Medical Billing Services

Claim denials can be super-frustrating. Let’s face it! Employees at the medical settings frequently attempt to fulfill many roles at once. The individual in charge of billing for optometry frequently handles multiple tasks throughout the day. That implies that they are unable to invest the necessary time and effort to achieve a healthy revenue management cycle. Apart from this, the in-house team does not have enough knowledge, expertise, practice, time, resources, and advanced technology, to take care of the denial management services for the optometrists. This is exactly wherein the professional Optometry billing companies step into the picture to toss away complex and stressful tasks. When it comes to denial management for optometrists, these physicians face scores of challenges, some of them are as follows: Bad or missing documentation Failure to have a proper financial policy Strategies not in place Failure to update the code sets Carrier errors Wrong CPT codes Untimely files ...

The medical billing process is arguably the most crucial business operation for many hospitals, ambulatory surgery centers, or other healthcare facilities. Inefficient billing practices, billing mistakes and ineffective follow up can add up quickly, costing hospitals and healthcare facilities thousands of dollars in lost revenue. The good news is that there are steps you can take to improve your billing practices, saving your practice or facility from lost revenue. What is the role of Medical billers? Medical billers are the backbone of your health care organization’s revenue cycle. They enter massive amounts of data, keep claims flowing and deal with denials to help accelerate cash flow. You know they’re busy, but are they as productive as they could be? Review this checklist of practices and see how many are being implemented in your organization. • Set productivity benchmarks and monitor performance. Benchmarking is measuring key performance indicators (KPIs) and comparing them w...

    Skilled Manpower Shortage According to a recent survey by AKASA, more than 57 percent of healthcare practices and hospitals have more than 100 open roles to fill, with one in four finance leaders needing to hire more than 20-plus employees to fully staff their revenue cycle departments. Whether its small practices owners or large healthcare organization, all of them are facing staffing challenges. Outsourcing your medical billing and coding operations to a revenue cycle company like Medisys Data Solutions can solve lot of staffing problems. For healthcare organizations, its not only manpower shortage but retaining skilled manpower and training them takes this challenge to next level. To tackle this challenge healthcare financial leaders should shift their mindsets and think about medical billing vendors as their partners in growth. Outsourcing Can Solve Your Staffing Challenges Outsourcing your medical billing operations not only solves your staffing challenges but also of...

Scores of surgery centers have been financially crippled during the pandemic, a majority of the centers have worsened situations due to poor documentation in the ASC medical billing and coding. An entire ASC revenue cycle process comprises timely transcription services, claims management, expert business intelligence analytics, and accurate coding. A single mistake in any of the steps and the entire system goes for a toss. However, specialty -based nuances tend to happen when the in-house medical billing team is not trained well-enough to handle the challenges which arise in the documentation in the ASC billing and coding.  Let’s glance through the in-house cumbersome and laborious challenges with the documentation in ASC medical billing and coding, shall we?  Coding error: Insignificant coding such as missing implants, usage of wrong modifiers, and not coding bilateral procedures can result in coding discrepancies between claims. At Medisys Data Solutions, our outsource medic...

  Most Common Modifiers For Radiology Billing Services Radiology is a medical speciality, in which a radiologist conducts physical exams and uses advanced imaging technology to diagnose the disease. Interventional and non-interventional/non-invasive procedures are both carried out by radiologists. Diagnostic radiology imaging and ultrasound are examples of interventional radiology procedures, while non-interventional radiology treatments include routine radiography, single or multiple views, and magnetic resonance imaging. First, let’s understand the significance of using modifiers in medical billing, shall we? It ensures clean denials to avoid claim denials Higher level of specificity ensures the right imbursements Getting improved reimbursements for the specialized medical services When it comes to radiology, there are scores of common modifiers, kindly take a look at the same: TC, technical component: when a radiological service is performed by a hospital, office or an ASC, thi...

Defining Medicare Secondary Payer (MSP) Medicare Secondary Payer (MSP) is the term generally used when the Medicare program does not have primary payment responsibility i.e., when another entity has the responsibility for paying before Medicare. The MSP provisions have protected Medicare Trust Funds by ensuring that Medicare does not pay for items and services that certain health insurance or coverage is primarily responsible for paying. The MSP provisions apply to situations when Medicare is not the beneficiary’s primary health insurance coverage. Medicare statute and regulations require that all entities that bill Medicare for items or services rendered to Medicare beneficiaries must determine whether Medicare is the primary payer for those items or services. Primary payers are those that have the primary responsibility for paying a claim. Medicare remains the primary payer for beneficiaries who are not covered by other types of health insurance or coverage. Medicare is also the prim...