Why Checking Patients Insurance Eligibility Is So Important In Medical Billing
iMedWare
by admin_2016
3y ago
The current healthcare space has created confusions not only among healthcare providers but also among the patients. Many of the patients are unaware about how healthcare insurance works. In today’s healthcare environment, insurance eligibility screening is crucial and must be done before the patient is ever seen by the doctor in order to minimize the risk of services being refused. Running an eligibility testing allows to submit clean claims to healthcare providers. It prevents re-submission of claims, decreases rejections and denials related to demographic or eligibility, enhances upfront co ..read more
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Coding and Billing for Coronavirus immunizations
iMedWare
by admin_2016
3y ago
The American Medical Association (AMA) has published an update to the CPT code set that includes new vaccine-specific codes to report immunizations for the new coronavirus (SARS-CoV-2).  CDC has approved a unique CPT code for each of two coronavirus vaccines as well as administration codes unique to each such vaccine. These CPT codes are available prior to the public availability of the vaccines to facilitate swift updating of health care medical billing systems across the country. New vaccine administration codes and billing guidelines have been published by CMS that are distinct to each ..read more
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Why drug-drug allergy and disease interaction checking is important in eRx ?
iMedWare
by admin_2016
3y ago
From the good olden days to this point of time, things and events are constantly been evolved to break down human labor. Ideas, methodologies and solutions are been stormed at each and every field to make the process much effective and simple. In the US, the field of medicine introduced e-Rx or E-Prescription. E-prescribing reduces the risks associated with traditional prescription and this resulted in high demand of electronic prescription software. E-prescribing aims to connect the patient’s to the team of health care professionals by exchanging medical prescription information to promote kn ..read more
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Medical billing – Patient Collections
iMedWare
by admin_2016
3y ago
Healthcare system in United States is under going drastic changes which are leading to new challenges for both providers and patients. Patients with financial difficulties have tough time paying their medical bills. Patient copays account for about 20% of a provider’s office revenue. Patient collections are not something that can be ignored in medical billing. Reminding patients defaulting payments need to be done regularly without harassing them. Tips to improve patient collections in medical billing: – Standard payment policy – Practice should have clear payment policy that is informed to p ..read more
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Medical Billing and Telemedicine
iMedWare
by admin_2016
3y ago
Telemedicine refers to a category of services that are provided to a patient without any actual patient contact. Services are provided via a telephone, web portal or via email interactions between the patient and provider. The Corona virus crisis has created billing requirement with telemedicine a significant issue. The guidelines for billing telemedicine are not only changing apace but also differ from payer to payer.  All the major private insurances pay telemedicine. Private insurance companies and Medicare are streamlining telemedicine policies virtually on a daily basis. Now Medicare ..read more
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Medical Billing – Medical Credentialing a Necessity
iMedWare
by admin_2016
3y ago
Medical Credentialing consists of verifying the qualifications of licensed medical practitioners and assessing their background and legitimacy. Credentials are documented evidence of license, education, training, experience, or other qualifications. Not obtaining proper credentialing can lead to lost revenues. This results to loss in medical bills for various services provided by the uncredentialed professionals. Medical credentialing process also validate a medical provider’s regulatory compliance record and malpractice history before allowing that provider to participate in a network or trea ..read more
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Medical Billing to a COVID-19 World
iMedWare
by admin_2016
3y ago
Catastrophic Plans in Medical Billing What is a catastrophic plan? Designed to have low premiums but still protect its enrollee’s from substantial medical debt if they suffer a catastrophic illness. These plans have a major role in Covid-19 crisis. In medical billing, diagnosis and treatment of COVID-19 can be filed under catastrophic plans. These plans must cover essential health benefits (EHB) as required by the Patient Protection and Affordable Care Act (PPACA) but are typically subject to limitations. Health issuer can amend their catastrophic plans to provide pre-deductible coverage for s ..read more
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RPA in Medical Billing
iMedWare
by admin_2016
3y ago
Robotic Process automation (RPA) with its cost savings, speed and efficiency is slowly making its way into all industries and all types of business processes. Enterprises and service providers are adopting more tools that aid automation. RPA enhances accuracy. Robotic Process Automation (RPA) has the perfect solution to transform revenue cycle management. It unites an organization’s systems, including electronic health records, billing, patient payment portals, and credit card processing applications. Automation in data entry and insurance claim processing results in fast and precise process c ..read more
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