Medical Billing and Coding

Your Hospital Accounts Receivables (AR) department is the heart of your practice's financial health, but is it operating at peak efficiency? Improving Hospital accounts receivables administration is simple, and it will pay you handsomely in improved revenue from fewer claim denials and time spent on repetitive chores and rebilling.  Improve your Hospital Accounts Receivable and your cash flow  A high Hospital Account Receivable impedes cash flow and, as a result, the operation of your practice. Here are eight things you can do to improve your Hospital Account Receivable: Tip1: Produce Hospital Account Receivable Documents  Run Hospital Account Receivable reports every month to keep track of Hospital Account Receivable trends and changes. These reports should include aged receivables so that you can monitor the status of older bills. To determine billing schedule difficulties, run these reports from the service date rather than the billing date. The MGMA prefers to see no...

 A medical biller creates the bill based on the inputs provided by the healthcare coder and sends it to the insurance provider to collect the patient's charges. Even though HME billing looks to be simple, it comes with its own set of obstacles. HME billing encompasses a broad range of services. • Coding  • Protocols  • Data Entry  • Documentation  As a result, human error, among other things, is always a possibility. In this circumstance, task automation can assist lower error rates. The following five important advances in the HME billing business will almost certainly be the consequence of artificial intelligence (AI). Code correction is automated There are thousands of codes in the medical field as a whole. Almost every year, a unique set of criteria is added to the list. As a result, medical coders must work even harder to stay up. Even after all of the codes have been connected to the network, glitches continue to remain. Errors are costly in terms of both ...

DME Prior authorization (PA) stands in the way of physicians providing care to their patients, and the process needs to be improved. Learn why this topic caught the attention of patients, physicians, politicians, and other stakeholders in health care in 2021.  DME Prior authorization is a cost-cutting mechanism used by health plans that require physicians to obtain approval prior to delivering the recommended treatment or required service in order to qualify for payment. The DME prior-authorization resources are here to help with: Reform Increase practice efficiency  Give statistics  To demonstrate the need for change. Here's why DME Prior authorization became such a heated topic this year Reason1: DME Prior authorization imposes a significant burden  According to an AMA survey of 1,000 practicing physicians, medical practices pay an estimated two business days each week. This is to comply with health plans expensive and underutilized DME Prior authorization procedur...