Optimize Claim Reimbursement for Vaccinations
If your office is administering Influenza Virus and Pneumococcal vaccinations, you should review the following information to insure you are submitting the correct diagnosis and procedure codes…
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Medical Billing Blog
425 articles on medical billing, coding, Medicare rules and practice management, written by the people who build Iridium Suite, since 2010.
How Do You Score Your Evaluation and Management Services?
Subscribers of eNews from First Coast Service Options Inc. (FCSO) the Medicare Fiscal Intermediary for Florida, Puerto Rico and the U.S.
Review Your Fee Schedules for Maximum Reimbursement
As the new year quickly approaches, we all await the “final” Medicare fee schedule. We are familiar with the routine.
Iridium Suite is Dedicated to Customer Service
The Miriam-Webster Dictionary defines Service as: 1 a: the occupation or function of serving <in active service 2 a: the work performed by one that serves <good service b: help, training, use…
Senior Patients, Tobacco Use and Your Practice
Tobacco use has been proven to be the leading cause of preventable death in the United States.
2013 ESRD Payments and Incentives
The Centers for Medicare & Medicaid Services (CMS) has issued a final rule for 2013 that updates Medicare policies and payment rates for dialysis facilities paid under the End-Stage Renal Disease…
2013 Increased Claims Reimbursement
Due to recent legislative changes, many providers will see increased claims reimbursement in 2013. Below are the details of three areas that will be effected.
URGENT: Avoid Incorrect Outpatient Place of Service
Physicians providing services in the outpatient department of a hospital need to urgently review their place of service (POS) coding practices.
Always Code the Most Specific Diagnosis
Inaccurate or non-specific diagnosis coding can adversely affect your reimbursement of medical claims.
Electronic Health Record (EHR) and Medical Billing Systems
An EHR must not only record your patient data electronically, but should be certified for meaningful use by CMS.
Optimize Use of Electronic Data Interchange In Medical Billing
Electronic data interchange (EDI) is the structured transmission of data between organizations by electronic means.
PQRI- Streamline Your Process
PQRI is the Physician Quality Reporting Initiative created by the federal government.
ASTRO 2012 - October 28th - 30th - Boston Convention & Exhibition Center
Medical Business Systems will be exhibiting at ASTRO again this year! Please stop by Booth 6011 to learn more about our medical billing software, Iridium Suite.
5 Ways to Improve Medical Claim Reimbursement
Often the handling of accounts receivable is considered distasteful, something that can be ignored or should be handled by somebody else.
What are EOB Claim Adjustment Group Codes?
A Claim Adjustment Group Code consists of two alpha characters that assign the responsibility of a Claim Adjustment on the insurance Explanation of Benefits.
Claims "Scrubbers" Increase Reimbursement of Medical Claims
Wouldn't you like to avoid denials? Let's look at Claim Scrubbers and how they function to optimize reimbursement of medical claims.
Infrastructure is Key in Medical Billing Systems Software
Are you looking for new medical billing software, but do not want to buy a bunch of new hardware? Do you need have an Apple computer and require Mac medical billing software?
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.
Understanding Medicare Fiscal Intermediaries LCD’s and How They Affect You
Each Fiscal Intermediary (FI) has the authority to produce their own “Local Coverage Determination” (LCD), based on national guidelines.
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?
What is Real-Time Eligibility?
Historically, when a patient with insurance came into a medical office, the staff obtained a copy of the insurance card and, if there was time, they made a call to the insurance company for…
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.
I have received claims denials, now what?
Set aside a specific amount of time to work the denials received. The practice will be better off for this approach, because consistent data entry problems or billing errors can begin to show a…
How to handle secondary insurance denials
Secondary insurance plans often pay deductibles, co-pays, or coinsurance that is due after the primary insurance plan has paid on the claim.