Is Your Medical Software Billing Company Negligent?

Outsourcing your medical billing can be a boon for your practice, but not if you’re with the wrong service. There’s significant variation in the way physician billing companies function, so unless you perform a thorough due diligence before you enter into a contract, you may not save the amount of money you expected. Worst case, you could end up in serious regulatory trouble. We’ve written several posts on features to look for in a billing company, including state-of-the-art technology and...

Da Nile Ain’t Just a River in Egypt – It’s in Your Medical Practice

To make sure that your medical practice avoids denied claims from insurers, it is important to know which claim codes are the most often denied and why these denials occur. According to ReMatrix, for the period of March 1 through March 31, 2014, the top most common unexpected medical practice denials fell under the following codes: Five Most Unexpected Denial Reasons All Practices In US March, 2014 Code Description CPT Code 99213 Level 3 Outpatient Doctor Visit CPT Code 99214...

Four Steps to a Comprehensive Patient-Pay Strategy

Until recently, the patient’s share of a typical office visit was a fairly straightforward item and an incidental to practice revenue. Often, it was a simple matter of collecting a $15-$20 co-pay. But today, accurately identifying patient responsibility prior to the visit and seeing that it’s collected at the appointment can mean the difference between practice failure or success. The process has become exponentially more complicated, involving higher and sometimes tiered co-pays, co-insurance, deductibles, prior authorizations, varying payer rates, and...

Calculator or Stethoscope: Which Do You Choose?

We’ve yet to talk to a physician who went into medicine because he or she wanted to run a billing department. But plenty of doctors find themselves doing just that. The biggest reason is a mismatch between theory and reality. In a perfect world, physicians would focus all their time and energy on treating patients, but without someone at the helm of billing it wouldn’t last long. Even in rural health settings where payments are capitated and simplified, the effort...

Are Your Patients Pot Smokers?

Medical marijuana is allowing chronically ill patients to relieve painful, often debilitating symptoms by legally “toking it up” instead of popping pills that they claim were not doing anything to ease their severe pain. The widespread acceptance of marijuana as a useful medication is also creating a unique medical practice niche that some critics are calling “certification mills” comparable to online diploma mills that provide you with a “real” degree in exchange for several hundred dollars. According to an article...

Mobile Healthcare Still Costly [Medical Billing Insights]

Though mobile health is seeing increasing adoption across the healthcare industry in the United States, many professionals still consider cost to be a significant barrier when it comes to implementation. Mobile health (also referred to as mHealth) was one of the major topics at the 2014 Annual Conference and Exhibition held by the Health Information and Management Systems Society. Though organizations like the HIMSS are ready to begin implementing mobile healthcare solutions, others in the healthcare field aren’t ready to...