Medical Billing Blog with Medical Billing & Coding Info & Articles

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Welcome to the medical billing blog containing news and articles relating to medical billing, medical coding, ICD, HIPAA and practice management functions.

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How to Choose A Medical Billing Service

How to Choose A Medical Billing Service:When a physician chooses a medical billing service, there are several things to consider before making a final decision. First, you have to decide what you want your medical billing service to do. Some just handle insurance claims. Others help with collecting money from patients. And some provide extensive practice management services. Medical billing services submit insurance claims one of two ways: on paper or electronically. It is important to choose a medical billing service that does electronic submissions as much as possible. This will result in quicker claim acceptance and payments from insurance companies. Physicians must also consider what medical billing services charge

Published By: Melissa Clark, CCS-P on June 3, 2005

In or Out of Network: Picking a PPO Physician

When you belong to a Preferred Provider Organization (PPO), you will usually be asked to choose a physician that belongs “in-network”. What does in-network mean? It means that the insurance company has arranged with a network of physicians, hospitals and other healthcare providers to provide healthcare to its members. Usually this network of providers has agreed to provide services at rates that are much lower than normal, in return for more business from insurance companies. Insurance companies do this to keep their costs low. Choosing an in-network doctor usually costs less for the consumer. Often PPO’s agree to pay most or all of the cost of a visit to an

Published By: Melissa Clark, CCS-P on June 2, 2005

Physician credentialing – What Is Involved in the Process: Part 2

Physician credentialing – what is involved in the process: Part 2 will discuss the application package and everything that you will need to know about it. After your interview was made, usually the recruiters will send the physician an application package with everything needed to apply for the job. If you are going to submit an application, you will need to make sure that you send in all of your information that of which includes: all of your personal information, both of your undergraduate and graduate degrees, your licensure as well as your certification, you will need references, malpractice history and disciplinary proceedings and last but not least, also be

Published By: Melissa Clark, CCS-P on May 24, 2005

Physician credentialing – what is involved in the process: Part 1

Physician credentialing – what is involved in the process you ask? There are several steps and processes involved in physician credentialing, so hang tight. The first thing that I feel that I should mention to you, is that when you are selecting what we refer to as a “locum tenens company,” you should always, and might I repeat always, make sure that the company/firm will be dedicated to providing you with “risk management.” You need to make sure that you have risk management for the client that is recruiting the physicians, as well as the physician themselves. You must absolutely not have a brief interview, and consider everything to turn

Published By: Melissa Clark, CCS-P on May 24, 2005

Exactly What Is Medical Billing, Anyway?

Medical billing and coding is how healthcare providers, big and small, get paid for services rendered. Over the past decades, medical billing has become more and more complicated. The practice of assigning this important task to a receptionist, administrator or bookkeeper has all but fallen by the wayside, with healthcare providers opting to hire specially trained personnel instead. The reason is simple. In today’s highly litigious society, it behooves medical practitioners to make sure their medical billing and coding work is accurate and correct. Only in this manner can a lawsuit or a messy claim be avoided. The physician, hospital, or HMO can then get back to their real business:

Published By: Melissa Clark, CCS-P on May 23, 2005