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New Meaningful Use is defined by the use of certified electronic health record technology in a meaningful manner, ensuring that the certified EHR technology is connected in a manner that ultimately improved the quality of care. This concept of meaningful use was enacted with the American Reinvestment & Recovery Act in February…
For anyone dealing with the medical billing and coding aspect of running any size of medical practice, it’s clear that information about medical billing, coding and financial administration is a powerful asset. Expert organizations like Deloitte projected that between 2015 and 2020, healthcare spending will increase from 2.4% to a…
The Tennessee Medical Association, which represents thousands of Tennessee physicians is pushing for a new state law that would add much needed predictability in contracts between health plans and health care providers. It is our top legislative priority this session and, if passed, will be the first law of its…
Are you worried about outsource Medical Billing? Medical billing is a tedious job and it requires a lot of time and efforts to get paid from an insurance company, however outsourcing it to a professional medical billing services provider firm can significantly reduce your burden and save much of your…
New prepayment audits strike fear in Medicare providers. Many medical practices accept patients who are covered by Medicare or Medicaid. If you’re one of these practices, you need to know about some updates in these agencies’ auditing processes that can seriously affect your patients and your medical practice. In 2017,…
As a successful medical practitioner, If you want your medical practice to keep growing, you need to identify any problems that are preventing that growth and address those issues. That’s what a medical billing assessment is for. What Is a Medical Billing Assessment? A medical billing assessment includes a comprehensive audit that focuses…
Common Documentation Errors Identified by CERT & RACS. The Centers for Medicare & Medicaid Services calculates the Medicare Fee-for-Service (FFS) improper payment rate through the CERT program. Each year, CERT evaluates a statistically valid stratified random sample of claims to determine if they were paid properly under Medicare coverage, coding, and…
What is Medical Credentialing? For many licensed medical professionals, Medical Credentialing is known as 1) “the process of becoming contracted with insurance companies”, or 2) “the process of getting on insurance panels”, or 3) “what you need to do to be able to accept insurance.” If the process of credentialing is…
Insurance companies provide coverage for care, items, and services that they deem to be “medically necessary”. Medical necessity is one of the most common reasons that insurers deny behavioral health claims. It is possible to get this type of denial overturned, but to do so; there are a few essential steps to…
Medical practice is one of the most challenging types of businesses to manage cash flow. When a patient books an appointment, it’s very difficult to predict with certainty how much revenue that booking will generate when the practice will get paid and what percentage of the amount owed will eventually be written…
