http://articles.getacoder.com/insurance/medical_billing.htm Free Content For Your Website http://creativecommons.org/licenses/by-nc-nd/2.0/ What is a copayment? It's a part responsibility of the patient's based on their policy and coverage. Mostly, their copays are applied towards their annual out of pocket amount for family, single or individual. And it is always due at the time of service (the time they came in to your office). Copay for Primary Care Physician and for Specialist Office may differ too! Fri, 12 Sep 2008 15:42:32 -0400 http://articles.getacoder.com/Can_You_Not_Collect_Or_Can_You_Waive_Patients_Copay_All_About_Copays_and_Copayments_1554933x1221248552.htm http://articles.getacoder.com/Can_You_Not_Collect_Or_Can_You_Waive_Patients_Copay_All_About_Copays_and_Copayments_1554933x1221248552.htm New rules for NPI numbers and legacy numbers are now in effect with Medicare when billing medical insurance claims. As of May 23, 2008 Medicare is no longer accepting claims which don't meet the current rules. Make sure you are entering your information correctly to avoid delays in your payments Tue, 29 Jul 2008 11:23:45 -0400 http://articles.getacoder.com/NPI_Numbers_and_Legacy_Numbers_-_New_Rules_As_of_May_23,_2008_For_Billing_Medical_Insurance_Claims_1450199x1217345025.htm http://articles.getacoder.com/NPI_Numbers_and_Legacy_Numbers_-_New_Rules_As_of_May_23,_2008_For_Billing_Medical_Insurance_Claims_1450199x1217345025.htm Medical billing involves an interaction between a healthcare provider and the payer which is usually a health insurance company. There are different insurance companies and some of which have up to 15 different insurance plans. Thus the doctor has to familiarize with a lot of such information and make him self clear. The amount is settled between the physician and the company before he provides his services and he is paid according to the each contract that has its own fee schedule, billing rules and billing address. Tue, 29 Jul 2008 05:54:22 -0400 http://articles.getacoder.com/Medical_Billing_Payment_1450214x1217325262.htm http://articles.getacoder.com/Medical_Billing_Payment_1450214x1217325262.htm A big chunk of the total claims received by insurers are fraudulent claims that run into billions of dollars annually. Health Insurance fraud is today a very serious problem and a great challenge, as it has proved to be very costly to the US health-care system. Tue, 15 Jul 2008 20:48:15 -0400 http://articles.getacoder.com/Medical_Billing_and_Insurance_Fraud_1450228x1216169295.htm http://articles.getacoder.com/Medical_Billing_and_Insurance_Fraud_1450228x1216169295.htm Just because a doctor owns his own practice does not mean that he is doing particularly well. It might be true, but it also may not be. A physician does not necessarily have the right business skills to run his office and will not be very successful monetarily. They can be the best doctors in the world but they must have the right skills in billing for their practice to reap the rewards. Wed, 09 Jul 2008 18:14:09 -0400 http://articles.getacoder.com/What_a_Medical_Billing_Company_Can_Do_For_Your_Practice_1509537x1215641649.htm http://articles.getacoder.com/What_a_Medical_Billing_Company_Can_Do_For_Your_Practice_1509537x1215641649.htm Physicians have always had to juggle the tasks of their office. Often, small practices could not afford to hire an office staff and the physician would have to do it all; see patients, make appointment, and fill out and submit medical claims to insurance companies. The problem was physicians would rely on the payment from the insurance company and if a mistake were made the claim would be rejected, leaving the physician to start all over again. Mon, 07 Jul 2008 12:14:06 -0400 http://articles.getacoder.com/How_To_Collect_Medical_Billing_Claims_From_Insurance_Companies_1450212x1215447246.htm http://articles.getacoder.com/How_To_Collect_Medical_Billing_Claims_From_Insurance_Companies_1450212x1215447246.htm You thought Electronic Submission of Claims do not make mistake? or do not have any glitch? error? You are absolutely wrong. I have seen medical offices who ONLY relies on the Verification report. Well, this is a report being generated after you send your claims electronically. It usually shows you a passed or reject claims on the report. The truth of the matter is, based on my experience, I can not rely on this verification reports alone. Getting on top of your Response Report is more essential than just relying on your verification report. This is the report that will show on each insurance company with each claim with patients' names and date of