Medical Billing Blog with Medical Billing & Coding Info & Articles

Welcome to the Medical Billing and Coding Blog

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

2004-2024 Celebrating 20 Years of Healthcare RCM Articles

The Blog Currently Contains 1,265+ Healthcare Articles

Proper Coding Equals Paid Insurance Claims

There are a number of reasons insurance claims remain unpaid. To understand them, let’s look at one very important aspect of the medical billing process. Proper coding. This is one of the most important, and one of the most complex, aspects of medical billing. There is a number, or code, assigned to each and every medical condition and procedure imaginable. This procedure was put in place to standardize the industry. Although it seems to complicate things, the codes are meant to make it easier for medical providers, insurance companies, and the government to communicate efficiently. This standard language can provide an easy snapshot of an individual’s health and healthcare, and

Published By: Melissa Clark, CCS-P on May 13, 2005

Find an Outsourcing Hero

A truly capable and knowledgeable outsourcing partner/vendor will always obtain enough information to define your problem(s) and needs in order to develop and deliver possible solutions. Once identified ask for a vendor track record of fixing the problem. The vendor should be able to add value to your processes or products; not just improve the bottom line. Industry experts say that defining the problem is 50% of the solution. The vendor you are shopping should assist you to get your needs and then partner together with the end goal in mind. An outsourcing hero will educate the client during the process of delivering the solution. The vendor should always have

Published By: Melissa Clark, CCS-P on April 28, 2005

Indian police make arrests in outsourcing fraud – News – CNETAsia

Indian police make arrests in outsourcing fraud By Dinesh C. Sharma, Special to CNETAsia Monday, April 11 2005 9:09 AM NEW DELHI, India–Police have arrested former employees of an Indian call center that handles U.S. customer accounts for allegedly stealing consumers’ funds. The suspected gang members arrested by police in Pune included three ex-workers of Mphasis BPO. Police said the employees allegedly stole customers’ personal account information and transferred around US$350,000 to fake accounts in Pune. Sanjay Jadhav, the assistant commissioner of police, said about US$23,000 (1 million Indian rupees) of the fraud money has already been recovered. The call center workers left their jobs last December. “The detection systems

Published By: Melissa Clark, CCS-P on April 13, 2005

Three Medical Billing Outsourcing Myths

Myth #1: You will have a higher rate of reimbursements, if you only work with an established medical billing outsourcing company. Their longevity points to a wide range of experiences and expertise, to handle the complexities of your billing problems.However, a company’s length of service in the medical billing industry is not the only measure of reliability or expertise. There are “toddler” medical billing companies which are owned and managed by executives, or medical billing experts who’ve branched out from the older firms. They bring their experiences and a significant amount of knowledge to the new business. To get a better assessment, you should request the prospective firms for a

Published By: Melissa Clark, CCS-P on April 8, 2005

Medical Billing Software Consultants?

Are you planning to install medical billing software in your practice? Whether you have a small practice or are part of a national health care provider organization, this is a crucial buying decision, as it affects your revenues. In addition, there are serious legal ramifications from making incorrect patient claims, and if the software is not HIPAA compliant. Together with these considerations, you’ll need to partner with a medical billing software vendor, who has excellent customer support. This is not about limited toll free numbers or multimedia presentations or online help menus. Get acquainted with the consultants of this organization and find out how they can help. There are four

Published By: Melissa Clark, CCS-P on April 6, 2005