elimination of Medicare SGR
Healthcare providers are now hoping that Sustainable Growth Rate or SGR will be eliminated. Introduced by Centers for Medicare and Medicaid Services (CMS), SGR is used to control Medicare spending...
Efficient Coding and Billing Can Keep RAC Audit Fears At Bay
There are a lot of myths and misconceptions among healthcare service providers about the functioning of the RAC (Recovery Audit Contractors). The RAC system was created to help CMS (Centers for...
Outsource to Cut Patient Appointment Scheduling Hassles
Quality healthcare is key focus of any healthcare establishment and to achieve this healthcare establishments need to minimize the time and money spent on back office tasks. The proper scheduling of...
Use the Right Medicare Modifiers
Compliance with Medicare is one of the most important challenges associated with medical billing. Using the right Medicare modifiers is essential for timely and accurate reimbursement. When...
Outsourced Medical Billing vs. In-house
Medical billing is one of the most significant business functions of a medical practice. Efficient billing practices save costs and generate revenue. One of the most debated questions is whether...