8 Key Questions to Ask Before Hiring a Medical Billing Company

Outsourcing your billing activities makes sense for many medical practices, but finding the right billing service can be time consuming and hit and miss. Here are some essential questions to ask the companies you’re considering. 1. How long have you been working in this field and how many years of experience do your billers have? As you know, medical billing is complex and about to get more so, thanks to ICD-10 adoption. Experts in this field tell us there’s no...

Growing Your Medical Billing Service – Full Speed Ahead

With the advent of ICD-10, there are plenty of opportunities out there for medical billing companies to gain new clients, but we understand that every minute spent marketing is time away from customers and claims. The good news is that social media and digital publishing mean getting your message out is easier and less expensive than ever—what’s critical is making sure the right message gets out. Here are some things you want potential customers to know about you: You relieve...

Medical CRM Boosts Value for Practices and Medical Billers

As a medical billing company, you’ve helped your clients with thorny practice management issues for years. Today, competition is intense and seems more ferocious each day. Fortunately, there’s a service you can offer your clients that will help them grow, strengthening their patient relationships while boosting your bottom line: Care Relationship Management, or CRM for short. Just as physicians don’t focus on the business side of their practice as much as they need to, they don’t give much thought to...

Is Cloud-Based Billing Software Really Better?

Imagine enterprise software that’s as easy to install and access as your email — that’s what cloud-based applications are all about. Instead of purchasing servers and software and hiring IT experts to install and support them, you subscribe to a software service and pay a monthly fee, much like your cell phone or internet connection. There are many convenience factors to having your billing function “in the cloud,” and we’ll get to those, but let’s first look at the all-important...

Laying the Foundation for ICD-10

There’s a lot riding on the ICD-10 transition, including your 2014 financial picture and potential staff upheaval. The bottom line is this: the better prepared you are, the less likely you’ll see a revenue dip from the changeover. That preparation starts with making sure everyone in your office understands the import of the new codes and your plans for a smooth transition. If you haven’t already done so, hold a practice-wide meeting to explain: The benefits of ICD-10 over ICD-9...

10 Changes Coming With ICD-10

The ICD-10 changeover is a year away, and pundits are ramping up their rhetoric. True, there’s a lot of work to be done, but looking at the facts is always helpful. Here are 10 things that will be true starting October 1, 2014: Claims will be denied if they include an ICD-9 code.Because it already granted an extension, CMS has said there will be no grace period during the changeover. Any bills submitted after October 1, 2014 with ICD-9 codes...

ICD-10: Time to Start Dual Coding

With the ICD-10 changeover just about a year away, some practices are preparing to start dual coding their encounters. In other words, they’ll code each encounter in ICD-9 and ICD-10. (This contrasts with the similarly named double coding, in which forms are coded in ICD-9 at the time of the encounter and later translated into ICD-10). Obviously, there are labor and IT costs involved with dual coding. Your software must be set up to support ICD-10 codes, and coding times...

It’s Time to Get Serious About ICD-10

The transition from ICD-9 to ICD-10 is a major one, and many practices continue to put off preparation. Some believe CMS will extend the October 2014 deadline, while others are occupied with other issues. At this point, it seems certain the deadline will not be extended, and there may be serious issues stemming from a lack of preparation: Because of the extension already given, CMS says there will be no grace period—claims using ICD-9 codes after 10/1/14 will be denied....

10 Frequent Errors Generated by New Medical Coders

To err is human, wrote Alexander Pope. Of course, when it comes to medical billing, we all want as few “errs” as possible. It is important for all new coders and billers to be trained in your office setting and understand your protocols. Let’s take a look at the top mistakes new coders make so you can avoid them: Incorrect EOB interpretation. Explanation of benefits (EOBs) from payers can be cryptic, and new coders may have a tough time understanding...

HIPAA Enhancements: How They Affect Your Practice

Although HIPAA has been in effect for 17 years, confusion remains about some aspects. The passing of the HITECH act earlier this year added a few wrinkles and brought this issue back to the forefront. Do you know the difference between HIPAA and HITECH or when it started? The Health Insurance Portability and Accountability Act(HIPAA), sets the standard for protecting sensitive patient data. HIPAA was introduced in 1996 by the late Senator Edward Kennedy (D-MA) and former Senator Nancy Kasselbaum...

10 Common Medical Billing Mistakes That Cause Claim Denials – Part 2

In our previous post, we discussed the first five most common medical coding and medical billing mistakes that cause claim denials. Today we will walk through the next five common reasons claims are denied. 6. Duplicate billing. Many times, a duplicate bill is the result of human error. However, duplicate bills can result from resubmitting a claim instead of a follow up or canceling a procedure or test but not removing it from the patient account.All claims processing systems contains...

10 Common Medical Billing Mistakes That Cause Claim Denials – Part 1

Medical coding and billing involve complex processes that can differ depending on the patient, insurer and procedure. Even the most diligent financial services departments experience claim denials, but knowing the most common mistakes can help you take steps to avoid them. These top coding, billing, and filing errors are a digest of actual clearinghouse data derived from millions of medical claims. The top five of the 10 most common medical coding and billing mistakes that cause claim denials 1. Coding...