Category Archives: Health Care

Medical Consultation Codes Eliminated By Medicare: How To Get Paid.


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The Centers for Medicare and Medicaid Services has released its final 2010 Physicians Fee Schedule. One of the most significant changes was the elimination of payment for CPT consultation codes codes as of January 1, 2010.

You can still bill for consulting services, it just means that you will have to bill these services differently than you do now. Here are the facts regarding this new ruling and the potential impact on your practice.

1. Consulting codes 99241-99245 (outpatient/office) and 99251-99255 (inpatient) have been eliminated effective January 1, 2010. Telehealth consultation G-codes (G0425-G0427) will not be eliminated.

2. Starting January 1, 2010, CPT codes for new (99201-99205) or established (99211-99215) patients should be used to replace consultations in the office/outpatient setting.

3. As of January 1, 2010, CPT codes in the inpatient hospital setting (99221-99223) should be used in place of inpatient consulting codes (99251-99255), and for nursing facility consulting use codes (99304-99306).

4. To distinguish the difference between the admitting doctor of record from the consultants for initial hospital inpatient and nursing facility admissions, CMS will develop a modifier. Currently, modifier “AI” is for principal doctor of record; however Medicare has not finalized the modifier to be used for consulting.

5. Medicare states that its changes are budget neutral. RVUs for all E/M codes have been increased in an attempt to offset the fees lost from the elimination of consultation codes. The increase in Evaluation & management payments is approximately 6% for outpatient/office codes and 2% for inpatient codes above 2009 levels.

An important note regarding commercial or private insurance. No information has been released by other third party payers regarding payment for codes for consulting codes as of yet. However, if a patient has Medicare as a secondary payer, a decision will need to be made by the physician as to how you will report the consultation.

Any consultation claim filed with a commercial insurer such as Blue Cross or Aetna who is primary using the eliminated consultation codes when Medicare is secondary would result in a denial for the secondary claim by Medicare. In those instances where Medicare is secondary, you will need to follow the guidelines from above.

One more note. If you have not brought your enrollment information up to date with CMS since November 2003, you must do so by April 5, 2010. Although enrolled in Medicare, many healthcare providers who are eligible to refer Medicare beneficiaries to other Medicare providers or suppliers for services do not have current enrollment records in Medicare. A current enrollment record is one that is in the Medicare provider enrollment, chain and ownership system (PECOS) and also contains the doctor’s national provider identifier (NPI).

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Benefits Of A Good Disinfectant


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Benefits of A Good Disinfectant – Disinfectant Cleaner

Disinfectants and disinfectant sprays have long been popular and important in America. With new infections like swine flu and H1N1 spreading across the country, having a proper, medical grade disninfectant has never been more important. The article below goes into more depth, and will explain the important of using a good disinfectant spray. Remember, without propoer disinfection and sterilization, your faily is at risk for colds, viruses, and H1N1 swine flu. You can never been too safe when it comes to disinfectants! Read more.

Have you ever worried about the chemicals you are cleaning your home or workplace with? Sure they might do the job as far as cleaning goes but what is it actually doing to your system? How toxic are they? What are they doing to our environment?

What exactly is Benefect? Benefect is a patented technology based on Thyme Oil. In nature, plants produce germ-killing essential oils to protect themselves from invading microbes, similar to how our bodies produce antibodies for our protection. Benefect is a revolutionary blend of these antimicrobial extracts particularly from the herb Thyme, and it achieves remarkable efficacy & safety profiles without using any traditional synthetic chemcials like ammonia or chlorine. Benefect has been proven to kill over 99.99% of mold, mildew and bacteria.

Who can use Benefect – the 100% Natural Disinfectant? Anyone from a Homeowner to a Healthcare Facility can use Benefect due to the fact that is 100% Botanical and Non Toxic. It is highly recommended for those with allergies, asthma, respiratory problems and the chemically sensitive. If you or someone you love has the above you know what the leading cleaning chemicals can do to them, why not give them a safe and effective alternative. Our 100% natural disinfectant is so safe that you could spray it in your mouth!

