Medical coding and billing are essential for physical therapists to ensure timely and accurate reimbursements for their rendered services. Inaccuracies and inconsistencies in coding can result in claim denials, negatively impacting the healthcare provider’s ability to keep their practice up and running. Sometimes errors in medical claims can land the therapist in hot waters on […]
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Many tasks and actions like construction, business operations, and large public gatherings require permission. In medical billing, healthcare providers also need permission to perform certain procedures or services. This extra step is called pre-authorization (PA), or prior authorization in medical billing. But why is authorization so important in medical billing? Insurance companies use the prior
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Let us begin by asking you some simple questions. Why should insurance providers trust you with their money? Why should they refer you to their policyholders? And most importantly, why should the patients come to you instead of going to any other physician? CREDENTIALS! It is all about the credentials! Only verified, trusted, and credentialed
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From managing chronic diseases to detecting potential health issues, healthcare providers use remote patient monitoring (RPM) solutions to monitor patients in remote areas. But how is this possible? And who bridges this gap between patients and healthcare providers? Remote patient monitoring companies offer telehealth services to patients in remote areas, allowing them access to quality
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Medical coding is a complex procedure because each code has specific requirements that must be met to ensure accurate reimbursements from relevant insurance companies. Hundreds of codes are available for different procedures under various specialty groups. You must review each code description carefully to ensure accurate reporting of the performed service or procedure. Tricky, isn’t
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Psychology, psychiatry, therapy, counseling, or whatever your area of expertise may be, convincing insurance companies to pay for your services on the first pass is a challenge. But we don’t blame you since mental health billing requires more attention than other specialties. The billing process for mental health is different from the standard method due
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Laboratory tests were a groundbreaking discovery in the medical industry. Over the decades, testing has helped healthcare providers diagnose different medical conditions to provide a tailored treatment plan and save numerous lives. Regardless of how miraculous this specialty is, the coding guidelines and hundreds of CPT codes do not spare it from the complexity of
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How do you handle patients with more than one insurance policy? It can be frustrating to file multiple medical claims for the same patient manually. However, the process becomes much easier if your client is eligible for supplemental Medicare benefits. This dual eligibility leads to Medicare automatically crossing over your medical claim to Medicaid or
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Medical billing is an intricate process that can make anyone edgy with varying insurance payer guidelines and ever-evolving billing and coding requirements. Medicare and Medicaid are the two biggest insurance coverage programs administered by the US federal and state governments, respectively. Medicare has over 65 million, while Medicaid has over 72 million beneficiaries. Thus, as
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If you embarked on this specialization thinking that medical coding and billing for Applied Behavior Analysis (ABA) therapy would be fast and easy, let us set the record straight. It definitely is NOT! In fact, billing ABA therapy services can be harder than conventional medical specialties like OB/GYN and cardiology because evaluation and treatment are
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