Finance

Appeal Letter Justifying Medical Neccessity

Assignment of Benefits -- Spanish

Use this letter when a claim is denied because a patient saw a physician in your group who is not his or her designated primary care physician.

This Advance Beneficiary Notice form, created by CMS, is best managed by the clinical team at your medical practice versus the front office staff.

Use this letter if a patient consistently refuses to pay for services rendered, and you are forced to dismiss the patient from your practice.

Outsourcing billing operations can be a relief to a frazzled practice. But you need to do it right; after all, your practice’s revenue is at stake.

Coding is no fun, but you gotta get it right if you wanna get paid. Here’s our guide to coding like a pro.

This time, it's back with a quality twist.

What do you do when your claims keep getting denied by the same payer, seemingly without explanation?

Get answers on coding for Incomplete procedures; film review; figuring out medicare denials; coding for workers' compensation forms, and more.

Insurers are slowly figuring out how to pay for online consultations. The time has come to get on the bandwagon.

Yes, there is a way to make more money; by providing better care - and you needn’t wait for some P4P program or “medical home” experiment to get started.

The results of our annual fee schedule survey tell you how much to expect from payers. The news isn’t good, but we have plenty of advice for making the most of difficult times.

You’ve heard it all from patients who have outstanding accounts. How can you tell a genuine plea for help from a sob story, and when does it matter?

Attorneys bill for their time - don’t you wish you could? What if we told you that you can? Here’s how.

It’s time to get those annual coding upgrades to your billing software. But, how can you defray the cost without losing the upgrades?

Forms for summer camps, sports teams, and schools - all require you to take uncompensated time to fill them out. Here’s our primer on how to develop your own policy for getting paid fairly.

Should you outsource your practice’s billing, or keep it in-house? Revenue cycle management vendors promise to reduce denials, improve collections, and get you your money faster. But, are they for you?

High-deductible health plans like health savings accounts are becoming more common, and that means you’ll have to work harder to collect from patients.

Deborah Grider, CPC/EM, president of the American Academy of Professional Coders National Advisory Board talks about what you aren’t billing that is costing you big.

We go beyond Billing 101 to show you the advanced techniques and little-known secrets for collecting every nickel, dime, and Spanish doubloon you’re owed.

There’s encouraging news in our third annual Physician Compensation Survey. Primary-care docs are seeing their incomes tick upward - on average. Where do you stack up?

Thinking of keeping your billing process in-house to save money? OK, but be sure you really are saving money in the long run.

In America’s Chocolate City, a diminutive practice administrator takes on the big payers, and gets results.

The government rocked the hospital world with its plan to stop paying hospitals for the treatment necessary to fix their so-called mistakes. Could your office be next?

Collecting from patients is one of your hardest jobs. Some practices, in frustration, are turning to tough tactics like charging interest and even taking patients to court. Here’s a look at what works best, and what’s not worth the trouble.

Our new occasional series on the nexus of healthcare and the changing economy begins with a look at health savings accounts. Increasingly popular with patients, HSAs promise owners the chance to have more control over how their healthcare dollars are spent. Yet they present unique challenges for your billing office.

Here is guidance on when and how to use the GV and GW medical coding modifiers in hospice work for attending physicians.

The government has some ideas about what’s wrong with Medicaid, and how to fix it. Too bad their ideas don’t have much to do with paying doctors better.

We hear you. Unfortunately, physician reimbursement continues to decline, according to the results of our exclusive 2007 Fee Schedule Survey. That’s the bad news. Now here’s the good news: Along with all the hard data, we arm you with the tools you need to fight back.