Medical billing services include and are limited to all activities required for healthcare providers to get paid by either the patient or by an insurance carrier. The advent of EMR Software and the shift towards automating all healthcare transactions has resulted in the rise of electronic medical billing services. Electronic medical billing therefore, is a […]
Electronic medical billing (EMB) is a process through which healthcare providers digitally submit their patients’ bills and claims to the concerned health insurance company. The insurance company will then process each claim and will eventually pay the provider for his services. Alternatively, a claim might also be rejected owing to various reasons in which case […]
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
The process of filing and submitting completed paper work in order to claim funds from insurance organizations is known as medical billing. Insurance companies generally tend to follow the same workflow pattern when responding to insurance claims, whether they are government owned or privately owned institutions. Although it may appear to be the single most […]
When it comes to medical billing, healthcare providers always have an option either to operate an in-house department to take care of the billing procedures or simply outsource it to a third party. Where many physicians approve of the in-house billing department, a number of physicians oppose the view. According to the later, outsourcing medical […]
It was only until I had a discussion about the concept of specialized billing tasks that I realized, being a part of health IT industry, talking about healthcare providers and consultants in every single situation becomes inevitable for me. Yes, it is the medical billing service that I am referring to. Workflow management in any […]
It seems like the medical billing up-coding has finally caught up with the Federal Reserve. While I have been reading about fraud prevention controls along with audits from Medicare for some time now, I had no idea how much was at stake here. Kathleen Sebelius, the secretary of the U.S. Department of Health & Human […]
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.
I thought it would be a good idea to prepare a comparative analysis on the issue discussed, but left unattended in my last blog written on Medical Billing. Yes, it’s the conflict between an outsourced and an in-house medical billing service. Providing quality care, reducing costs and increasing revenues for the practice are the primary […]
Medical Billing, also known as Revenue cycle management, is considered to be one of the most essential parts of any practice. It helps physicians get paid for the services they have rendered. Depending on various factors, like the practice size, the routine and schedule of the provider etc, physicians can either opt for an in-house […]
The US has been one of the first countries to adapt ICD 9 codes for medical billing and claims. With the industry focused on healthcare reform, changes in supporting functions are inevitable. The ICD 10 is far more comprehensive, featuring 68,000 documentation codes for diagnosis in comparison to the 14,000 of ICD 9. These codes […]