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Credentialing in medical billing is the process of verifying and evaluating a healthcare provider’s qualifications and professional background to ensure that they meet the standards set by insurance companies or third-party payers. This process is crucial for healthcare providers as it allows them to be recognized by insurance companies and receive payment for their services. […]
Credentialing in Medical Billing: Read More »
On 3/31/2020 CMS updated Billing Professional Telehealth Services during Public Health Emergency (PHE)…. Non-traditional Telehealth services with dates of services on or after March 1, 2020, and for the duration of the Public Health Emergency (PHE), bill with the Place of Service (POS) equal to what it would have been in the absence of
Billing for Professional Telehealth Services During the Public Health Emergency Read More »
COVID – 19 The most discussed topic at present around the world is ongoing pandemic disease “Coronavirus” which has infected hundreds of thousands of people and killed thousands. The virus would spread rapidly in the coming days and weeks if the world community does not take precautionary measures immediately by enforcing total city lockdowns,
Hello Readers! During our last meeting with our back end team, one of the topic which they brought to our attention is about the changes in CPT 2020 which is very important for all the Medical Coders across the United States of America to know about. We have researched on it and compiled our findings
On our blog previously, we looked into the basics of what FQHC is. Today we will go through some of the challenges that most practices face when billing for an FQHC service. If you have not read our previous blog, you can read it here Billing for a FQHC clinic can sometime become tedious and
FQHC Billing Challenges Read More »
Let’s get to know about FQHC today! We have all heard about FQHC & RHC and how different they are from the other clinics. FQHC & RHC are two separate type of clinics with different requirements. Today, we will take a look at FQHC, about it’s inception and requirements. What is an FQHC? A Federally
Federally Qualified Health Center (FQHC) Read More »
Dodging them means your practice will better serve patients, decrease risks, and improve cash flow. In today’s environment of increasing regulatory oversight and ever-changing reimbursement policies, compliance requires concerted effort and plan. Although healthcare organizations are not federally mandated to implement a compliance and auditing program, it’s foolish not to. Done right, a compliance and
Avoid the Top 3 Compliance and Auditing Mistakes Read More »
Be on the lookout for clues to submit a successful appeal. Denials and appeals can be the most frustrating parts of a coder’s job. I have been on both sides of the fence — working pro-fee for a healthcare system, handling denials, and working for a payer, looking at denials. In my experience, there are
Solve the Case of the Unnecessary Claims Denial Read More »
CMS’ latest guidance reiteration will, hopefully, make coding these sometimes-confusing services easier. Determining the date of service (DOS) when reporting a medical claim seems straightforward, but the Centers for Medicare & Medicaid Services (CMS) recently-released “Guidance on Coding and Billing Date of Service on Professional Claims,” is a good indication this topic is more complex
Refresh Your Understanding of Date of Service Requirements Read More »
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