service(s) if they were "accepted", "adjudicated", "received by payor". This is actually your real response report. Sat, 05 Jul 2008 18:45:25 -0400 http://articles.getacoder.com/Medical_Claims_Electronic_Billing_-_Dont_Just_Read_the_Verification_Report_-_Read_the_Response_Repo_1450198x1215297925.htm http://articles.getacoder.com/Medical_Claims_Electronic_Billing_-_Dont_Just_Read_the_Verification_Report_-_Read_the_Response_Repo_1450198x1215297925.htm Is there a theoretical explanation for the growth in Medical Transcription Outsourcing to India? Yes indeed there is a cause and effect for everything and it is believed that the HOS (Heckscher-Ohlin-Samuelson) theory in economics has the explanation. Thu, 03 Jul 2008 09:21:50 -0400 http://articles.getacoder.com/Medical_Transcription_And_The_HOS_Theory_1450231x1215091310.htm http://articles.getacoder.com/Medical_Transcription_And_The_HOS_Theory_1450231x1215091310.htm Doctors spend 14 percent of the fees they receive from insurance companies and Medicare on the process of collecting those fees, adding more than $200 billion (about ten percent) a year to the nation's healthcare costs. Sadly, about 30 percent of over 5 billion claims generated annually, are rejected, and surprisingly, only 50 percent of the rejected claims are ever resubmitted. An example of fee calculation shows that this behavior may be justified depending on the claim rework costs, denial amount, and claim rework efficacy. Providers will only be able to level the playing field with the payers when they have equal footing in terms of strategies, processes, and resources. Wed, 02 Jul 2008 07:22:35 -0400 http://articles.getacoder.com/Medical_Billing_Denials_-_#1_Payers_Tactic_to_Reduce_Costs_at_Providers_Expense_1509538x1214997755.htm http://articles.getacoder.com/Medical_Billing_Denials_-_#1_Payers_Tactic_to_Reduce_Costs_at_Providers_Expense_1509538x1214997755.htm What are the various duties that the medical coding and medical billing professionals have to do? Computerization and globalization has greatly helped in successfully managing the country's vast health care and health insurance needs of the people. The fast growing community of medical coders and billers is a force to reckon with. Here is a list of some of the duties that they may have to handle in the course of their work. Wed, 02 Jul 2008 03:13:15 -0400 http://articles.getacoder.com/Medical_Coding_&_Billing_-_General_Duties_and_Jobs_1450232x1214982795.htm http://articles.getacoder.com/Medical_Coding_&_Billing_-_General_Duties_and_Jobs_1450232x1214982795.htm In June, the Chiropractic Office Billing Precision Index (BPI) gained 4.2 points above its May mark - making up all of the lost ground in May and outperforming April. Overall, June BPI reached 17.6 outperforming the national average of 17.7 by 0.1, and 2.1 points away from its best record of 15.5 in March of 2008. Tue, 01 Jul 2008 02:46:56 -0400 http://articles.getacoder.com/#1_State_in_Chiropractic_Billing_Performance_Index_in_June_is_Illinois_-_The_Blues_and_Medicare_Lead_1509539x1214894816.htm http://articles.getacoder.com/#1_State_in_Chiropractic_Billing_Performance_Index_in_June_is_Illinois_-_The_Blues_and_Medicare_Lead_1509539x1214894816.htm A medical practice is more than just seeing patients. It is a business, and like all businesses, it has monthly bills to pay, and employees who want their paychecks. There are many different aspects to medical practices across the country. Mon, 30 Jun 2008 01:46:53 -0400 http://articles.getacoder.com/How_Medical_Practices_Increase_Productivity_1450209x1214804813.htm http://articles.getacoder.com/How_Medical_Practices_Increase_Productivity_1450209x1214804813.htm Professional medical billing services are relevant and exist to ensure that practicing physicians, providing much-needed services, collect the highest reimbursement amount deserved for procedures performed. It's important to understand that hiring a results-oriented medical biller takes patience and time. You see, medical billing is not a profession which a prospective employee can just walk into; this position demands experience, knowledge and a complete understanding of the medical insurance billing industry. Sun, 29 Jun 2008 17:38:38 -0400 http://articles.getacoder.com/Professional_Medical_Billing_Services_1509540x1214775518.htm http://articles.getacoder.com/Professional_Medical_Billing_Services_1509540x1214775518.htm Physicians deserve to be reimbursed promptly for the medical insurance billing leaving their office. I cannot stress enough how important a roll data entry of patient information is for the prompt payment of