What can I use Benefect on? Our 100% natural disinfectant is safe to use on just about anything. You can simply spray and walk away. Benefect will disapate and won’t leave a film on anything. Benefect is completely food surface safe. Benefect the 100% natural disinfectant is ideal for the following; kid’s toys and high chairs, diaper pails and change tables, countertops, sinks and food preparation, toilet seats, sickrooms, pet areas, garbage cans and sports equipment. Benefect is also ideal for odour control on carpet and carpet pads and will kill pet urine and vomit, even from concrete. Some commerical applications would be in food preparation areas, day cares and nurseries, hotels and restaurants, schools and fitness gyms and kennels and barns.

Why use Benefect? I think the better question here is, why wouldn’t you use Benefect the 100% natural disinfectant. It’s a healthy choice for ourselves and our environment. It’s just Sensible.

About The Author: Pam Welllings is co-owner of http://naturallyhealthyclean.com and a Mom who cares about the environment and her kids future. She is interested in sharing with you how to make your environment healthier. Visit us to take your first step at going “green”.

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What Health Care Consulting Firm Can Do For Your Healthcare Facility


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What Healthcare Facility Can Do For Your Healthcare Facility

Making your medical center the most effective in your area- Banahan Medical Communications Firm will give you with the tools needed. One among our purchasers, in central LA, has gone beyond these days’s normal Diversity Training and Political Correctness classes, and have reached out to the surrounding communities, letting them grasp HPMC will be trusted. Turning into #1 within the LA area was achieved by building a trusting relationship with the community through glorious communication for healthcare facilities. The ability to communicate and trust HPMC was the foremost necessary step toward their success as a health care consulting team.

Jim Banahan, founder of Banahan Medical Communications Firm said, “We are helping build a relationship with the community based mostly on the simple principle of trust”. The health care consulting services went to work within the LA space, analyzing demographic knowledge, and personally surveying (via phonephone) the many various surrounding communities. When asked, the communities within the LA area if they wished to grasp more concerning our shopper the health care consulting team, the solution was a resounding YES.

Health care consulting is more than an advertising health care consulting team. Our consultants are additional match makers for the community and glorious health care, consultants realize out what the community wants and is looking for and shows them the way to become the correct choice. Any strengthening their relationship is done through employs physicians, nurses, and technicians from the same diverse backgrounds as their patients. When people of the identical cultures, languages, and backgrounds give health care, communication becomes additional snug, relieving the stress of the patients and also the physicians treating them, thereby providing higher health care and happier, healthier patients.

As suggested by our healthcare facility, we have a tendency to brought our consumer’s message to the community, where the population congregates and commutes. One among the successful promoting tools used to target each ethnic background in their own communities, was the use of every house, from bus stops, to subway signs, to teach the general public about our client’s commitment to quality care and safety. The photographs showed actual physicians, nurses, and patients, and highlighted the hospital?s dedication to improving the health and welfare of all the residents of Los Angeles. As an example, Korean translations on the advertisements in the Korean neighborhood, Spanish in the Mexican half of town, etc. allowed HPMC to require their message to each community, making all ethnicities feel comfy and welcome.

To specific dedication and quality, trust and family, we have a tendency to have the workers and the physicians facilitate spread the message to expedite results for changing into well-known and trusted for providing higher health care to the community. In addition to improving our shopper?s relationship with the community, the community is changing into healthier thanks to the accessibility of healthcare facilities they trust and therefore use on a lot of regular basis. The people in these communities are keeping recent on preventative drugs and other measures to remain healthy as a result of they need healthcare facilities they will trust and understand.


Power Toothbrush Vs Manuel Toothbrush


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There are so many people out there saying different things that one does not know what the truth is anymore. Are electric toothbrushes better than normal toothbrushes or do people just say this to sell them?

First off let me say that I have gone to a lot of dentists asking this exact question. The answer was indeed surprising. Some of them swore by electronic toothbrushes while others swore by normal toothbrushes. This just confused me, how can people that are supposed to be experts in their fields differ to such a huge extent. This fueled my search for the truth.

The ADA (American Dental Association) does not endorse either a normal toothbrush or an electric toothbrush. In fact, power and normal toothbrushes can have similar effects if used properly. Power toothbrushes do have a better maneuvering power, they can get around the gums and sides of teeth better and with less trouble. Power toothbrushes are also helps allot when it comes to plague removal. However, the decision-making factors for power or normal would be in cost and features that appeal to you the user.

