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Health Insurance Companies Process 1 in 5 Claims Wrong

Category Archives: Medical Billing and Coding Topics

Contained in these articles is information on medical billing, HIPAA, CPT and ICD-9 coding, Medicare, electronic health records (EHR), healthcare reform and other healthcare news. As you look through them please leave us a comment or two and share them with your colleagues.

New Quality ACA Reporting Standards

New Quality ACA Reporting Standards

Affordable Care Act Updates ACA Reporting Standards One of the major provisions in the Affordable Care Act (ACA) isthe new set of quality ACA reporting standards for all medical facilities. Hospitals, medical centers, outpatient centers, nursing homes, home health agencies, etc. now have to provide yearly reports on their patient outcomes across 44 quality-of-care measurements.… Continue Reading

Comparing Patients of Healthcare Providers to Retail Customers

Comparing Patients of Healthcare Providers to Retail Customers

Customer Experiences with your Healthcare Provider When a patient comes into a healthcare provider’s office they have high expectations.  Price is not their number one factor, only 8% of people say healthcare costs matters than personal experience. A patient will than likely recommend their healthcare provider if their personal experience in the office is… Continue Reading

No April Fools Joke: 2% Sequester Cut in Medicare Reimbursements is Real

No April Fools Joke: 2% Sequester Cut in Medicare Reimbursements is Real

Sequester Cuts Medicare Reimbursements – Doctors and Patients Affected as of April 1, 2013 For any Medicare service or procedure performed on or after April 1, 2013, doctor’s Medicare reimbursements will be cut by 2% due to the federal budget sequester cuts. Now patients will continue to have to pay their co-insurance, deductibles or copays, as… Continue Reading

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Disclaimer

The analysis of any medical billing or coding question is dependent on numerous specific facts -- including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies (as well as coding itself) are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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