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Prior authorization helps Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers ensure that applicable Medicare coverage, payment, and coding rules are met before DMEPOS items are delivered.

Medical coding has a great share in ensuring the quality of medical claims. The more accurately claims are compiled, the easier it is to timely send them to the payers and get reimbursements.

Most accurate and cost-effective Plastic Surgery in Georgia (GA). Outsource your Medical Billing services for better revenue.

Getting a denial for wound care claims is upsetting for both the doctor and staff. Often, the doctor sees this in a negative light.

Methodist health system has managed to recover from the pain points of revenue cycle management with automation. Medical billing services and the overall healthcare delivery can improve in return if progressed in the same manner.

Medical doctor (MD) and Doctor of Osteopathic Medicine (DO) are two different entities that work with the same mission but different approaches, as DO goes with a holistic approach for treatment. QPP MIPS, being an incentive payment program, allows them both to deliver quality healthcare to patients. However, there are a few commonly used MIPS Quality Measures that both doctors can use and register their value-based care. Last year, the condition was a little different with MIPS data submission, but for MIPS 2021, the requirements are seen to be a bit flexible, and the corona pandemic is the reason for that. From Advance Care Plan to the MIPS Quality Measures, associated with the common illnesses and conditions, eligible clinicians have to check which measures are most suitable for their practice. An easy way to go through the process of MIPS 2021 reporting is to find a MIPS Qualified Registry. They have the resources and the trained MIPS consultants to help you meet your objectives.

Medical doctor (MD) and Doctor of Osteopathic Medicine (DO) are two different entities that work with the same mission but different approaches, as DO goes with a holistic approach for treatment. QPP MIPS, being an incentive payment program, allows them both to deliver quality healthcare to patients.

The most important factor of any practice is RCM. An unstructured RCM process can be detrimental for the practice

Discover the new OB-GYN ICD-10 codes for 2019. Find out about the added codes for multiple-gestation pregnancies and doubling of the uterus.

Avoid mistakes when coding for preventive medicine services. A team of experienced coders and billers look to achieve a 100 percent reimbursement

It is important to adapt changes to grow and compete with the world. Healthcare organizations should also move forward with technology and expertise to be part of a progressive healthcare system. Read more about why change is important and how physicians should upgrade their revenue cycle.

Understanding the 2020 CPT codes 99421, 99422, 99423 E/M Services for Physicians and Non-Physicians Practitioners

The process of credentialing safeguards patients' safety with an accreditation hat a physician is well-qualified to perform his duties. How this process goes and what laws should be there to protect the process.

The process of credentialing safeguards patients' safety with an accreditation hat a physician is well-qualified to perform his duties. How this process goes and what laws should be there to protect the process

The US healthcare system is made up of complexities. A system in which people with disabilities and above the age of 65 are covered by Medicare and Medicaid programs, clinicians ought to make their financial cycles a priority. When it is the first thing on your to-do lists, medical claims approve at a much faster rate without having to worry about denials.

RCM requires healthcare professionals to use information technology to keep track of claims through their entire lifecycle of Healthcare.

Given below is a brief analysis of some alternative payment programs to FFS (Fee-for-Service), the trends, and the outcomes. Learn more here to succeed in the 2020 revenue battle.

The goal of the recovery audit contractor program is to identify improper payments made on claims for services.

A successful RCM can translate into a smooth cash flow resulting in high profits for the practice

The numerous sides of Ob/Gyn require the biller to have a deep understanding of the processes and getting fully paid.