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 1,265+ Healthcare Articles

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

What Are Medical Billing Services?

Medical billing service is defined as the process of submitting claims to insurance companies or the United States government agency, Medicare. This process ensures that hospitals and doctors receive payment for the medical services they provide their patients. How does the medical billing process work? The medical billing process itself is quite simple; the doctor examines the patient, and gives his diagnosis. Then either the physician or his staff records the diagnosis as well as the treatment given to the patient. The advent of computers, customized and detailed medical billing software, has resulted in the process becoming even more accurate and efficient. In the past medical billing records generated long

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

Doctor Disciplined – Told to Take Medical Billing Classes

In Texas, a Bastrop physician and an Austin doctor were among the over 60 physicians that were disciplined y the Texas Medical Board. are among the 64 doctors the Texas Medical Board recently disciplined. The Internalist that was disciplined, Dr. Rajeev Gupta, was disciplined because five patients were improperly billed and the radiology equipment was operated by a staff member that was unlicensed. Dr. Gupta was fined $1000 and required to take a course in medical billing. The attorney for Dr. Gupta stated, “We realize there were mistakes, and we’re taking steps to make sure there are no additional mistakes,” said Alex Fuller, an Austin lawyer representing Gupta. “It wasn’t

Published By: Melissa Clark, CCS-P on December 19, 2007

Outsourcing a Dirty Word toYou?

The word “outsourcing” has become a dirty word for many physicians that have been burned by medical billing companies that either outsourced their claims to medical billing companies that use neither secure networks nor adhere to HIPAA regulation in order to maximize their profits; or the outsourcing company just turned out to not be reliable and it wound up costing the practice money to utilize their services. Don’t let a bad experience keep you from partnering with a legitimate medical billing company that can not only help you get your reimbursements faster but also realize great profits by maximizing every single medical billing claim that is filed to make sure

Published By: Melissa Clark, CCS-P on December 12, 2007