Medical Billing & Collections

It comes naturally to want to help your poorest patients. But before waiving patient copays, consider the legal consequences first.

When you look at your cash inflow each month, are you disappointed? That's why it is so important to identify why your claims are being denied.

Since the implementation of the ICD-10 coding system, most claims are processing smoothly and rejection rates have been minimal.

Answers from our coding expert on questions regarding incident-to billing; time-based coding; and specificity in ICD-10.

Enrolling or revalidating clinical staff in Medicare just became much easier for this billing services provider.

With some planning, staff cooperation, and the right technology vendors, one practice shows that getting patients to pay can be done more effectively.

More insured patients will be paying more out-of-pocket expenses and higher deductibles for their care. This could be bad news for docs.

If your practice hasn't already, make sure to hire an outside auditing firm to review your billing records for possible overpayments.

Most providers can probably share "war stories" over frustrating experiences they've had with a payer. Here are a few we've accumulated.

Answers from our coding expert on questions regarding medical necessity; using the ROS for history of presenting illness; and duplicative coding.

How can practices know what they are getting paid, if they are not tracking payer reimbursements and running financial reports?

By having an exact plan of action in place, your company will suffer less from insurance company abuse and mistreatment, and you'll be managing them, instead of them managing you.

When you are wrongfully denied for a single code or entire claim, do you know what to do?

Answers from our coding expert on questions regarding bronchoscopy; modifier 58 vs. modifier 79; and fourth-year residents.

Here are three best practices for large practices that need to increase billing efficiency and keep the revenue flowing.

Insurance plans are using the audit process to recoup payments for services which were preauthorized, based on charting. What should practices know?

Each week we share expert advice on running your practice in Physicians Practice Pearls. Here are your favorites from 2015.

Use the annual wellness visit as a way to engage and educate your Medicare patients.

If you think you can just outsource revenue cycle management and walk away, think again. Here are five tips to ensuring a successful partnership.

While many practices are reining in expenses, it may make sense to outsource revenue cycle management as a way to improve your bottom line.

Physicians should use modifier 58 to indicate a staged or related procedure that was planned in advance.

The ICD-10 transition will continue into the next year for practices. Here are some tips you’ll need to take in 2016.

Practices must explore new collection strategies for patients with high-deductible plans that require more financial responsibility.