Site Map

5 Ways to Improve Reimbursement

Medical providers are facing a number of reimbursement challenges including payment cuts, changes in billing and coding requirements, and the constant changes in government regulations.  These and other challenges are just a part of the dynamic of the healthcare industry.  As medical office professionals, our job is to find avenues that help combat these challenges [...]

Lower A/R Days by Conquering Denials

What is the average number of days it takes to collect on your account receivables?  If your answer to this question is greater than 30 days, this is an indicator that your medical practice has some collection problems.  When your average number of receivable days outstanding exceeds 30 days, the first area to look for [...]

7 Habits of a Highly Effective Revenue Cycle

Every medical office has its unique blend of processes and procedures based on the practice specialty, payer mix, size, location, and other miscellaneous reasons.  There are a few – actually 7 – habits that are a must for creating a highly effective revenue cycle that increase cash flow, lowers A/R days and reduces bad debt.  [...]

Improving Workers’ Compensation Payments in 6 Easy Steps

One of the most challenging areas for medical practices when it comes to insurance reimbursement is workers’ compensation.  I hear from physicians and medical office managers on a regular basis about their concerns of not getting paid on workers’ compensation claims.  Many have indicated to me their accounts receivables are out of control mostly due [...]

The Five Most Successful Upfront Collections Tools

Successful upfront collections do not just happen.  It is a combination of providing the proper tools to your medical office staff and the implementation of effective strategies.  Whether your medical office is in a single physician practice, ambulatory surgical center or hospital, these 5 upfront collection tools will help improve your upfront collections.  Use these tools [...]

Vancomycin & the AY Modifier

Vancomycin is an antibiotic used to treat infections.  Under the proposed end stage renal disease (ESRD) prospective payment system (PPS) that was released by the Centers for Medicare & Medicaid System (CMS) considered vancomycin only covered under the PPS system and not allowable for separate payment.  However, through the comment period, medical experts commented that [...]

Creating a Culture for Upfront Collections

Everyone knows the best time to collect copays from patients is at the time of service.  Failure to collect upfront payments is one of the top ten reasons medical practices lose money.  In order for your medical practice to continue to provide your patients with quality health care, supplies and services, it is necessary to implement [...]

ICD 10 and the HCC Impact

ICD 10 and the HCC Impact                                                                      By Holly J. Cassano, CPC When the healthcare system goes through the biggest overhaul in its history, Hierarchal Condition Categories (HCCs), will be part of the transition. The Risk Adjustment Industry is already feeling some frustration, as the government has stopped issuing updates for HCC categories. Payers are naturally [...]

Top Medical Billing & Coding Websites & Resources

Here you will find a list of the best medical billing, medical coding, and medical information websites on the internet.  This list is dynamic so check back for more websites added to the list! If you are a blogger on Ask a Medical Biller.com, these websites are considered trusted resources for linking to top level [...]

Medical Billing Mentor Program

Are you looking for a mentor in the medical billing field?  If so, you are in luck because we are now releasing a free program to individuals who are looking to get into the medical billing field, start their own business, or work for someone. If you would like to join the program, then simply [...]