The normal toothbrush is the brushing method most are used to but that does not mean that it is the best. The normal toothbrush has a plastic handle with nylon bristles on the head of the toothbrush. The normal toothbrush comes in many bristle styles and could have some special features that could appeal to its users.

The manual toothbrush can come in the following formats: crisscrossed, extra-long, multi-level bristles; polished, rounded bristle tips; textured bristles; cupped-bristle to enhance whitening; ergonomic handles with special grips; tapered or angled brush head; gum stimulators; and tongue cleaner pads.

The electric or power toothbrush on the other hand is part of the new wave of technology. The power toothbrush has a rechargeable battery case that can be plugged into any outlet so that you dont have to buy new batteries every time they run out. Many of the power toothbrush features are hi-tech and could promote better brushing habits.
Some of the hi-tech features of the power toothbrush include: various brushing modes, some for sensitive teeth or whitening and gum massaging features; pressure signals to indicate when brushing too hard; timers to time the length of brushing each quadrant of the mouth; digital reminders to alert when it is time to change toothbrush head; oscillating-rotating or sonic technology; and compatible brushing heads to choose the best bristle type for each person. The timer is useful because one tends to forget how long to brush and this feature can be extremely useful if you use it.

Cost is of course also important when making your decision. A manual toothbrush ranges from $2 to $4. Power toothbrushes run anywhere from $25 to $100. However, power toothbrushes do last longer than manual toothbrushes. Most dentists’ recommend changing a normal toothbrush every three months.

The dentist might recommend a switch to a power toothbrush because of all the features mentioned above. Whatever the recommendation may be, it is important to choose a toothbrush, either manual or electric, that is approved by the American Dental Association.

At the end of the day it is your choice. I would recommend that you try both and see personally what you like. Personally I love the power toothbrush because of the clean feeling i get after brushing, I rarely get this feeling with a normal toothbrush

For more info about electronic / power toothbrushes visit.
These you will also find in depth reviews on all the different electric toothbrushes
power toothbrush
If you want to see other oral health gadgets
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Medical Lasers Simplify Drilling


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Medical Lasers Simplify Drilling – Medical Supply

The time of the dreaded dental drill might rapidly be over. A laser that treats incisor decay, with a painless beam of light, is about to make its way onto the medical and dentistry scenes. The laser will permit dentists and doctors to use less, or even no anesthetics when performing surgical procedures – and it can even dapper gums and sanitize infections lacking the necessary of Novocain.

The new laser will pace up most dental procedures. Tariq Idris, one of the first dentists to use the laser in the UK, explains that “lasers have been worn in some areas of dentistry for a few time but they have been promptly enough to return the drill. This has untouched all that. Now a laser can be worn to detach dagger decay and coach cavities and crowns.”

According to Mail Online Health, the laser is very gentle, and no anesthetics are wanted for most procedures. The light is shined on the effected fang and a spray of water passes into in to the bravado, but there is absolutely no grinding or harsh friend with teeth. The laser could also easily sanitize quandary teeth, as the laser reportedly killed 99.7% of all bacteria in a critique published by the American Dental Association.

The laser works by releasing high zoom, pulsing beans of light. Different frequency models will have different things, as some will burn through tissues, while others will be used exclusively to slaughter bacteria within the utter. “You can use the laser to groom a hollow and then fresh an enduring gums,” says Idris, who believes the laser treatments will sacrifice just about 15% more than today’s degree dental procedures. He went onto say that the laser also “offers the first permanent treat for exact teeth, by “sealing” the layer of exposed dentine that is they begin of tooth sensitivity.”

Dental / surgical implants and nose vessel treatments are the two central areas where patients will advantage, Idris believes. In explaining this, he states that “in delve-passage work, dentists penury to drill into the rummage and append an antibiotic dressing for several weeks before stodgy it. With laser action you can cut the opening, fumigate the rummage and fill it in a song sitting.” This inevitably will make search canal procedures much faster, less uncomfortable, and more able regarding fallout. The laser could even gain patients looking for dental implants – which typically must be prepared a year in enhance. Using the new medical laser technology, plant procedures can be completed in about a day’s time – from removing the tooth, or drilling the bone, and ultimately installing the tooth plant.

