Medical Billing

Risk Adjustment and HCC Documentation Basics
With healthcare reform and system changes underway, accurate medical documentation and coding is critical to the financial health of your […]

Things You Need to Know about the MACRA Final Rule
Representing a departure from the volume based, fee-for-service model, MACRA replaces the SGR (sustainable growth rate) formula to control Medicare […]

Do you need to change your Medical Billing Company?
Healthcare practices typically outsource their billing for two reasons – lack of resources and/or lack of time. While outsourcing your […]

7 MACRA Preparation Tips
Replacing the much-maligned sustainable growth rate formula and in an effort to increase quality while bringing down costs, the Congress […]

Revenue Cycle Analytics Improves Claims Submissions
Healthcare revenue cycle management has undergone a radical and drastic change in the last decade. From days when most patients […]

HIMSS: One-third Clinicians still use manual Claims Denial Management
Claim submission and denial management are critical components to the revenue cycle of healthcare facilities. As regulations are getting more […]

MACRA – What Is It All About?
April 28, 2016 witnessed the release of the proposed rule that is intended to guide the implementation of MACRA (Medicare […]

3 Things You Need To Know About Medicare Audits
Healthcare facilities across the nation have or will have to face Medicare audits at some point. Even those healthcare facilities […]

Common Evaluation And Management (E/M) Services Coding Errors
One of the recurring problems facing healthcare facilities is incorrect coding of Evaluation and Management (E/M) Services. The recent CERT […]

8 Tips On Medical Billing And Patient Collections
One of the biggest challenges faced by healthcare practices and crucial to their very survival is medical billing and collections. […]

8 Must-Knows for Balance Billing
Billing patients for outstanding balances after receiving the portion covered by the insurance company is known as balance billing. This […]

3 Steps To Creating Your Clinical Documentation Improvement Program
Improving clinical documentation leads to revenue gains and most healthcare facilities are now exploring this program. The main reason for […]