What You Need To Know About MIPS (Merit-Based Incentive Payment System) 2019

MIPS
It’s a new year and this 2019, Physical Therapists are eligible to participate in the MIPS program. Here’s a breakdown of what you need to know: If you choose to participate, you can receive a penalty of up to 7% OR a bonus of up to 7.5% on claims two years later (2019 results will affect your 2021 payments). You will be given an overall MIPS score ranging from 0 to 100 points and the number of points you ach...

7 Key Benefits of Healthcare Claims Denial Management

Claims Denial
Keeping claim denial rates closer to the lower end of the industry average is not always easy when providers engage with several payers at once. For most healthcare organizations, claim denials are a normal, if not a frequent, occurrence. While very few can boast that their denial rates are close to zero, many providers face a number of challenges with implementing an effective claims denial management process. ...

Qualities of a Good Medical Coder

Medical Coder
Medical Coders are the unsung heroes of the revenue cycle management (RCM). They serve as the integral part of the team. A great and skillful coder is able to help healthcare facilities, insurance payers, and patients to navigate the complexities of the many laws, regulations, and guidelines related to the business side of healthcare.   Using alphanumeric diagnosis and procedure codes, Medical coding specialists play an essential ro...

Billers and Coders Role In Healthcare

billers and coders
In the healthcare scene, Doctors and Nurses are often in the spotlight. However, there are more professionals behind the scene in completing the patient care cycle. Medical Billers and Coders are also part of the team. Without them, the clinic will struggle to survive. Medical billers and coders are particularly important, and yet, few people understand the crucial role they play. Here’s an infographic that I f...

Applying The Best Practices In Your Medical Billing

Best Practice Medical Billing
  Medical billing is really a central pillar of any health care practice. It is considered as one of the most important aspects of running a successful practice. With the right team and proper knowledge and process of medical billing, it can increase revenue and profitability. However, If done improperly without using best practices, it can cause all kinds of financial difficulties for your facility and it...