Though the laser has many uses and applications, it will not restore the drill completely. It cannot yet delete old fillings, and with a very bulky price tag, it will expected be sometime before the laser technology is existing in most dental practices. Read more: orthodontic.

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[spin] Reducing Prescription Drug Costs


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In today”s economy, would you like to reduce your Prescription Drug Costs, even without insurance? You don”t like the thought of possibly having to choose which medicines to buy and not to buy, or choosing between eating and buying your medicine.

You can save a lot of money on prescriptions by buying generics. They are not always available. Generics are often just as effective as the brand name equivalent medications are. The Journal of the American Medical Association recently published findings that showed that the generic form of a heart medication is just as effective for those with heart disease as the more expensive brand name medications.

You can often save a lot of money on your prescription drug costs by simply shopping from store to store. You might save even more by buying your prescriptions online or by phone. It is a well known fact that all chain drugstores sell the same products. The difference in price is caused by how much profit they seek to make.

You might lower your bills by checking out drug company assistance programs. Drug companies may help you, if you meet certain financial conditions. You will have to complete a lot of paperwork. You will end up making a lot of phone calls. In the end, however, your savings will make the effort worth the effort.

Changing your Medicare plan can save you money. If you”re on Medicare Part D because you are 65 or older or on disability, or are on Medicare because of a disability, you have the right to change your plan each year from November 15 to December 31. Before you consider changing your plan, talk to your pharmacist to see if such action would be a smart idea for you. If your plan does not meet your need, a change might help you save money.

You can save money on prescriptions by avoiding the expensive one time deals offered as a drug promotion. The great deal you will receive now will not help you when you want to refill your order. You will actually end up paying more for the same drug.

Your pharmacist and your doctor are there to help. They can help find a medication that will help you at the lowest cost. Talk to them about your financial situation. If you don”t ask for their help; they won”t help, and you will pay more money.

Sometimes combination medications are more expensive. Talk to your doctor, and he may be able to give you prescriptions for separate pills. You might be surprised how much money you will be able to save.

You might be able to save money on prescriptions if you ask your doctor if you can take a higher dose of a medicine once a day, rather than a lower dose, twice a day. Who knows? You might save money, without your treatment being affected.

You might be able to save money on prescriptions if you get a prescription for a higher dose of your medication and then cut your pill into. Ask your doctor if this would work in your case. This might be especially helpful as far as savings on the medicines you take the most.

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Traveling Overseas To Have Adjustable Gastric Band Surgery


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Mexicali Health Care was established to meet the needs of the American medical travel patient. It is anchored by two state-of-the-art hospitals, Hospital de la Mujer, which specializes in treating women?s issues, and the beautiful Hospital Hispano Americano. Mexicali Health Care?s doctors cover nearly every medical specialty.

Mexicali Health Care is a network of the regions? top physicians and two major hospitals, Hospital de la Mujer and Hospital Hispano Americano, which got together to provide Americans, and all international travelers, with a comprehensive health care option at prices far below those in the U.S. Bariatric Surgery is a common procedure for medical tourists.

The types of bariatric surgery offered to patients at these locations are-
Gastric Bypass

The Gastric Bypass is considered by the American Society of Bariatric Surgeons and the National Institutes of Health to be the gold standard of weight loss surgery, and the single most successful procedure for excess weight loss and long-term weight control. The surgery has been performed by laparoscopic method since 1997, which results in smaller incisions, less pain and scarring, reduced blood loss, shorter hospital stay, and reduced risk of internal organ damage and infection when compared to the traditional open incision technique.

Gastric Band

Gastric Band surgery is an adjustable surgical treatment for morbid obesity. It induces weight loss by reducing the capacity of the stomach, which restricts the amount of food that can be consumed and increases the time it takes for food to be digested.

Sleeve Gastrectomy

The sleeve gastrectomy is a procedure that induces weight loss by restricting food intake. The procedure removes up to 80% of the stomach laparoscopically so that the stomach takes the shape of a tube or ?sleeve?. The Gastric Sleeve procedure is a relatively new approach to bariatric surgery and is usually performed on severely obese or high risk patients with the intention of performing another surgery such as the gastric by-pass at a later time. This combined approach has dramatically decreased the risk of weight loss surgery for certain types of weight loss surgery patients, even when the risk of the two surgeries is added.

