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

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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

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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

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How to Reduce Your Practice’s Banking Fees

Practice costs, savings

Have you checked lately how much banking fees you are being charged? The amount you pay per month for various banking services most likely is not large, but in this economy, it may be worth looking at. Amounts charged by the banks vary based on various situations, for example, the size of the practice and Read more

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Anthem Blue Cross Agrees to Pay $3.2 Million Owed to Providers

News and Announcements

Anthem Blue Cross will pay more than $3.2 million owed to physicians and other health care providers on improperly paid claims dating back to 2007. The agreement, announced this week by the California Department of Managed Health Care (DMHC), stems from claims audits launched by DMHC in 2008 of the 7 largest health plans in California Read more

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2013 Coding Changes That Affect Your Patient Visits

CPT

The American Medical Association (AMA) made 650 CPT (Current Procedural Terminology) code changes in 2013 . The changes are effective with January 1, 2013, dates of service. Of all the new CPT changes, there were 82 Evaluation and Management (E/M) codes in the range 99201-99467. This article describes the changes in the E/M category. Evaluation Read more

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How to Access Your Aetna’s Fee Schedule in California

Aetna

In accordance with the regulations issued pursuant to the Claims Settlement Practices and Dispute Mechanism Act of 2000 (CA AB1455 for HMO) and pursuant to the expansion of the Health Care Providers Bill of Rights (under CA SB 634 for indemnity and PPO products), Aetna is providing providers with information about how to access your Read more

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