Medical Billing & Collections

In the second of a two-part interview with a CMS representative, more on the legal ramifications for waiving copays for low-income patients.

Most practices know they are obligated to collect patient copays and deductibles, but few know that for certain low-income patients doing so is illegal.

Government and commercial insurers have different policies practices must know about waiving copayments. What do practices have to know?

Here's why you should ignore "Incident to" Billing for PA services, which require a significant amount of additional work without a fair return in revenue.

Answers from our coding expert on questions regarding advance care planning; pessary cleaning; and identifying inclusive codes.

If your practice is considering an office redesign or building a completely new space, make sure you ask the right questions first.

Was the fear and trepidation surrounding ICD-10 overstated or is the early success around a lack of denials only temporary for providers?

The Merit-Based Incentive Program could mean more practice buyouts and increased complexity between Medicare Parts A and B.

In order to improve customer satisfaction to attract and retain patients, practices can take these three basic steps.

Do you know why you shouldn't waive patient copays? Take this short true and false quiz to find out what you really know.

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?