Medical Billing

09 Jul 18

6 Ways to Reduce a RAC Audit Risks

RAC Audit, as physicians know, are part of the government’s program to reduce fraud, waste, and errors in medical billing practices, especially Medicare and Medicaid. Many providers are aware that CMS has increased its RAC audits and commercial payers are also taking a closer look at billing and coding usage.…
Read More
06 Jul 18

Telemedicine Challenges and the Future of Healthcare

Telemedicine refers specifically to processes and secure technology used to provide clinical services and care to patients   such as evaluation, diagnosis, treatment, care follow-up, chronic condition and medication management, specialty consultations with direct communication between a provider and patient via the Internet or other communication portal taking the place of an…
Read More

Steps to Achieve Clean Claims Submission Ratio

What is Clean Claims? A clean claims has no defect, impropriety or special circumstance, including incomplete documentation that delays timely payment. A provider submits a clean claim by providing the required data elements on the standard claims forms, along with any attachments and additional elements, or revisions to data elements,…
Read More

Challenges Facing Medical Practices In 2018

This year is set to be another challenging year for medical practices, with several difficulties facing practitioners. However, three of those challenges are proving more difficult to overcome than ever before. Here, we look at the way in which government mandates, utilizing big data and eliciting healthcare patient payments, are…
Read More
13 Jun 18

Everything You Need to Know About Using Fast Healthcare Interoperability Resource

The Fast Healthcare Interoperability Resource, commonly known as FHIR, has quickly become one of the most popular protocols for joining disparate systems together and holds great promise for the development of an application-based approach to interoperability and health information exchange. As health data interoperability becomes an increasingly pressing concern for…
Read More