Year: 2023

contract
16 Mar 23

Knowing the Difference between Credentialing and Contracting

Healthcare providers play a vital role in delivering quality care to patients, and it is essential for healthcare organizations to ensure that they have the right providers on their teams. Credentialing and contracting are two critical processes that healthcare organizations use to establish partnerships with providers.  Effective credentialing and contracting…
Read More
woman typing
02 Mar 23

Do You Really Need to Have a Medical Coder for Your Business

Medical billing is a complex and time-consuming process. It involves collecting and documenting patient data, filing and processing claims, and tracking payments from insurance companies. What Is a Medical Coder? A medical coder is a professional medical billing specialist responsible for translating medical records into specific codes used for reimbursement…
Read More
How-To-Use-Modifier-25-Correctly
28 Feb 23

How To Use Modifier 25 Correctly

Introduction The OIG has identified the following trends in modifier 25 errors: Modifier 25 should not be used on claims that have been denied by Medicare or have been adjusted to zero. Fewer than 20 percent of modifier 25 claims are correct. Overuse of modifier 25 has increased significantly since…
Read More
Doctor and patient are discussing
23 Feb 23

Navigating Durable Medical Equipment Billing Problems

Durable medical equipment (DME) is a significant component of healthcare. It is used in a variety of settings, including hospitals, clinics, and homes. DME can alleviate the discomfort and improve mobility for patients, often significantly improving their quality of life.  However, DME is a complex and expensive piece of medical…
Read More
wheelchair
16 Feb 23

Knowing the Basics and Main Features of DME Billing

The gear required to meet a medical requirement is known as durable medical equipment (DME). Wheelchairs, specialized equipment, oxygen tanks, hospital beds, ambulatory aids, and other items are all considered DMEs. Most private health insurance plans and Medicare include these items as “DME benefits” when a doctor prescribes their use…
Read More
Document
09 Feb 23

You Need to Outsource Medical Coding for These Reasons

Medical billing and coding outsourcing is when a healthcare organization entrusts the process of medical coding and submitting medical claims to an outside company. This means that the outside company is responsible for accurately and efficiently coding medical services and submitting claims on behalf of the healthcare organization to receive…
Read More
Document
02 Feb 23

Credentialing and Re-Credentialing—Why They’re Important

Credentialing and re-credentialing are two important processes for DME (durable medical equipment) providers. Credentialing is obtaining the necessary documents and certifications to become a DME provider. At the same time, re-credentialing is updating your credentials to meet the constantly changing regulatory requirements. DME providers need to understand the credentialing and…
Read More