Medical Billing Blog with Medical Billing & Coding Info & Articles

Our blog contains news and articles relating to numerous healthcare sectors including revenue cycle management, medical billing, medical coding, ICD, HIPAA, practice management functions and more.

Currently Contains 1,285+ Healthcare Articles    ::    View a Categorized List of All Archives

Cybersecurity in Today’s Healthcare Space

Cybersecurity has become a serious concern in various sectors, but nowhere is it more critical than in the healthcare industry. With the increasing digitization of healthcare records and the adoption of advanced technologies, the industry faces unique cybersecurity challenges. This article delves into the importance of cybersecurity in healthcare, the threats it faces, and the measures that can be taken to mitigate these risks. The Importance of Cybersecurity in Healthcare Protecting Patient Data The primary concern in healthcare cybersecurity is the protection of patient data. Health records contain sensitive information, including personal identification, medical history, and financial details. The unauthorized access or leakage of this information can lead to severe

By: Kurt C. - OMG, LLC. Director of IT on July 8, 2024

2025 ICD-10 Updates – ICD-10-CM and ICD-10-PCS

CMS has updated the ICD-10 FY 2025, It is a fairly extensive update with a number of files to review. Below, are the links to each of the file downloads directly from the CMS website. Download or share these links for others. ICD-10-CM Updates: 2025 POA Exempt Codes (ZIP) 2025 Code Descriptions in Tabular Order (ZIP) 2025 Addendum (ZIP) 2025 Code Tables, Tabular and Index (ZIP) FY 2025 ICD-10-CM Coding Guidelines (PDF) ICD-10-PCS Updates: 2025 ICD-10-PCS Order File (ZIP) 2025 Official ICD-10-PCS Coding Guidelines (PDF) 2025 Version Update Summary (ZIP) 2025 ICD-10-PCS Codes File (ZIP) 2025 ICD-10-PCS Conversion Table (ZIP) 2025 ICD-10-PCS Code Tables and Index (ZIP) 2025 ICD-10-PCS Addendum

By: OMG, LLC. - Corporate Entries on July 8, 2024

Tips for Credentialing your Medical Services with Healthcare Payers

Payer credentialing is a critical process that ensures medical providers are qualified to offer services to patients covered by specific insurance plans. This comprehensive article will provide insights into best practices, common challenges, and effective strategies for successful healthcare payer credentialing. Payer credentialing is essential for healthcare providers to be reimbursed for services rendered to patients covered by insurance companies. The process involves verifying a provider’s qualifications, experience, and professional standing. Proper credentialing not only ensures compliance with regulatory standards but also enhances the credibility and trustworthiness of healthcare providers. Understanding Healthcare Payer Credentialing What is Payer Credentialing? Payer credentialing is the process by which healthcare providers, such as doctors,

By: Tracey M. - OMG, LLC. Credentialing Specialist on July 5, 2024

Tips for Choosing a Medical Billing Company for Your Practice

Choosing the right firm to handle your billing can seem like a daunting, and even scary task. Medical billing is a critical aspect of healthcare management, impacting the financial health of a practice. Selecting the right medical billing company is essential for ensuring efficient operations, maximizing revenue, and minimizing claim denials. This article aims to provide a comprehensive guide to help healthcare providers choose the most suitable medical billing company for their practice. What is Medical Billing? Medical billing involves the process of submitting and following up on claims with health insurance companies to receive payment for services provided by a healthcare provider. This process includes several steps: Patient registration

By: Melissa C. - OMG, LLC. CEO on July 3, 2024

Tips for Working the Reports on Your Aging Healthcare Claims

Claims aging reports are crucial tools in the healthcare industry. They provide a snapshot of outstanding claims and help healthcare providers manage their accounts receivable effectively. Proper management of these reports can significantly improve cash flow, reduce the risk of bad debt, and enhance the overall financial health of a healthcare organization. This article will offer comprehensive tips for working with aging reports for healthcare claims, ensuring that healthcare providers can maximize their revenue cycle efficiency. Understanding Aging Reports What is an Aging Report? An aging report, also known as an accounts receivable (AR) aging report, is a summary of outstanding invoices that a healthcare provider has billed to patients

By: Sheila M. - OMG, LLC. A/R Aging Specialist on July 2, 2024

Managing Accounts Receivable in your Medical Practice

Managing accounts receivable (A/R) effectively is crucial for the financial health of any independent doctor’s medical practice. A/R management encompasses the processes involved in tracking patient billing and payments, ensuring timely collections, and maintaining a steady cash flow. Independent practices often face unique challenges compared to larger healthcare organizations, making efficient A/R management even more vital. This article explores the key aspects of managing A/R as an independent physician, including best practices, common challenges, and practical solutions. Understanding A/R in a Medical Practice Accounts receivable represents the money owed to a medical practice for services provided. This typically includes payments from patients, insurance companies, and other third-party payers. Efficient A/R

By: Dana H. - OMG, LLC. A/R Data Specialist on July 1, 2024

Innovations in Healthcare Coding Technologies

Medical coding is a critical process in the healthcare industry, translating complex medical diagnoses, procedures, services, and equipment into universal alphanumeric codes. These codes are essential for billing, insurance claims, and maintaining patient records. Over the years, innovations in medical coding technologies have revolutionized the field, enhancing accuracy, efficiency, and compliance. This article explores these innovations and their impact on the healthcare industry. Introduction to Medical Coding Medical coding involves assigning standardized codes to various medical conditions and procedures. These codes, derived from systems such as the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS), are crucial for various healthcare operations. Accurate

By: Kary C. - OMG, LLC. COO on June 28, 2024

Home Health and Hospice Billing: Key Considerations for Proper Reimbursement

Home health and hospice care are essential services that provide critical support to patients in the comfort of their own homes. As these services become increasingly vital due to an aging population and the preference for home-based care, understanding the intricacies of home health and hospice billing becomes imperative for healthcare providers. Proper billing is crucial for ensuring adequate reimbursement, which in turn sustains the operations of these services. This article will explore the key considerations for proper reimbursement in home health and hospice billing, focusing on regulatory compliance, documentation, coding accuracy, billing processes, and the challenges faced by providers. Regulatory Compliance Medicare and Medicaid Guidelines Medicare and Medicaid are

By: Melissa C. - OMG, LLC. CEO on June 24, 2024

We Are Hiring Another Medical Billing Specialist

We are expanding our staff and hiring again. We are seeking: 1. A medical billing specialist 2. At least 2 years of billing experience 3. Must be able work in our corporate office The position is full-time: 40 hours per week, Monday – Friday Starting Pay: $20.00+ per hour on experience. If you meet this criteria: you’re welcome to apply at the link below. —————————————————————- Apply Here: Outsource Management Group Position —————————————————————- Please Note: This is not a remote or outsourced position. We do not hire remote billing staff or outsource any of our services to other firms. Our staff is located in our corporate offices Monday through Friday in

By: Kary C. - OMG, LLC. COO on June 21, 2024

Completed the move into our new office

We are happy to announce the renovations are complete, and we have finally moved into our new facility in the heart of Bedford, Indiana. We have been located in Bloomington for over 20 years, but it made more sense for our offices to now be located in Bedford since most of our staff lives in, or closer to Bedford than Bloomington. Our staff is still settling into all the new offices, so we will post more pictures as we get more organized and settled.  

By: Melissa C. - OMG, LLC. CEO on June 18, 2024