In Billing
Oct 19th, 2018
A beginner’s guide to claims code editing logic. The U.S. healthcare system is highly complicated and extremely expensive. There are many layers between the provider of medical services and the payment for those services. This overly complex system leads to inefficiencies resulting in incorrectly paid claims and the need to spend even more time and ...
Better equip yourself to answer patient questions and secure patient cost-sharing. Nothing stays the same for long in this industry, so even if you are a seasoned healthcare business professional, you may not know all types of insurances and plans available, and how they work. A quick review will assist you in correctly coding, billing, ...
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. ...