Tips

How To Maximize Initial Assessment Authorization For The Most Billable Hours

There are a lot of dynamic aspects to the initial assessment and prior authorization process that can impact both providers, and payers, as well as patients. Prior authorization is essentially a type of management practice used by health insurance providers. It requires specific tests procedures, and medication prescriptions to be first evaluated as they related to the cost of care. This important process is designed to find the least expensive, effective treatment option to keep the cost of care [...]

By |January 1st, 2021|Categories: Tips|Tags: , |0 Comments

Common ABA Therapy Billing Mistakes & Tips To Prevent Errors

Billing code errors can cause a major interruption in your practice’s revenue stream, leading to delays and potential claim denials. Making yourself aware of the common causes of billing errors will go a long way toward implementing protocols and procedures to prevent them from happening in the future. Procedural Issues That Can Cause Billing Errors The following are common procedural issues that can occur in-house, which increase your risk of experiencing claim denials and delays in your practice’s revenue [...]

By |January 1st, 2021|Categories: Tips|Tags: , , , |0 Comments

What Is A Charge Entry & Auditing For Medical Billing?

Several serious factors can interrupt the revenue stream of any practices. This includes things like persistent claim denials, a patient contesting charges, improper security protocols for HIPPA compliance, and medical coding errors. While some of these might be honest mistakes, they are often the result of an overtaxed or undertrained administrative task. The truth is most medical administrative support staff are better off handling other tasks within the practice rather than losing precious man-hours to medical coding and chasing [...]

By |December 7th, 2020|Categories: Tips|Tags: , , |0 Comments

How To Verify A Patient’s Insurance Coverage Quickly?

The cost of quality healthcare and health insurance continues to increase in the United States. This prompts some individuals to choose health insurance programs that might not necessarily meet all their needs. Worse still, they might not be aware of certain coverage gaps when they seek out necessary services from practitioners like you. This simple pattern alone can increase your chances of experiencing a denied claim or other complications that can interrupt your once consistent revenue stream. One way [...]

By |December 7th, 2020|Categories: Tips|Tags: , , |0 Comments

What Is Payment Posting In RCM For Medical Billing?

Patient responsibility costs and other out of pocket costs continue to rise throughout the United States. This can sometimes lead to delays in payment or failure to pay for services rendered. A patient who pays their co-pay, co-insurance costs, prescriptions, and other out of pocket costs in a timely manner, make it easier to close a claim cycle at payment posting. Also known as “Cash Posting” Payment posting is typically done in one of two ways. The one that [...]

By |December 7th, 2020|Categories: Tips|Tags: , , |0 Comments

How To Bill For Telemedicine & Get Reimbursed

Telemedicine seems to be part of the “New Normal” and seems like it’ll stay that way. This is thanks to an impressive success rate for helping to provide a wide range of patients with basic care and information without having to come into the clinic. Though getting reimbursed for telemedicine or telehealth visits presents a little bit more of a challenge for practitioners. Especially solo or small practices that might not have a large administrative staff to rely [...]

By |November 10th, 2020|Categories: Tips|Tags: , |0 Comments

What is A Single Case Agreement (SCA) For Out Of Network Providers?

Sometimes medical and mental healthcare providers find themselves outside of a particular patient’s insurance coverage network. This can be frustrating for you as the practitioner, as well as the patient who is relying on your care. In some cases, it might simply be a matter of the client changing jobs, and insurance providers. This can be a serious issue for a patient who is relying on your continued care. In an out of network scenario like this, it might [...]

By |November 10th, 2020|Categories: Tips|Tags: , |0 Comments

How To Choose A Medical Billing Company?

In recent years, an increasing number of medical institutions and healthcare practices of all sizes have been turning to outsourcing their medical billing needs, rather than tasking them to their in-house administrative staff. While this trend is increasingly popular with small practices and solo practitioners, even larger clinics have realized the benefits of third-party medical billing services. Not only does outsourcing free up time for you or your administrative staff to focus on patient care, but it also helps [...]

By |November 10th, 2020|Categories: Tips|Tags: |0 Comments

What Is Medical Credentialing & How Does It Work?

Medical credentialing is a professional process that helps to establish and maintain effective standards throughout the medical community. Its central goal is to promote patient confidence and ensure the highest quality of care. Though it also plays an important role in verifying a practitioner's license, their education, and streamlining other important information necessary to provide services and work with insurance companies. An organization confirming an individual’s medical credentials will typically contact the certification boards and licensing agencies. This might [...]

By |November 10th, 2020|Categories: Tips|Tags: |0 Comments

What is 99072 CPT Code & How It Helps ABA Therapy Businesses?

With the advent of COVID-19 and other public health concerns, businesses and medical practitioners are turning to telehealth models to provide patients with basic treatments, without having them come into the clinical setting. One of the biggest success stories of the telehealth trend has been for Applied Behavior Analysis practitioners. Many ABA practices were quick to adopt a telehealth model to serve clients and prevent interruption to care. With the rules of patient involvement always in flux regarding PPE [...]

By |November 10th, 2020|Categories: Tips|Tags: , |0 Comments