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Medical Billing Blog

Medical credentialing gives peace of mind to your patients and can help you gain an insurance partner.

How Medical Credentialing Can Benefit Your Practice

There are several avenues for medical credentialing, any one of which can benefit your medical practice. A large part of medical credentialing has to do specifically with credentialing doctors, or evaluating the doctor’s 1) practice history and 2) qualifications. From education to residency and every step in-between, a doctor’s credentials are important to verify. This…

Remote workers communicate on mobile devices.

Remote Workers: Enhance or Inhibit Medical Billing?

The perspective on remote workers differs greatly from small to large businesses and company to company. In many industries (media, IT, finance, etc.), the growth of the workforce includes hiring workers who telecommute or work from a remote locations. Thus far, medical practices have shied away from the trend, preferring face-to-face interactions between patients and…

Balance billing may require tools to calculate.

Balance Billing for Out of Network Providers

‘Balance billing’ refers to a system in which doctors from out-of-network (OON) medical facilities can bill a patient for any remaining costs after being paid by the insurance provider. An OON medical office is not bound by the contractual agreements of being in-network. If you are a manager of a clinic or are responsible for…

Doctor reporting medicare fraud online.

The Problems and Importance of Reporting Medicare Fraud

Reporting Medicare fraud helps protect and maintain not only the original medical practice involved, but all other practices around the country. State-to-state communication has been convoluted and not as closely monitored and, up until the Affordable Care Act (ACA) in 2010, fraudulent doctors who have billed inappropriately have continually slipped through the net of reporting…

Primary care doctors assist patients with many ailments.

ICD-10 Changes for Primary Care Doctors

Primary care doctors – are you ready for ICD-10? It’s waiting out there like the Varicella Zoster Virus, dormant but expected and irritating. At least in the case of ICD-10, there’s an arrival date: October 1st, 2015. And, despite the fear and apprehension associated with this change, it’s actually a very positive overhaul to accentuate…

Anti-kickback statute being taught.

Understanding the Anti-Kickback Statute

Enacted in 1972, the Anti-Kickback Statute protects both patients and federal healthcare programs from abuse, including fraud. The statute was a part of the Social Security Amendments of 1972, which were followed closely by the 1977 Medicare and Medicaid Anti-Fraud and Abuse Amendments. Fraud was no longer considered a misdemeanor but rather a felony with…