What is the Difference Between Professional Billing and Institutional Billing?
What is the Difference Between Professional Billing and Institutional Billing?

To use a billing strategy, let us explore the types of medical billing in the healthcare industry. Healthcare professionals in the healthcare business distinguished between professional vs institutional billing, depending on their purpose and the services engaged in the billing process. There is a significant difference in handling health claims between disciplines and facility types.…

Read more
Cloud Faxing HIPAA Compliance, How to Ensure
Cloud Faxing HIPAA Compliance, How to Ensure

Faxing remains one of the key communication mediums for healthcare organizations because it’s ubiquitous and universal, secure, legally binding, reliable, and it’s traceable. Sharing data is a crucial aspect of the doctor-patient relationship and keeping that information secure and away from prying eyes is not just good for business but, required by HIPAA. Medical practices…

Read more
Medicare Hospice Modifiers GV and GW Correct Usage
Medicare Hospice Modifiers GV and GW Correct Usage

Hospice is a specialized type of care for those facing life-limiting illnesses, their families, and their caregivers. hospice care addresses the patient’s physical, emotional, social, and spiritual needs. Hospice healthcare services performed by the patients attending physician who is employed/ paid/ part of hospice should be submitted to the hospice contractor for reimbursement. However, if…

Read more
5 Chronic Care Management Software Companies to Help Your Practice
5 Chronic Care Management Software Companies to Help Your Practice

Chronic care management relatively young aspect of healthcare is proving to be good for patients and healthcare providers. With the expectation of high-quality, covered services within the primary care model, CCM allows providing patients with close disease monitoring coupled with the more aggressive and frequent follow-up care required to prevent acute exacerbations, emergency room visits,…

Read more
Difference between NP and PA Providers Billing in Your Medical Practice
Difference between NP and PA Providers Billing in Your Medical Practice

You would be distressed to find a medical practice that does not use Physician Assistants (PAs) and Nurse Practitioners (NPs), also considered as physician extenders or non-physician practitioners (NPPs). Understanding how to properly bill and code for services provided by NPPs is crucial for executing a cost-effective and efficient medical practice.  Regulations differ by insurance companies…

Read more
Medicare Coordination of Benefits: How Does COB Impact Claim Processing?
Medicare Coordination of Benefits: How Does COB Impact Claim Processing?

Whether you are a patient, doctor’s office, or medical billing company, you are sure to run into the coordination of benefits issues at some point. Let’s understand, What is Medicare Coordination of Benefits? and how Does COB Impact Claim Processing? The coordination of Benefits (COB) process is not unique to Medicare. Most insurance companies will…

Read more
New ICD-10 Codes 2022 Guidelines
New ICD-10 Codes 2022 Guidelines

As New year has commenced, with so many other changes healthcare practices should also be prepared for ICD-10 changes. Here the question arises, Is Your Practice Already Prepared for the New ICD-10 2022 Guidelines? Don`t worry! In this article, you can adhere to the New ICD-10 Coding Guidelines 2022. What are ICD-10 Guidelines? In all…

Read more
21st Century Cures Act 2022 Summary and Impacts on Practices
21st Century Cures Act 2022 Summary and Impacts on Practices

Consider the heap of information that medical practices, clinics, hospitals, and other healthcare service providers collect, store and analyze. It is difficult to overstate the power of all of this data stored on providers’ servers. But it’s not useful if the patients face issues in accessing their records. And the providers have to take pains…

Read more