Medical Billing and Coding Services | MIPS Reporting and Consultation Services

As healthcare providers, choosing a new electronic health record (EHR) system can be a daunting task. With so many options available in the market, it can be overwhelming to decide which one to choose. However, making the right choice is essential as it can help streamline your practice operations, improve patient care, and increase revenue. One of the most critical factors to consider when selecting a new EHR is its billing capabilities. An EHR system with robust billing functionality can help ease the burden of billing and revenue cycle management . Here are four tips for selecting a new EHR system that will make the billing process a breeze. 1. Look for an EHR System with Built-In Billing Features An EHR system with built-in billing features can help simplify your billing process by automating many of the manual tasks involved. Look for an EHR system that has a user-friendly interface and provides seamless integration with billing software. It should also offer the ability to ...

As the world continues to advance technologically, it's no surprise that the healthcare industry is not left behind. Medical billing is one aspect of healthcare that has benefited immensely from the integration of artificial intelligence (AI) technology. AI has revolutionized medical billing, making it more efficient and accurate, reducing costs, and improving the overall healthcare experience for patients. What is Medical Billing? Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for healthcare services provided. It involves translating healthcare services into billing codes that can be understood by insurance companies. Medical billing is an essential part of the healthcare system as it ensures that healthcare providers get paid for their services, and patients are not overcharged. How AI is Transforming Medical Billing ·     AI has made a significant impact on the medical billing ...

The role of accountable care organizations (ACOs) has been made very clear since their formation. They are basically the groups of providers that collectively work for population health management. Throughout their course of serving patients, they strive hard to improve patient care while reducing the cost of care. Just like MIPS reporting for providers, CMS has another path, called ACO reporting for all Medicare ACOs. They collect the data as per the applicable measure and forward it to CMS. Every year, CMS examines this data and checks whether an ACO is doing well or not. Afterward, it decides their qualification or eligibility for shared savings payments. However, current updates for Medicare ACO providers show that their reporting requirements are soon going to change. Probably by 2025, CMS is planning to do so. We can say that CMS has completed the multi-year transition period for updating ACO reporting requirements. The primary motive for doing so still empowers the main mott...

As a hospital-based physician, credentialing is a crucial part of your job. Not only does it allow you to practice medicine, but it also has significant revenue cycle implications. In this article, we'll explore the importance of credentialing, how it affects revenue cycle management and best practices for hospital-based physicians. What is Credentialing? Credentialing is the process by which a hospital or healthcare facility verifies a physician's qualifications, education, training, and professional experience. It's a necessary step for any physician who wants to practice medicine in a hospital or healthcare setting. The credentialing process ensures that physicians meet the standards set by the facility and that patients receive high-quality care. The Importance of Credentialing for Hospital-Based Physicians Credentialing is essential for hospital-based physicians for several reasons. First, it ensures that physicians have the necessary qualifications and experie...

What is Medical Billing Fraud? Medical billing fraud occurs when a healthcare provider or billing company submits false or misleading claims to insurance companies or government programs, such as Medicare or Medicaid. These fraudulent claims may include services that were not provided, services that were unnecessary, or services that were overbilled. Medical billing fraud can also involve kickbacks, where providers receive payment for referring patients to certain healthcare services or products. Medical billing fraud can result in significant financial loss for patients and healthcare providers. Patients may be charged for services they did not receive, while providers may face legal and financial consequences for submitting false claims. Tips for Detecting Medical Billing Fraud ·      Detecting medical billing fraud can be challenging, as the fraudsters often use complex billing codes and procedures to conceal their activities. However, there are several si...