Blog
"Advocate. Market. Elevate."

Social Coupons For Medical Services Violate State Law

Social coupons

According to the most recent legal opinion of the Legal Division of the California State Department of Consumer Affairs (DCA), online marketing discount contracts for medical services violate state law. Internet marketing companies, such as Groupon and Living Social, contract with businesses to promote discounted products and services. These companies determine the customers to whom Read more

Read full story

Live Without Regrets!

Live without regrets

I am curious about a lot of things. Online gaming is not one of them. One day, late in the evening hours, while looking through some of the topics on TED Talks, my eyes caught a glimpse of a heading that had the word “Game” in it. This time I make an exception and decide Read more

Read full story

3 Common (But Misunderstood) Post-surgical Modifiers

Modifiers 58, 78, 79

There are several surgical modifiers but there are three in particular that are the most misunderstood among billers. Modifiers 58, 78, and 79 are used to define surgical procedures during global days with some variations. We have explained these nuances below: Modifier 58: Staged or Related Procedure or Service by the Same Provider During the Postoperative Read more

Read full story

CMS-1500 Claim Transition – UPDATE!

New CMS-1500 Finalized

On June 17, 2013 the Centers for Medicare & Medicaid Services (CMS) released the revised CMS-1500 Claim Form (version 02/12). The new CMS-1500 (02/12) will replace the current form (08/05). One of the reasons for this change is to support the use of the ICD-10 diagnosis code set. The revised form will give providers the ability Read more

Read full story

4 Personality Traits, Which One Are You?

4 Personality Traits

Dan Miller, the author of “48 Days to the Work You Love“, categorizes the human personality into 4 common traits. He categorizes these traits with an analogy to some familiar animals as follows: A. Dominance (Driver) – Lion,Eagle Takes charge, likes power and authority, confident, very direct, bold, determined, competitive. B. Influencing (Expressive) – Otter,Peacock Read more

Read full story

Hiring a Billing Company – Compliance Plan (Part 3)

Hiring a Billing Company

Does the Billing Company Have a Compliance Plan? One of the most important components of doing your due diligence in hiring a billing company is to ensure that they have an active compliance plan. In fact, having a compliance plan should be a hiring requirement. Having a compliance plan is imperative and, at the least, Read more

Read full story

Hiring a Billing Company – Pricing Guideline And Contract Terms (Part 2)

Hiring a Billing Company

Pricing Guideline In “Hiring a Billing Company – Due Diligence (Part 1)” we discussed the steps in determining a suitable billing company for your practice. One key point in deciding the best fit is to ensure that you are going to save money and also increase your revenue. At this stage of your due diligence Read more

Read full story

Hiring a Billing Company – Due Diligence (Part 1)

Hiring a Billing Company

Are you looking for ways to improve the efficiency of your billing and increase your bottom line? A medical billing service could be the answer. Many physicians already look to medical billing companies for assistance with their billing and collection functions. Most billing companies offer billing and collection services, plus a wide range of other Read more

Read full story

Prediction: Health Care Administration Jobs Will Increase With Obamacare

Health Care Administration Jobs Will Increase With Obamacare

There is a healthy amount of management going on in health care. Treating illness is just one component, albeit the main reason for the existence of the medical and health services managers. Those who fill these positions run a doctor’s office or manage large departments in big health care facilities. According to the U.S.  Department Read more

Read full story

You Have a Good Chance of Winning Your Medicare Appeals

Claims appealed and recovered from Medicare

Medicare recovery audit contractors (RAC) receive a contingency fee of 9% – 12.5% of any overpayment they find but must return that money when a determination is overturned on appeal. Physicians and hospitals have a record of success when appealing RAC overpayment decisions, according to an analysis by the Centers for Medicare & Medicaid Services Read more

Read full story