medical billing – Medical Services

Are You Ready For Your Medical Billing And Coding Certifications?

Each year, thousands of men and women apply for their ICD-10 certification.  Around 50% of test takers fail the examination their first time out.  It is important to study hard in order to get certified. ICD-10 is one of the most medical coding systems that ever came out. If you talk to medical billers, they will often tell you that they had to go back to school in order to learn proper coding procedure. Why is certification important today?  It is important because the US government requires you to have it if you are working with ICD-10.  Also, you will prove yourself as a professional that understands coding and the requirements of everyday life. It is important to look at the future of billing and see that you have a lot of options.  However, you are not always going to make a lasting impression. It is important to ask yourself what matters the most in your life. In order to excel in billing, it must become your second spouse.  The world if billing is always changing. It is a lot like computer science. You never know what tomorrows changes will entail.  It is best to prepare for anything that may come your way. Getting ready for your exam means that you understand a lot about utilization management, revenue cycle management and correct coding procedures. Ask your friends and family members to ask you some quiz questions.  When you do this, you begin to learn what studying you have retained and if you can pass your test.  At this point, you should know a lot about: internal classification of diseases,…

How Is your Medical Practice Impacting Your Patients?

What kind of medical practice are you running is asked by patients worldwide. Everyone wants to know what kind of reputation their doctor has and if they are the best fit for them. One of the best ways in judging a medical practice is how they keep their documents.  Are they kept safe, private and secure?  Does the medical practice use electronic medical coding and billing or not.  It is important to have all of the pieces of the puzzle working together for you. Medical science deals with having a patient getting treatment for healing and knowing what treatments the patient has already had.  In order to please a patient, they need to know that their records are in safe hands.  Doctors should be able to pull up a patients records in order to see if they have any kind of a disease or other ailment. Treatment procedures have to be planned out effectively.  There should be documentation on the expected outcome and confidential information.   There must be a professional assessment of what the patient is dealing with from a physician’s perspective.  Insurance companies also like to see this information so that they can reimburse the doctor for treatments given. There should also be a documentation of the patient’s needs. Every day, doctors lose patient records. They are only human and do make mistakes.  However, this process seems like it has finally come to an end. Now it is state law to keep a patient’s medical records electronically.   This often ensures that their records will not get erased and can be shared with doctors that need to know the…

How to Manage Patients That Don’t Like To Pay Their Bills

I never met a patient that liked to pay their medical bills.  They are often higher than a normal bill and patients often feel that the hospital has so much money that they should not even bother paying them.  What the patient often does not know is that when they don’t pay their bills, deductibles go up with other patients and so do copays.  At the end of the day, someone has to be paying their bills.  Hospitals and treatment centers that fail to collect on a patients will often lose thousands of dollars every single year.  It is estimated that around 20% of a healthcare clinics bills go unpaid every single year.  That is a lot of lost revenue. In order to voice this costly project, it is necessary to ask your front desk clerk to have the patient pay up front. Once they walk out the door, you never know if you are going to see that person again or if they will actually pay their bill.  If you reduce the cost, at least you can get something from the patient. If a doctor visit is normally $120.00, you may give a cash payer a deal for around $90.00. This allows the patient to feel like they got a bargain from you and will most often pay money for services. Dentists are famous for cutting the bill by 50%.  They often give a patient a bill for $2,000 and say that they can give them a 50% discount for services.  In the end, the dentist always makes more money because the price was never that high to…

How to Properly Do Benefits Verification

If you are in the medical billing and coding field, you may be asking, “When do I verify a person’s benefits?” This is a good question to ask if you are just starting out in the medical billing profession.  Before giving any services to the patient, you should always verify that the patient is insured and what they qualify for exactly.  In order to verify the benefits, you can simply call the insurer and ask them if the patient is actually covered.  If the client is not covered by medical insurance, then the patient should be asked to pay for services before they are given by the doctor.  Unfortunately, not every patient will have medical insurance or insurance that is good enough to pay for treatment. As each day passes, your patient should be able to say what works and what does not work.  When it comes to medical billing and coding, you should already have some idea of what insurance companies your doctor is connected with.  If the patient has changed employers, they may not be fully aware that their insurance has changed as well.  You may find that a person used to have insurance that could be used at your facility and now it cannot be used. This is something that needs to be addressed immediately and for several good reasons. It is important to have co-payments always checked as well. Usually there is a co-pay amount marked on the insured person’s card. However, you should be able to check into the database to see how much the patients co-pay is.  There is usually a separate co-pay…

What You Need to Know About HIPAA Compliance

If you work in healthcare and/or medical billing, you are already familiar with HIPAA.  The laws have become a lot stricter with patient confidentiality and it is important to follow the rules.  Violating the rules can get your medical practice closed down or seriously fined.  The 2003 health insurance portability and accountability act regulates how healthcare providers handle information.  HIPAA regulates how billing software is regulated and has made great improvements over the years.  It is becoming a well-known fact that HIPAA compliance is necessary in order to have everything well balanced. Since HIPAA is strict on how billing is handled, many doctors have turned to outsourced billing companies to handle their claims.  The laws have become so strict that many physicians fear not being in compliance. Therefore, having a professional billing company do the work for you helps your billing to be correct all of the time. Outsourced billing companies are experts in billing and work hospitals, treatment centers, private practices and other healthcare companies.  Since billers do billing all of the time, their expertise is a lot higher than if they did not do billing.  It is important to work with professionals that do good work. A professional medical billing companies file your claims electronically and saves physicians both time and money.  There is an online management system that reduces the chances of errors from happening.  Billing companies often use custom made software for oncologists, treatment centers, OB/GYN’s and chiropractors.  It is necessary today to try and customize your software as best as you can.  In this way, you can better serve your patients’ needs and bill…

Choose Your Medical Billing Course Wisely

Medical billing students need to choose their courses wisely.  Before stepping out into the wonderful world of medical billing and coding, a student needs to learn  a lot about ICD-10, ICD-9, anatomy, physiology, utilization management, verification of benefits, working with insurance companies and much more.  Students often have to choose electives in college or trade school. Sometimes there are around 10 courses to choose from. Some of them will benefit your career and others will not.  If you are already in medical billing, here are a few tips for you as well. Choose professors that are known for teaching well.  Many professors are considered to be boring, uninformative and not caring.  Others are considered to be fast paced, current with what is going on in the medical billing field and liked by students.  Sitting through a medical billing course can be boring a lot of the time. However, it can be informative if you have the right instructor. The course should have hands on training. Medical billing is different than other careers.  A medical biller must often learn a lot about software and coding before they will even get a job as an intern or apprentice. Companies today have more than enough students or recent graduates trying to get into billing.  Jobs that are in high demand are those that require experience, ICD-10 coding certification and a completed college degree/training program. If you believe your school has a good reputation, it is important to visit it to see what it has to offer.  It is important to take a course that lasts for around 1 to 2 years. Many…
 




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