Medicare Coding Changes for Medical Billing in 2020 Every new year brings updates to the codes used for medical billing. Changes always include some additions for new diagnoses, procedures and technologies; revisions to make clarifications and corrections; and deletions to remove obsolete codes for treatments that are no longer accepted as part of standard care…

PAMA reporting delayed to 2021 with LAB Act passage PAMA has initiated certain amendments with the collection period of January 2019 to June 2019. Although the LAB Act emphasizes to push the reporting window for this data out by one year, the extensive definition of the applicable laboratory that requires a multitude of entities to…

Before You Hire a Medical Billing Company Ask About These 10 Points If you have never worked with a medical billing company before, it can be difficult to know what to ask about when you are trying to decide who you want to hire. On the other hand, if you have previously outsourced your medical…

Confused About Personal Health Records (PHR), Electronic Medical Records (EMR) and Electronic Health Records (EHR)? Here’s What They Are and How They Differ When the movement to make medical records digital first started up, the new terms weren’t very clear and electronic medical records (EMR) and electronic health records (EHR) were often denoted as EHR/EMR,…

Are You Using the HHS HIPAA Security Risk Assessment Tool? Be Sure to Get the 2019 Update The U.S. Department of Health and Human Services (HHS) recently released an update to its Security Risk Assessment Tool for Windows operating systems. (The tool is not available for Mac OS, but an older version is still available…

In the overall process of medical revenue cycle management (RCM), payment posting is often relegated to the “when I get around to it” list—meaning it often gets left undone. At first it may seem like an administrative detail that isn’t very important, since you’ve already received payment, but that’s a short-sighted view of what is…

In a medical business climate where costs are rising and payments are declining, it can easily start to feel like your practice is stuck between a rock and a hard place. There are some steps you can take to lessen the stress, however. The primary thing we recommend is outsourcing your physician billing and collections…

As if doctor bills and insurance companies weren’t difficult enough to understand, hospital billing takes the madness to a whole new level. Patients are often shocked by how high the figures are on their bills, and they can only hope their insurance will cover it. Registration and Establishing Patient Financial Responsibility When you make an…