Archive for the Week of March 9, 2007

Archive for the Week of March 9, 2007

Welcome to the medical billing blog archive for the week of March 9, 2007.

Here you will find links to every article added to the Outsource Management Group web site during the week of March 9, 2007.

You can browse this week's archives by clicking the "More" button from any of the excerpts below.

How Can An Outside Audit Help Your Practice?

No one likes the word “audit” but sometimes it can help your practice. When it’s coming from the IRS or other authority office, an audit can be a major stressor; when you enlist the services of a third party partner to do an audit on the way your medical billing is filed – there are no penalties – only pluses! An internal audit of the way your medical coding and billing is handled can alert you to problems you may not have even been aware existed. Staff members can be adverse to change and continue using coding combinations that do not result in the maximum reimbursement for your services. When

Why Medical Billing Claims Get Denied?

There are a number of reasons that your medical billing claims could be getting kicked back. Next time you have a medical billing claim kicked back, carefully check it to see why it was returned. Finding out why your medical billing claims were refused will sometimes uncover an unhealthy pattern in your office such as not keeping up with the changes to the CPT codes. And that’s our number one reason, usage of outdated or improper codes. The CPT updates a number of times a year and keeping up with those changes can be difficult. However, if you don’t use the most current coding the carriers are well within their

The Answer For a Busy Staff

Very little can compare to how busy a doctor’s office can get. Besides the patients that you have scheduled, your staff will also have to handle endless phone calls, questions from patients and potential patients, patients without appointments that simply walk in and emergency and urgent care situations that require other patients be re-scheduled so an urgent matter can be performed. Along with the patient care and servicing come the day-to-day office duties that include coding your medical billing claims correctly, keeping up with the CPT codes, knowing which modifiers to attach to which claims, making sure that your practice is credentialed to be servicing patients that have other insurances,

The Benefits of Getting Credentialed

One thing you learn quickly when you establish your own practice is that there are many types of insurance plans as there are patients and in order to get paid for the services that your render, you must be approved or rather “credentialed” to do business with your patient through that particular insurance company. The process of getting credentialed with each insurance company is a little different as to what each carrier will require from you but each will require a lot of paperwork and following up. That’s where a third party partner can help you.If you want to get credentialed with as many different carriers as possible but you

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