Category: medical coding and bil…

Revenue Cycle Management: Credentialing (Part 2)

If you think of revenue cycle management like building a house, payer credentialing is the foundation. If you can’t get the payer credentialing right, you simply can’t get paid. Keeping your credentialing up to date is imperative to getting you paid for your services. As a whole, it’s the payer’s role to challenge and manage…

Medical Credentialing Services For Your Practice

Medical credentialing is painfully boring and time-consuming, but absolutely crucial. If medical credentialing is done poorly, it wreaks havoc on a practice. Common credentialing errors cause scheduling delays, fluctuation in revenue cycle, and much more. It’s important to take the appropriate amount of time necessary for credentialing, instead of waiting a month before a new…

ICD-10 and Radiology: What to Expect

Radiology relies heavily on correct front-end data to prevent back-end delays. With ICD-10 implementation approaching, it’s important to address what type of effects these changes will have on radiology. Increases in Billing Codes In a recently published article from the Journal of the American College of Radiology, it was noted that in addition to a…

ICD-10 Is Almost Here! Are You Ready?

ICD-10 implementation is around the corner and the healthcare industry is buzzing. Is the industry ready for such a huge change? What will happen when thousands of providers are all attempting new codes? Will there be a delay in receive payments for claims? Will claims be accepted at all? (Find out what happened when Australia…

Implement ICD-10 Smoothly: Learn From Australia

With less than a month away from the nationwide implementation of ICD-10, it’s important to be thoroughly prepared. Perhaps one of the greatest ways to plan for a perfect implementation is to take a look at the history of ICD-10 around the world. (Save Money: Assess Your Medical Revenue Cycle Before ICD-10) In 1998-1999, Australia…

Medical Billing Services – Assess Your Medical Revenue Cycle Before ICD-10

Medical practices everywhere need to take a good hard look at their medical revenue cycle. The implementation of ICD-10 is around the corner and it’s expected to have a major impact on how revenue cycles are managed. Accounts receivable delays, rejections, and denial rates are all expected to peak. Payment variations that were once small…

Why You Should Ignore the ICD-10 ‘Grace Period’

Correct coding is essential in order to get your insurance billing claims paid. For twelve months after the ICD-10 coding updates, beginning October 1st, Medicare review trackers will not deny any incorrect claim made by a physician or practitioner as long as they were codes within the same family. But what defines family? Why is…

Get Your Claims Paid With a Certified Medical Coder

Every employee of a medical business has an excessive number of jobs they need to complete each day. With so many tasks at hand, it’s hard to guarantee claims are getting paid, and in a timely manner. Insurance billing claims use medical coding for reimbursement, and each individual server, insurance payer, provider type, and location…