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How Are Providers Handling ICD-10 Implementation?

ICD-10 implementation has come and gone with the October 1st deadline, and so far, providers are caught up with staying ahead of the formidable task of ensuring payments and accurate claims in the face of an unprecedented change. ICD-10 brought with it 68,000 diagnosis codes and 76,000 procedure codes that are required for billing and […]

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States to Crack Down on Medicare Fraud

Earlier this year, the Office of the Inspector General of the Department of Health and Human Services vowed to crack down on health care fraud. In the words of the Inspector General: “Health care fraud drives up healthcare costs, wastes taxpayer money, undermines the Medicare and Medicaid programs, and endangers program beneficiaries.” As a result […]

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3 Tips for Improving Patient Collections

The rising cost of healthcare across the board has made patient collections even more crucial than they already were. Practices and providers across the country have had to deal with difficulties ensuring all their payments are collected in full and on time. This has resulted in cash flow problems for many, problems that largely can […]

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Relieve Doctor Anxiety: Outsource ICD-10 Coding

What’s one new symptom that has stricken doctors all across the country? If you said anxiety, you’d be correct. But it’s not just anxiety over the everyday challenges of being a practicing physician. It specifically has to do with one new change in the industry: ICD-10 coding. Starting on October 1, physicians and providers in […]

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Important Update to Anesthesia Billing Procedures

Blue Cross and Blue Shield of Alabama has issued an important statement updating procedures for anesthesia billing.  Effective 12/28/2015, reimbursement for Anesthesia CPT Codes 00810 and 00740 will be based on a fixed fee instead of time. 00810 bills at $275 and 00740 bills at $248. Here is the complete statement from BC/BS. Currently, when […]

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Outsourced Medical Coding: The Solution to Lost Revenue

For your practice to remain successful, all charts must be coded and billed on time. Incomplete and denied claims put a delay on collecting your accounts receivable. With unexpected mishaps, you cannot always find extra time and experience internally. The most effective way to improve accounts receivables efficiency is to eliminate denials through outsourced medical […]

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Learning about ICD-10 Coding From Canada’s Implementation

In only a couple months, the United States will be transitioning from ICD-9 to the new ICD-10 regulations. The new coding system will improve the quality of data and allow physicians to get reimbursed more efficiently. Updates include more specific procedural codes and diagnostic codes, making it easier on healthcare organizations. Many fear that productivity […]

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What To Do When Your Claim Is Denied

Denied claims by insurance companies are almost inevitable. Don’t let insurance companies take advantage of your practice. There are different reasons claims may get denied. Read more to discover why your practice’s claims may be turned down - and  can a medical billing company can help with that. Reasons Claims Get Denied If you wait […]

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BCBS Policy Changes That Affect Anesthesia & Gastroenterology

Blue Cross Blue Shield of Alabama recently released new guidelines for surgical procedures and Monitored Anesthesia Care (MAC).  These new guidelines are geared towards Gastroenterologist and MAC sedation with endoscopies and colonoscopies.  As you are probably aware over the last few years there has been a large increase in utilizing MAC for these procedures.  BCBSAL’s […]

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Your Guide to Post ICD-10 Coding Rules

The US Department of Health and Human Resources has announced that the ICD-10 (International Classification of Diseases) compliance date has moved from October 1, 2014 to October 1, 2015. The ICD-10 regulations will change coding for all physicians and offices, and therefore, it is important for your business to be prepared. Here’s more on the […]

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