In Coding
May 3rd, 2018
Increasing revenue requires communication, follow-through, and compliance. Healthcare insurance (commercial and government) is the main source of income for most providers. But insurance companies have a quirk: If you don’t follow their rules, they won’t pay. Here’s what you need to do to prevent claim edit denials and keep the revenue stream flowing. Know Your ...
Factor in the pros and cons of each to make an educated decision for your practice. If you are wondering whether your provider should be in or out of network with certain insurance plans, take a deep breath and remember: It’s different for every practice, so weigh the pros and cons. Out-of-Network Insurance Providers may ...
Explore and weigh your options to determine what work environment is best for you. By Jen Flohr, RHIT, COC, CPMA, CPCO, CCS, CAPM, ICD-10 Certified Trainer Over the years, more healthcare organizations have chosen to outsource some, if not all, of their health information management (HIM) roles to staffing companies, eliminating plenty of direct-hire positions. ...
When provider and payer work together, everyone wins. By Marcia A. Maar, COC, CPC, CRC Clean, accurate provider documentation improves reimbursement. To demonstrate, consider the ideal reimbursement process: A patient comes in for an office visit or service. A provider documents the reason for the visit, which proves medical necessity for services provided on the ...
In CMS
May 26th, 2017
Medicare Access and CHIP Reauthorization Act of 2015 will shake how providers are reimbursed to the core, as they are paid based on the quality of care versus the quantity of care through a fee-for-service model. How are providers and others in the industry going to cope with this new law, which was passed with bi-partisan ...