medical insurance billing. Fri, 27 Jun 2008 17:24:31 -0400 http://articles.getacoder.com/The_Importance_of_Data_Entry_in_the_Process_of_Medical_Insurance_Billing_1468261x1214601871.htm http://articles.getacoder.com/The_Importance_of_Data_Entry_in_the_Process_of_Medical_Insurance_Billing_1468261x1214601871.htm When coding and subsequently billing Medicare or a commercial carrier for services rendered to one of your patients, there are certain guidelines that must be followed by you, the provider. One of these guidelines is not to break down a procedure into its component parts. This is better known as unbundling. Wed, 25 Jun 2008 09:51:17 -0400 http://articles.getacoder.com/Medical_Coding_and_Billing_Guidelines_For_Health_Services_-_Why_Unbundling_is_a_Bad_Idea_1468262x1214401877.htm http://articles.getacoder.com/Medical_Coding_and_Billing_Guidelines_For_Health_Services_-_Why_Unbundling_is_a_Bad_Idea_1468262x1214401877.htm Many people believe that just because a person owns a medical practice they have a lot of money. In some instances this can be true however, many times a physician can own a medical practice and still have very little money to show for it. This is not because he or she is not a good physician, most often it is because he or she lacks the skills to run the business end of their practice efficiently. Fri, 20 Jun 2008 14:29:26 -0400 http://articles.getacoder.com/How_Small_Medical_Practices_Can_Become_Financially_Devastated_1468268x1213986566.htm http://articles.getacoder.com/How_Small_Medical_Practices_Can_Become_Financially_Devastated_1468268x1213986566.htm An appropriate medical insurance policy helps you to deal with the emergencies in life (such as illness, accident, surgery, etc) efficiently and effectively. Private health insurance offers freedom, flexibility and variety as a person can choose a policy suited to his/her personal and financial requirements. Fri, 24 Aug 2007 05:44:23 -0400 http://articles.getacoder.com/Cover_Your_Precious_Life_With_The_Protective_Shield_Of_Medical_Insurance_1466245x1187948663.htm http://articles.getacoder.com/Cover_Your_Precious_Life_With_The_Protective_Shield_Of_Medical_Insurance_1466245x1187948663.htm Having an International medical cover insurance for expats is one of the vital things they ought to have. Due to economic liberalisation, several of private insurance companies have got global presence; and it has made the process to avail this insurance very easy. Thu, 19 Apr 2007 13:17:32 -0400 http://articles.getacoder.com/International_Medical_Cover_-_Friend_In_Need_1466840x1177003052.htm http://articles.getacoder.com/International_Medical_Cover_-_Friend_In_Need_1466840x1177003052.htm Poland's decision to join the EU in 2004 has been a boom for the country's medical tourism industry. Regulations in other EU states that require private health insurance to pay for certain medical procedures have meant thousands of westerners travel to this eastern European state for affordable quality treatment. Sat, 31 Mar 2007 07:10:19 -0400 http://articles.getacoder.com/Medical_Tourism_-_A_Guide_To_Poland_1462988x1175339419.htm http://articles.getacoder.com/Medical_Tourism_-_A_Guide_To_Poland_1462988x1175339419.htm The phenomenon of Medical Tourism is rapidly spreading around the globe thanks to the easy availability of information on the internet and the increasingly low costs of travel. For many people in the US, Mexico has long been their destination of choice for medical care thanks to the high standard and low cost of the treatments available there. Mon, 12 Mar 2007 05:50:06 -0400 http://articles.getacoder.com/Medical_Tourism_In_Mexico_-_An_Overview_1462996x1173693006.htm http://articles.getacoder.com/Medical_Tourism_In_Mexico_-_An_Overview_1462996x1173693006.htm While it's true that the costs for health insurance coverage continue to increase, having a health insurance plan will save you more money in the long run. But no health insurance plan will cover every medical treatment- Wed, 14 Feb 2007 20:13:44 -0500 http://articles.getacoder.com/When_Your_Health_Insurance_Doesnt_Cover_Your_Medical_Care_1434823x1171502024.htm http://articles.getacoder.com/When_Your_Health_Insurance_Doesnt_Cover_Your_Medical_Care_1434823x1171502024.htm The price of medical treatment continues to rise. Here are some ways that you can fight back and save some money Tue, 13 Feb 2007 04:08:00 -0500 http://articles.getacoder.com/Fighting_the_High_Cost_of_Medical_Treatment_1437948x1171357680.htm http://articles.getacoder.com/Fighting_the_High_Cost_of_Medical_Treatment_1437948x1171357680.htm Copyright 2007 getacoder.com - All Rights Reserved.