What Is Overpayment In Medical Billing & How To Recover The Payments
Medical billing problems and accidental overpayments can do more than just interrupt a consistent revenue stream, it can also affect your reputation with your patients as well as the community you serve. Not to mention that failing to return the extra payments from patients or their insurance provider can also leave you exposed to significant legal problems. In many overpayment cases, the consequences of failing to repay promptly can also impact a solo practice’s credit score, making it harder [...]
What’s The Difference Between Insurance Recoupment & Refund In Medical Billing
Medical billing professionals and small practices that are handling their own medical billing services often have to deal with Insurance Recoupment and Refund issues. This can significantly affect a practice’s revenue stream, and could also carry potential legal ramifications. What Is Insurance Recoupment? Most insurance providers will request a refund if there is an issue with an overpayment. This request is called recoupment. Insurance Recoupments Can Occur For The Following Reasons The insurance provider is not aware of the [...]
What Is A SOAP Note & How To Write Them?
Subjective, Objective, Assessment, and Plan notes, which are more commonly known as “SOAP” notes are a documentation process used by a wide range of healthcare providers to write quick notes in a patient's chart. This helps to document each patient encounter in their medical record is a comprehensive workflow practice that begins with appointment scheduling, patient check-in and continues on through the examination, check-out, rescheduling, and eve the medical billing process. In this way SOAP notes serve as a [...]
How to Prevent Medical Billing Fraud
Medical billing fraud has a very real and unfortunate presence in the medical billing industry. Every year private insurance companies, public health institutions and government payer agencies suffer significant financial losses to medical billing fraud. In some cases, the fraud is accidental and simply related to poor practices or not using up to date codes. This is even more likely to occur with solo practitioners and small practices where the individual in charge of medical billing and coding is [...]
Electronic Visit Verification FAQ for ABA Therapy
The term “Electronic Visit Verification” has jumped to the forefront of many alerts sent out to ABA practitioners. The barrage comes from both industry news feeds, periodicals, colleagues and team members who are concerned about compliance, yet aren’t sure where to look for more information. In this article, we will take a closer look at the nuts and bolts details of electronic visit verification for ABA therapy, as well as try to answer some of the more frequently asked [...]
Using ICD-10 Code For ADHD
In recent decades, a growing body of research has indicated that ADHA (Attention Deficit Hyperactivity Disorder) is more common in children than previously realized. Today the Centers for Disease Control and Prevention estimates that roughly one in three children in the United States is diagnosed with ADHD before the age of 6. This makes ADHD is one of the more commonly diagnosed childhood behavioral and emotional disorders. Left unaddressed it can easily continue into adulthood. It’s also estimated that [...]
10 Tips for New Behavior Therapists & Counselors
The opportunity to open your own private mental health care practices is extremely attractive and enervating for many therapists and counselors. Though it also comes with a few challenges when having to balance the rewarding aspects of patient care with the business aspects of maintaining your own small practice. To help you put your best foot forward, we collated a variety of tips to help new behavior therapists and counselors to navigate the water of growing their own small [...]
What Is A Medical Coder And What Do They Do?
Accurate medical billing plays a critical role in ensuring that physicians get paid consistently and at a reimbursement level that is appropriate for their credentials, the type of treatment administered, and any specialist services they offer. Of course, this reimbursement also affects their ability to do other essential things like pay administrative staff, update their medical equipment, purchase new medical supplies, and even pay their in-house administrative staff. Errors and missing information in a claim that’s accidentally submitted to [...]
How To Determine Relative Value Units In Medical Billing?
The world of medical billing, procedures and medical coding is rife with terminology that seems to change all the time. This includes abbreviations that you might not be familiar with like RVU. What Is Medical Billing RVU? In the world of medical billing, RVU stands for Relative Value Units. Total RVU-based compensation requires paying a physician base on the type of work they administer in the process of treating a patient. If you aren’t familiar with the term, RVU [...]
Top ICD-10 Codes for Mental and Behavioral Health
Accurately medical billing is not an easy task for a lot of small practices and solo practitioners. The wide range of evolving terms and acronyms used for even the most simple of services can be exceedingly complex. An incorrectly used code or even a simple piece of missing information can lead to significant delays in your revenue stream as well as increasing the risk for a claim rejection or claim denial. As the various code books continue to evolve [...]
