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Tag Archives: coding

OUT OF NETWORK (OON) REIMBURSEMENT

There are many benefits to be an in-network healthcare provider. Many physicians and other healthcare practitioners prefer to go “in-network” because these network agreements drive patients into their office. Apart from this, the benefits of being in-network include the following: Patients are referred to the practice by virtue of their inclusion on PPO and HMO … Continue reading OUT OF NETWORK (OON) REIMBURSEMENT

TELEMEDICINE SERVICES & IT’S REIMBURSEMENT

Earlier, Telemedicine services were used to deliver healthcare services in remote areas. But in today’s healthcare system, patient needs more convenient and accessible healthcare, therefore telemedicine services are now also used to evaluate, diagnose and treat people using common technology without the need of in-person visit. But similar to other services, physicians are concerned about … Continue reading TELEMEDICINE SERVICES & IT’S REIMBURSEMENT

REDUCE AUDIT RISK SCRUTINY BY PROPER DOCUMENTATION

Mistakes in medical coding and billing, results in monetary loss to the healthcare practitioners. Year on Year OIG (Office of Inspector General) and CMS (Centers for Medicare & Medicaid Services) rules and regulations are proving to be difficult to comply with, so non compliance to these rules can prove to be fatal, thus it has … Continue reading REDUCE AUDIT RISK SCRUTINY BY PROPER DOCUMENTATION

GASTROENTEROLOGY MEDICAL CODING

Gastroenterology is a medical specialty that deals with its ailments and the digestion. Gastroenterologists utilize numerous diagnostic procedures prescribe treatment and to identify the individual’s health condition. Coding for gastroenterology entails accurate coding of services and the processes. Reimbursement is offered for processes supplied in ASC facility configurations and facility, hospital outpatient. Payment policies differ … Continue reading GASTROENTEROLOGY MEDICAL CODING

MEDICAL CODING AUDITS

Medical Coding Audits: Auditing physician charges and billing practices is debatable, but it’ll normally yield enhanced claims management procedures, cash flow and compliance with related laws and regulations. An annual audit allows doctors and practice staff to recognize specific coding problems that may recur in comparable claims submissions. Careful pre-submission observation and review of these … Continue reading MEDICAL CODING AUDITS