Medical Billing Services

People seek long-term care when they have a serious, ongoing health condition or disability, and the need for long-term care can arise immediately after a heart attack or stroke. In addition, the need for LTC is rising due to people getting older, and illness or disability getting worse. Generally, long-term care refers to the provision of a variety of services to meet a person’s health or personal care needs during a short or long period. Physicians should be aware of the medical reasons people need long-term care medical billing services because as a professional you often treat the elderly. The most promising reason is aging. As we age, activities of daily living or ADLs which include eating, bathing, dressing, toileting, transferring, and continence are getting harder and harder to perform without assistance. Long-term care can be offered in a nursing home, in a skilled nursing facility, or even at home but it can be very expensive and the need for the assistance required for years...

  Telemedicine is rapidly redefining healthcare and evolving to provide increased access to high-quality healthcare especially during the current COVID-19 pandemic, but you need to know what exactly telemedicine service is? It is a service that enhances the patient's health and experience by permitting two-way, real-time interactive communication between the patient and the physician at a distant site. According to a study, Currently in the US 76 % of hospitals connect with patients and consulting practitioners via telemedicine and almost every state Medicaid program has some telemedicine coverage and private payers are embracing coverage for many telehealth services. Today every government across the world is focusing on safer and more efficient healthcare practices with the help of telemedicine and associated services. The primary driver for adopting telemedicine services is not only patients are in better control of their health checkups but also even doctors get more time to re...

As the non-medical activities in private practice increase over time it becomes complex and challenging to manage. However, the current pandemic has made it even more so. o utsourcing your billing functions would be a better option so that the Medical billing company will handle the billing functions of a medical practice, while the physicians focus their energy on patient care. Physicians will have to continue to deliver care in the coming year. Here are some tips for effective physician practice management: Audit Current Tools and Practice Workflows Before you start implementing change scenarios it’s very important to audit the previous year. As the previous year brought many changes so this exercise is more important now than ever. Take a look at what procedures and software were in place when last year started and identify what still has merit and what’s now obsolete. Also, physicians need to check new policies and tools that have been implemented since the beginning of the pandemi...

For medical billers, so many things happened in the year 2021. So many policies were modified, new CPT codes were added, coverage was expanded, documentation guidelines were updated. Every insurance carrier had responded differently to all these changes, making their unique billing guidelines and reimbursement policies. Recently, the Centers for Medicare & Medicaid Services (CMS) finalized a few guidelines like expanding telehealth coverage even after the end of Public Health Emergency (PHE). In this article, we have shared major billing changes to watch for in the year 2022. Understanding all these billing changes will help to reduce claim denials and can improve practice collections. Wider Coverage of Telehealth for Behavioral Health CMS has extended coverage of telehealth services beyond the COVID-19 pandemic. CMS has extended Medicare’s coverage of telehealth for behavioral health visits, as per its final physician fee schedule for 2022. CMS has removed geographic restrictions ...

Revenue Cycle Management is a significant aspect of every provider’s facility as they work to cure the people and billing companies or their in-house staff work to collect co-pays, verifying insurance data, collecting post visit balances, and much more. More than 3 out of 4 healthcare leaders say denials are their greatest challenge, according to a Healthcare Information and Management Systems Society (HIMSS) survey. Tips to improve RCM Adoption of New Technology In the current COVID-19 situation, it has been logical that technological adoption is increasing at a faster pace in the healthcare industry than ever. New technology tools like digital payment gateways, electronic claim submission, advanced reporting and others are playing a great role in the Revenue Cycle Management process. So, all providers need to use advanced technology tools so that this will help in patient communication and to optimize the RCM process for your practice. List your most frequently billed codes Normally,...

As the holiday season approaches, there are a few things you should coordinate in order to set up your medical practice's holiday schedule and guarantee a successful year's end. Your team and patients might be enjoying Thanksgiving, Hanukkah, Christmas, or perhaps a special New Year's Eve during this hectic time of year. It's crucial to plan ahead so that you don't forget to recognise the practice's accomplishments throughout the year, commemorate significant anniversaries, and get you and your team ready for a well-earned break. Start today to prevent the upcoming weeks from being more difficult than necessary! Are you ready? We’ve got you on this one!  Arrange A Party For The Hardworking Team  It's time to inject some fun back into the holiday season now that the logistics are out of the way. Plan your team's end-of-year celebration so that you can finish the year on a high note. It's an excellent chance to recognise and express gratitude to the te...

  In no small measure, the difficulty of providing patients with the proper care at the appropriate time has skyrocketed up the graph, and the conflict between cost-conscious insurance companies, patients, and their doctors won’t go away any time soon. Sounds like a dilemma? We all can agree to the stemmed fact that finding innovative ways to improve care delivery has been a goal for many healthcare executives as the healthcare landscape continues to get more complex.Here’s food for thought! Even though you’ve reviewed your processes, improved the workflow, and trained your team, your revenue still doesn’t correspond to the number of doctors or the amount of hours they devote to patient care. What is happening? Where are the losses and income leakage that you can’t identify? Let’s talk facts shall we? Prior authorization requires a lot of expertise and guidance to get it right. Thus, resorting to an in-house team is not a fine option. Prior authorization management is a crucial com...