Intragastric Balloon

The intragastric balloon is designed to provide short-term weight loss therapy. The silicone balloon is placed endoscopically and filled with liquid so it partially fills the stomach and creates a feeling of fullness. The maximum time a balloon can be left in place is 6 months, after which it must be removed.

Located just across the southern border of the United States, Mexico is a conveniently located destination for Canadians and Americans. It is the 5th largest country in the Americas and its vast land mass provides a varied experience for travelers. From ancient Mayan ruins, Spanish influenced colonial edifices, pristine beaches, mountains, deserts, contemporary nightclubs, and posh restaurants; Mexico offers a range of attractions that can satisfy anyone from the intrepid traveler to those who prefer rest and relaxation.

Medical Tourism Fame
There is a cluster of Joint Commission International (JCI) accredited hospitals in Monterrey (about 150 miles (241 km) south of Laredo, Texas) and Mexico City (located in the center of the country). However, there are many other clinics and hospitals frequented by medical tourists scattered throughout Mexico. It


Veterans Need Health Care Bill To Pass


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We are trying to improve health care in this country for everyone. As today is November 11, 2009, the day we are celebrating Veteran Day in the United States I think that it is appropriate to spend some time writing about health care for our veterans. I was just watching a news report which says that more veterans died last year because of lack of health care than died during the current war in Afghanistan. We all talk about how we need to support our veterans while they are on active duty but what about when they return home. I do agree that we need to support our active duty troops but we really need to have some things in place for when they return home. There is a system in place if a soldier is injured while on active duty but often times the diseases that develope after they get off active duty are not shown until many years later. This means that the veteran is not rated for a service connected disability and will have to pay for treatment at a private doctor. Because so many of the veteran population do not have insurance, the diseases go untreated and can consequently lead to the veteran’s death.

There needs to be a way for veterans to receive treatment for all their disabilities regardless of when they developed. The current VA system only provides treatment for veterans whose disabilities have been rated as service connected. This means that if the veteran has not filed for disability benefits he will not be able to receive treatment at the VA Medical Centers.

There needs to be legislation that provides a way for veterans to buy health insurance as a group. There should be a public option specifically for veterans to purchase insurance. Yes, this particular public option should be subsidized by the taxpayers. It Is time for some of us to put our money where our mouth is. I have noticed that talk show hosts love to say Thank you for your service to veterans as they should, but I wonder how many of these same talk show hosts would be willing to support a plan which provides health insurance to these same veterans. The VA Hospital cannot possibly provide health care for all veterans as they just do not have the resources for this. The United States should however make sure that any returning veteran can get access to health care. After all if it was not for the men and women who served in the military we would not have many of the freedoms we enjoy today.

Veterans today really need to have the health care bill passed Female veterans in particular do not have enough health care available at VA Medical Centers because for so many years the veteran population has been made up of mostly males. The female veterans do not really have money allocated to their needs in most VA Medical Centers. If you want more information on health care see article health care. For additional information on health care see VA Medical Center

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Dental Fillings – Amalgam Vs. Composite


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Amalgam Fillings – Amalgam vs. Composite

Key Meyer lost 60 lbs when she developed food allergies about a decade ago. She couldn’t seem to think clearly, as she suffered from fatigue and pounding headaches on a daily basis. Mayer wasn’t overly sure what had made her sick, but she did have a suspicion that it was mercury – she not only ate a ton of fish, but, she worked as a dental assistant who handled mercury on a daily basis. She also had a number of dental fillings herself, which contained about 50% mercury.

After undergoing a medical exam, doctors found elevated levels of mercury in the 65 year old by testing her blood, hair, and urine. When asked about her experience, Mayer stated that “it was determined that a combination of all three of those things led me to have pretty high elevation of mercury in my system and organs and blood stream, which caused a myriad of health problems including fatigue, brain fog, inflammation throughout my body particularly in my digestive system and bladder. I was diagnosed with high mercury elevation. Eventually, I found a dentist in Skowhegan who over several months very carefully removed all my fillings. Over time, my symptoms got better – some of them went away.”

