Medical Billing News

    Medicare Fraud: Doctor Convicted for Multi-Million Dollar Scheme

    July 18, 2017

    Instances of fraud in the U.S. healthcare system are anything but rare. Across the entire medical billing landscape, estimates put amount of health care expenditures lost to fraud between 3 and 10 percent. Medicare is often perceived as a ripe target for fraud, but its rates of financial crime fall somewhere in the same range spotlighted above. ...

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    Are ‘Bankruptcy Claw-backs’ a Threat to Your Practice’s Finances?

    July 4, 2017

    Whether it’s selecting a medical billing firm to manage the revenue cycle, minimizing your embezzlement risk with employees, or monitoring for potential cyber threats, managing your practice’s ...

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    HIE Time: Why the Stock Market is Paying Attention to Medical Billing

    June 27, 2017

    No matter the makeup of your investment portfolio, most financial experts advise everyday investors against paying heed to the day-to-day whims of the stock market. (Whereas active day traders and ...

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    Modernizing Medical Billing: New Ideas Outside the Incentive Programs

    June 20, 2017

    The U.S. healthcare system has a long-held (and well deserved) reputation as one of the most expensive, inefficient, and wasteful areas of our economy. For individual medical providers, the costs and ...

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    Making Patient Collections More Compassionate: 3 Tips

    June 13, 2017

    What’s the most compassionate area of your healthcare practice? If you’re like most medical professionals, the answer is on the clinical side (as it should be). The encounter room is the number one ...

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    Debunking Medicaid Myths: Has Access Declined Under the ACA?

    May 30, 2017

    Given what a divisive policy issue it is (and has always been), myths about Medicaid have abounded for decades. Some of those myths have been incredibly damaging to the program’s perception, among ...

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    Negotiating Medical Bills? Prep for More Patient Payment Conversations

    May 23, 2017

    How does your organization feel about patient financial responsibility? For some providers, the itemized total on an EOB is the last word – it’s essentially here’s what the payer covers, here’s what ...

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    Should a Certified Coder be Your Next Hire?

    May 16, 2017

    Since the implementation of ICD-10, healthcare groups have had to become far more diligent about their billing and coding procedures. Thanks to ICD-10’s increased demands around specificity, it’s ...

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    Can Your Practice Benefit from Entering a Joint Venture?

    May 2, 2017

    To stay competitive in today’s evolving healthcare market, medical practices of all sizes need to stay on the lookout for smart opportunities to broaden their business potential. What growth avenues ...

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    With Healthcare Hacking on the Rise, Boost Your Digital Security

    April 25, 2017

    As they manage the day-to-day activities of a bustling medical practice, providers and practice managers like to assume that the supporting elements of their business are running smoothly. That is, ...

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    Understanding the Most Important Updates in the 2017 CPT Manual

    March 21, 2017

    As with every other annual edition, the 2017 CPT Manual includes many changes to the prior Current Procedural Terminology code set changes. (The manual is the AMA's official coding resource for ...

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    The Changing Landscape of Medical Practice Payment Models

    March 14, 2017

    From concierge practices and pay-as-you go clinics to accountable care organizations (ACOs) and patient centered medical homes (PCMHs), there are more ways than ever to operate your medical office ...

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    Medicaid Reform: The Latest Updates Your Need to Know

    March 7, 2017

    For patients and providers across the country, the uncertain future of the Affordable Care Act (ACA) has many on pins and needles. Since 18 million Americans currently receive healthcare coverage ...

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