Premium Rates are Out: How Affordable is Obamacare?
It is expected that millions of uninsured Americans will enroll into Obamacare when the insurance exchanges opens on October 1, 2013. The U.S. Department of Health and Human Services (HHS) has...
Increased Patient Cost Responsibility Leading to Collection Problems for Physicians, Says AMA
The annual National Insurer Report Card published by the American Medical Association (AMA) provides information on the claims revenue cycle activities of the major commercial health insurers and...
Correct Use of Modifiers 58, 78 and 79 to Report Post-operative Procedures
Patient visit documentation covering the procedures/services provided must be done accurately taking into account the many variables that may have an impact on reimbursement. One of these...
How to Pursue an Appeal Properly for Denied Claims?
Resolving medical claim denials at the right time is critical when it comes to obtaining timely and accurate reimbursement. Unresolved claims can adversely affect the cash flow of healthcare...
Cardiology Coding Changes for 2013
Cardiologists like other physicians need to be aware of the periodic changes and modifications introduced in the medical coding scenario to steer clear of coding errors and receive the due...
A Summary of HEDIS Changes in 2013
HEDIS, the most widely reported set of performance measures in the healthcare industry, is used by health plans, medical groups, federal and state governments. The Healthcare Effectiveness Data and...
2013 Medicare Therapy Cap Claims – Some Recent Updates
The annual cap amount established for rehabilitation services under Medicare remains a bottleneck for patients who need long term treatment from an outpatient therapy clinic. If the therapy services...
How Secure and Confidential Is Medical Billing and Coding
Medical billing and coding are vital processes in a medical practice, and often busy physicians struggle to find the time to do these. Being highly complex, medical coding and billing demands minute...