More than half of Maine dentist have stopped using fillings that are mercury based as of today; this, due to health and cosmetic reasons, says Matt Prindiville of the Natural Resources Council of Maine. Now, filling materials are a basic composite of tooth colored resins. Original amalgam fillings, which are made up of mercury and other metals, are seemingly being replaced according to Frances Miliano, the Director of the Maine Dental Association.

When asked about the old style fillings, Prindiville said “over half of the dentists offices in Maine no longer use mercury … mostly it’s consumer driven. We’re moving closer to not using (amalgam fillings), and in all probability, in the next decade, we’re not going to be putting mercury in people’s teeth anymore.”

The US government, however, doesn’t see things this way. They feel that the amalgam mercury fillings are still safe to use. Amalgam is a less expensive way to fill teeth, and is very durable. When questioned on price, Miliano stated “I’ve heard composite fillings may be as much as 50 to 80 percent more, although we don’t track what dental offices charge.” She went on to say that a lot of people are using the fillings for aesthetic reasons “?choosing to use the composite type of materials even for the back teeth. There certainly is a gradual decrease as composite fillings get better and easier to use. They are more expensive, but are usually covered to some degree by insurance companies.” Click for a full product list of orthodontic braces.

By: Paul Guenther

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Medical Billing Outsourcing – Top 5 Criteria To Select The Right Medical Claims Billing Service Provider


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A medical claims billing service can improve the efficiency of your billing system, reduce denials, cut down operating costs, boost reimbursements and save valuable time that can be devoted to patient care. These services are better equipped to adapt to continuously changing billing codes and industry requirements.

But can a medical billing service deliver the promised results? Yes, it can. However, to find the right medical billing service for your practice you will need to undertake a comprehensive evaluation, one that transcends the regular performance track record metrics. The following five criteria will enable you to identify real expertise from market hype and find a reliable, long-term medical billing partner:

1. Quality of resources assigned to your account

The best criteria for selecting a medical billing service provider is evaluation of the number of employees assigned to the account, and their expertise. Before hiring a service provider, consider the following aspects:

* Number of employees who will support the account and their credentials.

* Length of experience of the employees.

* Experience in practices specialty. Many agents specialize in collecting a specific type of claim, such as nephrology, chemotherapy, radiology, cardiology, or vision care.

2. Commitment to regulatory compliance

As a medical practitioner, you are directly responsible for complying with legal regulations, whether or not you outsource collections to a medical billing service. For example if a billing service changes codes to increase collections, you will be held responsible for any regulatory incompliance.

To assess how well medical billing service providers? follow regulations, ask them to give you a list of compliance policies and procedures used by their staff. Also, inquire about the training and methods that providers? use to inform their staff about current state and federal rules, regulations and guidelines.

3. Dedication to maintain customer service standards

A medical billing service, which interacts directly with your patients, has a significant impact on the reputation of your practice and customer satisfaction. Therefore, the service should meet your customer service standards and project the right image of your practice on patients. A professional medical billing service will always have published customer service guidelines for its staff to follow and will review these guidelines with you before attending to your patients.

4. Performance and Accountability Metrics tracking and reporting

When you outsource billing responsibilities to a medical billing service, you should have comprehensive performance metrics to evaluate their performance. Ask potential providers about their standard performance benchmarks and productivity measures, and whether they regularly review employee performance. Professional medical billing services maintain their accountability by regular updates on performance and progress through monthly overview reports and account receivable reports. Additional reports must be made available to you when using a software-based or web-based billing service. Reports must be clear, easy to read and sort for different types of information. Get sample reports from service providers to determine if they meet your requirements.

5. Use of IT resources and billing software

Ask the medical billing service provider about the medical billing software and other technology resources. Evaluate their security features and ease of use. Additionally, if the service provider owns the medical billing software, ask about the frequency of updates.

Several medical billing services have now moved towards electronic claims submission. In this case, you must assess their technology solutions and automated systems, their security and how often the systems are updated to keep pace with industry changes.

Assess potential medical billing service providers on the above-mentioned criteria to identify the right medical billing partner for your practice and reap the rewards.

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