Reviewing Commercial Carrier Medical Policies/Clinical Guidelines

Commercial Insurance Carriers develop Medical Coverage Policies/Clinical Guidelines as a basis for the reimbursement for medical procedures. Since many are updated at varying intervals, it is important to regularly review as many of your Commercial Insurance Carrier's Medical Policies/Clinical Guidelines as possible for important changes. The Carrier's websites typically allow you to search for this information by procedure name and/or …

BMSi Seminar – September 13th and 14th – Colorado Springs

Join the MBS team at the Bogardus Seminar at the Cheyenne Mountain Resort in Colorado Springs on September 13th and 14th, 2012.  The experts at BMSi will teach you how to properly bill Radiation Oncology charges.  Stop by the MBS table to enter the iPod Drawing!

BMSi Seminar – August 16th and 17th – Chicago, IL

Join the MBS team at the Bogardus Seminar at the Four Seasons in Chicago on August 16th and 17th, 2012.  The experts at BMSi will teach you how to properly bill Radiation Oncology charges.  Stop by the MBS table to enter the iPod Drawing!

Why are Internal Chart Audits Important?

Many people are intimidated by the word “audit” and run in the other direction. Why should every practice do chart audits? It is important to inspect and verify your charts and billing practices before an insurance company calls for medical records. Doing regular chart audits sets you up for a sense of calm when the auditors do come knocking. Audits …

Knowing the difference between global, professional, and technical charges

Medical practices are almost as diverse as people in regards to the arrangements and agreements that exist between physicians and facilities. The existence of different fiscal arrangements requires that medical entities bill their charges based on the specific level of service that the entity is providing to the patient.  CMS has created billing rules to accommodate these different scopes of …

Taking control through self-audit

A medical business should always be making steps toward improvement.  That is how we retain clients in all businesses.  Have you ever thought, “Every worker is busy. The appointment calendar is full.  The piles of work get bigger, but the money is shrinking.  It feels like everything is out of control.”    These are common thoughts for many executives and employees …