Martin Jacob, Author at Wonder Worth Solutions

Why ICD-10 accuracy codes important more now than ever?

September 27, 2017
Martin Jacob
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ICD-10 accuracy codes reflect how medical practices treat their patients. Incorrect coding can lead to denied claims that hurt healthcare providers’ revenue streams. Unfortunately, sometimes when all the coding is done correctly, healthcare payers may not be able to hold up their end of the deal. ICD-10 accuracy codes reflect how medical…

September 20, 2017
Martin Jacob
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Today, In the billing process the revenue cycle management is one of the most important functions for orthopedic practices. With proper billing, revenue will continue to come in with minimal delays minimizing stress and cash flow issues. When it comes to orthopedic billing, practices need to keep several important things in…

September 12, 2017
Martin Jacob
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A biller’s most important task is to send ‘clean’ claims to Medicare and Medicaid. Though both are high volume payers, they perform differently in the US healthcare system. In 1965, Medicare (a federal healthcare program) was created to target persons over 65 and those under 65 with certain disabilities. It is…

September 7, 2017
Martin Jacob
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The financial strength of your drug and alcohol addiction treatment practice is directly correlated to timely billing and account reimbursement. Inpatient and outpatient drug and alcohol billing is entirely different than most medical billing. If the clinic is credentialed as a facility insurance claims must be submitted on UB04 claim…

September 1, 2017
Martin Jacob
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While many providers might view coding audits as a necessary evil, an effective auditing program yields many distinct benefits. Given the intricate nature of coding rules and the myriad ways they can influence an organisation’s financial performance for better or worse code auditing makes a great deal of sense.Coding audits…

August 28, 2017
Martin Jacob
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Medical coding productivity may be returning to pre-ICD-10 productivity levels but there still is more ICD-10 coders. To meet that demand. For the Record explains how remote coding could provide strong advantages for healthcare providers: Greater flexibility in staffing. Availability of medical coders when case loads increase. Deeper pool of medical…

August 21, 2017
Martin Jacob
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It’s especially frustrating to file insurance claims for mental and behavioural health benefits. From the types of services offered to the pre-authorizations needed and who takes care of the books, you’re at a disadvantage compared to other health professionals. If you’ve been struggling to get claims honoured, don’t worry you’re…

August 18, 2017
Martin Jacob
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There are two changes in the psychiatry section of CPT for 2017 behavioral health billing. The first is the description of psychotherapy CPT codes were revised to remove the words “and/or family.” In 2016, CPT code 90832 was defined as “Psychotherapy, 30 minutes with patient and/or family member.” In 2017…

August 7, 2017
Martin Jacob
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Electronic Fund Transfer: Electronic Funds Transfer or “EFT” is the process of using of telecommunications to move funds from one financial institution to another. EFT has two basic EFT transaction types: Wire transfers and Automated Clearing House (ACH) transactions. Effective January 2014, all health plans must be able to make…

July 24, 2017
Martin Jacob
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Orthotics & Prosthetics coverage may be subject to a copay or coinsurance. Authorization is required for various devices and this varies from payer to payer. This is considered a part of the member’s benefits provisions. Operational efficiency and boosting the revenue cycle says it all to understand and improve orthotics…

Martin Jacob

Why ICD-10 accuracy codes important more now than ever?

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