MACRA
Health Information Technology Medical Billing

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 Access and CHIP Reauthorization Act of 2015) which ai...
Medicare Audits
Medical Billing Revenue Cycle Management

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 that have done everything correctly and...
EM Coding Errors
Medical Billing Revenue Cycle Management

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 (Comprehensive Error Testing) clai...
Medical Billing And Patient Collection
Medical Billing Patient Payments

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.  A healthy revenue cycle is important to sus...
MedConverge Balance Billing
Medical Billing Patient Payments

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 can happen if the insurance company g...
Clinical Documentation Improvement
Medical Billing Revenue Cycle Management

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 getting into this program is to imp...
Outsourcing Provider Credentialing
Medical Billing Revenue Cycle Management

Benefits of Outsourcing Provider Credentialing And Enrollment Services

Healthcare facilities address the health needs of people and are supposed to treat the sick under all circumstances.  However, for any organization to remain viable and c...
Medicare Revalidation
Medical Billing Revenue Cycle Management

Medicare Revalidation in 5 Steps

As per Section 6401 (a) of the Affordable Care Act, all enrolled providers and suppliers are required to revalidate their Medicare enrollment information under the new enrollm...
Preventing medical Overbilling & Misbilling
Medical Billing

Preventing Medical Overbilling and Mis-billing

Medical billing is one area that most healthcare facilities find nerve wracking, time consuming, complicated and tricky.  With all those rules to follow, codes that need ...
Medical Billing Fraud
Medical Billing

Ways To Prevent Medical Billing Fraud

Have you ever been a victim of medical billing fraud?  Medical billing fraud, especially those related to insurance billing are far more common in practices than you would thi...