Specialty Clinic Referrals and Authorizations for Services
Prior authorizations and physician referrals are occasionally interchangeable, yet these phrases are significantly distinct. A primary care physician (PCP) issues a referral for the patient to visit a specialist. In contrast, the payer (an insurance company) grants...
The Positive Impact of Increased Medicaid Funding for School Mental Health Services
The effect of the Covid-19 pandemic on student mental health is one of its most damaging aftershocks. Students are dealing with extreme levels of anxiety and depression brought on by COVID. This is mainly due to their home isolation, lack of social interaction, and...
Why Inflation Is Driving Up Costs for Physician-Owned Practices
Several businesses are witnessing the effects of inflation. However, medical practices tend to be hit the worst, considering the way insurance companies dictate payment patterns. Moreover, practices don’t have the ability to increase their prices, and the present...
Medicaid Funding
The New England region is home to some of the most highly respected medical institutions in the world. The excellent quality of care these facilities provide comes at a high cost, which is why Medicaid funding is so important in this part of the country. New England...
Why Is Medical Billing For A Specialty Clinic So Challenging?
Regarding billing, medical institutions worldwide are experiencing a significant dilemma. In almost every healthcare system, problems with issuing, tracking, and paying invoices exist. Some difficulties originate from the patients, while others originate from the...
Mental Health Services for School Aged Children- How Medicaid Can Help
Mental health in schools is becoming an integral component of student support networks. Psychologically healthy students tend to be eager to learn, actively participate in school activities, have caring and supportive relationships with adults and peers, use adequate...
How To Manage Through Summer Vacations At Your Clinic
As the temperature rises and summer approaches, more employees will be willing to take time off. This might be a straightforward procedure for some companies, but it can bring management issues for others, especially in the healthcare sector. So summer vacation...
Making Best Use of the ICD-10-CM Billing Codes
The ICD-10-CM refers to the standardized coding framework that the doctors and other healthcare practitioners in the United States use. It is used to identify and categorize all diagnoses, manifestations, and procedures associated with hospital treatment. It offers...
Get Reimbursed for Providing Speech Pathology and Audiology Services In Your School
Are you a professional that offers speech pathology and audiology services in schools? If yes, then you must be looking for a medical billing company that issues reimbursement of your services with minimal hassle and easy-to-complete paperwork. With New England...
Top 3 Ways Your State’s School-Based Medicaid Program Can Offset the Rising Costs of Mental Health Services
It is vital that children and teenagers who are at-risk for developing mental disorders be identified quickly and connected with the services they require. Schools can play a vital role in helping to identify such children and adolescents. They can connect with them...
How Proper Documentation of Medical Necessity Determines the Payment of Ambulance Claims
Proper documentation of emergency transport determines reimbursement. Medicare or Medicaid imposes a reimbursement of your patient’s medical expense, but various healthcare providers offer different inclusions or services. Medical billing will apply codes for only...
Emergency Ambulance Bills- What You Need to Know
The paramedics' team and other healthcare professionals who work for the Emergency Medical Services (EMS) Department mostly handle the Ambulance Billing section. While they may not appear as a problem, coding and billing require professional knowledge, making it...
How Is Ambulance Medical Billing Different From Traditional Medical Billing?
There are a few similarities between ambulance billing and conventional medical billing, beginning with the need to properly fill out claim information specific to ambulance reimbursement. It's necessary to understand the workflows, the processes, and the changing...
The Definitive Guide to Ambulance Billing
Ambulance billing is something of a specialty area, and it calls for a unique collection of requirements. Ambulance billing is set apart from other types of medical billing because it involves mileage requirements, as well as origin and destination modifiers, none of...
How Is Ambulance Billing Split between Patients and Insurance Companies?
A great number of people in this country have been surprised, dismayed, and even shocked by receiving a whopping ambulance bill after having used an ambulance service for a 911 call, or some other emergency which necessitated a trip to the hospital or to some other...
How to Manage Ambulance Billing Effectively
Most people would agree that effective management of ambulance billing should be comprised of minimizing patient complaints, avoiding any kind of litigation, and recovering reimbursement monies in the shortest time frame possible for services rendered. That takes in...
Most Overlooked Aspects of Ambulance Billing
There is a good deal of complexity associated with ambulance billing, and that has caused frequent errors which result in claim denials by insurance carriers. In order to avoid having claims denied or processed very slowly, it can be really important for everyone...
How to Choose Ambulance Billing Software
The true value of the EMS, emergency medical services is never really appreciated until it needs to be used. In the perfect world, it would be optimal if patients were able to prepay for emergency services or pay as soon as the services are received. Of course, it is...
