The medical billing industry is in the midst of a sea change, which means tremendous opportunity for those who understand what’s coming and prepare accordingly. For that, we need to look at where we’ve been (2011-13), where we are now (2014), and where we’ll be in the next couple of years—for five key areas. 1.
All of us in business have, at one time or another, been told to think outside the box. If you’re in healthcare, it’s time to tear the box into pieces and throw it in the trash. The enormous shifts taking place in healthcare and the rapid pace at which they’re occurring means everyone needs to
As a medical billing service, it’s hard to soar with the eagles when your billing software is a turkey. Turkey software is the kind that gobbles up all your time, keeps you pecking around in data entry, and offers no way to help your clients stuff the financial holes so common in manual processes. In
Reports of employees stealing from a medical practice are nothing new. What’s interesting is that physicians are invariably shocked by these events. One reason is that staffers and clinicians work side by side, so practices feel more like a family than a formal workplace. Another reason is that many thefts are unplanned. “They are rather
It’s human nature to assume the staff we hire and work closely with are honest and trustworthy. They’re almost like family members—they would never steal from us, right? It might surprise you that you can’t always trust the people closest to you. As B.J. Hoffman points out in two thoughtful pieces from MedCity News, medical
One of the hardest tasks for small business owners is taking a step back to evaluate their business by looking at where the industry is, where it’s going, and where the opportunities are. So let’s take a moment to do just that. We’ll start with the fact that the outsourced billing sector is growing at
Understanding examples of HIPAA violations will help you avoid falling into similar scenarios. In October, AHMC Healthcare in Alhambra, CA, reported that health information on 729,000 patients was compromised due to the theft of two laptops. Last year, an Arizona physician agreed to pay $100,000 to HHS to settle a HIPAA violation case. HHS’s Office
There a couple of confusing things about immunization coding as it relates to medical billing. First, there are different codes for the vaccine and the administration. That’s because some vaccines are provided by states for children, and the physician is paid only for the administration. Second, Medicare was not initially developed to provide preventive care,
As technology improves and healthcare reform rolls along, many physicians and practice managers are asking their medical billing companies for advice on electronic record systems. Some practices are moving from paper to digital; others are unhappy with their current system and want to upgrade. Most know that they want their patient records to work well
Injury causes are important and about to get more so, but they still come after the type of injury when coding. This taxonomy has caused confusion in some organizations, resulting in rejected claims. In ICD-9, when submitting an injury claim, the injury must be listed first, and the cause listed second. This order will remain
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