Similar to other medical specialties, urology involves various procedures and treatments including outpatient, inpatient, and urgent care, diagnostics, and consultations. Accurate coding for these diverse services can be complex, requiring extensive knowledge of...
Advance Beneficiary Notice (ABN), this is a familiar term for physicians and their beneficiaries. ABN is a notice that a doctor or supplier should give a Medicare beneficiary when furnishing an item...
GI/Endoscopy coding and billing can be complex. Providers need to determine medical necessity and the proper site for delivery of services, and know the specific codes and modifiers to bill for...
The Centers for Disease Control and Prevention (CDC) recognizes that "Focusing on preventing disease and illness before they occur will create healthier homes, workplaces, schools and communities so...
With the complex data sharing and reporting requirements of value-based payments and the Medicare Access and CHIP Reauthorization Act (MACRA), more and more physicians are opting to outsource...
Primary care physicians are often asked to evaluate a patient prior to surgery at the request of the surgeon. Patients at an advanced age and those with significant medical problems face increased...
Patient billing and payment are significant revenue cycle management (RCM) challenges that practices and medical billing companies face. High-deductible health plans require members to make...
The tide of health care revenue cycle management (RCM) is changing with the switch to value-based reimbursement. Physicians can benefit from the support of an expert medical billing service provider...
According to a recent report in Medical Economics, prolonged services are on the rise. Reporting prolonged services can be tricky because of the time criteria involved. Physicians and medical...
The recent introduction of rare bipartisan legislation to expand Medicare's telehealth services is being hailed as a development that could potentially reduce costs and improve patient health. With...
As the fee-for-service environment becomes outdated, medical billing companies are well aware that the future of revenue cycle management in healthcare could be influenced by alternative payment...
