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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The Blog Currently Contains 1,260+ Healthcare Articles

Advantages and Disadvantages of Both Outsource and In House Billing

If you are wondering about in house medical billing versus outsource medical billing – advantages and disadvantages, you should consider yourself very smart for wondering about the two options, and figuring out which one would be best for you. Outsource medical billing will allow physicians to really focus on the truly critical and needed care of the patients. With all of the constantly changing insurance rules, makes everything more difficult to do in house medical billing. On the other hand, in house medical billing gives many people the freedom of control and choice. You may need to go through more complicated steps with in house medical billing, but some people

Published By: Melissa Clark, CCS-P on April 26, 2008

Medical Billing and Coding: Two Different Skills That Work Together

There are two critical administrative procedures that occur after you have received medical treatment. These are medical billing and coding. Performed by trained specialists, these are the processes that ensure your doctor bills you correctly for the services rendered and that information about your treatment is accurately represented to your insurance company for the purposes of reimbursement. Medical billing and coding are actually two separate skills that lie at the core of the reimbursement system for physicians. Medical coding requires extensive training and experience. Each item of your medical treatment is converted into a code before it can be entered into a computer. Whether it’s a short or long office

Published By: Melissa Clark, CCS-P on April 20, 2008

Ready for your Medicare Site Visit?

Securing a Medicare provider number is a priority for any new practice. Properly submitted electronic Medicare claims can turn to cash in 21 days and can help establish a predictable cash flow. Part of the approval process includes a site visit and presentation of “QID’s” such as #14120: DOCUMENTED BILLING PROCEDURES that states “Sound practice management provides for defined billing procedures and reference materials as a component of increased accuracy.” When you engage a billing and coding company make sure the support team you choose is familiar with all Medicare procedures including the all-important site visit and the information required and presented during the visit. A company that is familiar

Published By: Melissa Clark, CCS-P on April 16, 2008

Participating Encore Chiropractors

Encore Health Network established a relationship with HSM, Inc., to administer their chiropractic network. The one change under the relationship with HSM that has caused the greatest amount of questions and payment problems for providers, is indentifying Encore patients and filing the claims correctly to HSM. All claims should be sent to HSM directly, not to the address on the ID card. Claims sent directly to the payor or Encore will be processed and paid at out of network benefits. Encore requires all payors to put their logo on the ID card, so your staff should check all ID cards, front and back. Upon noting the Encore logo, register or

Published By: Melissa Clark, CCS-P on March 15, 2008

Make Medical Billing Easier by Outsourcing

Medical billing is an important aspect of every hospital and medical practice. This is because hospitals and medical practices rely on strong medical billing and collection for revenue. If a hospital or medical practice charged a large fee for a year of operation, but did not collect, the revenue would be in the red. This is why having a strong medical billing professional or medical billing firm is so important. Obviously, since the healthcare industry is so dependent on proper and timely medical billing, skilled individuals are needed in this business. The medical billing industry is experiencing changes and many healthcare related businesses are relying more and more on independent

Published By: Melissa Clark, CCS-P on February 13, 2008