Top Mistakes in Ambulance Billing Costing You Money
As specialists in medical billing, we’re well aware of just how tricky it can be to process a high number of invoices and ensure they’re paid on time. Of course, the process isn’t made easier if errors cause delays. If you want to keep your cash flowing, take a look...
Tips to Improve Ambulance Billing Efficiency
Ambulances are a necessary and heavily-relied upon part of every community. Imagine if we didn’t have ambulances. In the event of a sudden emergency, when someone needs to be transported to the hospital very quickly, what would we do? A lack of ambulances would lead...
Get Reimbursed for Providing Speech Pathology and Audiology Services In Your School
Are you a professional that offers speech pathology and audiology services in schools? If yes, then you must be looking for a medical billing company that issues reimbursement of your services with minimal hassle and easy-to-complete paperwork. With New England...
Top 3 Ways Your State’s School-Based Medicaid Program Can Offset the Rising Costs of Mental Health Services
It is vital that children and teenagers who are at-risk for developing mental disorders be identified quickly and connected with the services they require. Schools can play a vital role in helping to identify such children and adolescents. They can connect with them...
Covid And Telehealth: The Evolving Need For Telehealth At Schools
As the COVID-19 virus takes a toll on the health service, telemedicine is gaining traction for healthcare professionals and caregivers to adequately address the needs of infected individuals who need to check in with their doctors about their health. Team Covid and...
Your Speech Pathology And Audiology Services In Schools Can Equal Reimbursement Dollars For Your District!
Reimbursement rates for audiology services under Medicare Part B are regulated by the Medicare Physician Fee Schedule (MPFS) (HOPPS). This does not include services supplied to hospital outpatient clinics underneath the Hospital Outpatient Prospective Payment System....
Your Guide to the School-Based Medicaid Program
The Massachusetts Medicaid claiming process can be confusing, especially if you are not familiar with the applicable regulations and Medicaid billing process. Navigating through the school-based Medicaid system can seem daunting, but it doesn’t have to be so...
How Medicaid in Education Adds Resources for Students
You've probably heard of Medicaid, government funded health care coverage that provides medical care to low-income families. Did you even know, though, that it serves children in public universities too? Here are some major roles of Medicaid in education. Covers...
How The Pandemic Has Affected The Mental Health Needs For School Aged Children
Imagine, from the point of view of a 10-year-old, their school has been shut down as something very bad is circulating in the very air we breathe. The parents are constantly after the kids to regularly wash their hands, wear a mask, not go out to play, and avoid...
Is School-Based Medicaid Claiming Software worth Purchasing?
It is believed that School-based Medicaid requires a lot of paperwork. Further, you need to maintain all the processes to keep the records. This not only consumes a lot of time but also has room for errors. Thus, it is advisable to use Medicaid claiming software for...
5 Things to Know About School-based Medicaid Claiming
The schools can be the best institutions to offer Medicaid programs to children. A joint state-federal program, Medicaid programs cover the administrative activities cost and medical services while reimbursing them. Schools deliver a range of services that can help...
What Can Schools Bill Medicaid For?
Schools can bill Medicaid for health-related services when those services are provided to children and adolescents who are enrolled in the Medicaid program, or when the services are offered through an Individualized Education Plan (IEP). These plans are covered under...
Get Reimbursed for Providing Speech Pathology and Audiology Services In Your School
Are you a professional that offers speech pathology and audiology services in schools? If yes, then you must be looking for a medical billing company that issues reimbursement of your services with minimal hassle and easy-to-complete paperwork. With New England...
Top 3 Ways Your State’s School-Based Medicaid Program Can Offset the Rising Costs of Mental Health Services
It is vital that children and teenagers who are at-risk for developing mental disorders be identified quickly and connected with the services they require. Schools can play a vital role in helping to identify such children and adolescents. They can connect with them...
Covid And Telehealth: The Evolving Need For Telehealth At Schools
As the COVID-19 virus takes a toll on the health service, telemedicine is gaining traction for healthcare professionals and caregivers to adequately address the needs of infected individuals who need to check in with their doctors about their health. Team Covid and...
Your Speech Pathology And Audiology Services In Schools Can Equal Reimbursement Dollars For Your District!
Reimbursement rates for audiology services under Medicare Part B are regulated by the Medicare Physician Fee Schedule (MPFS) (HOPPS). This does not include services supplied to hospital outpatient clinics underneath the Hospital Outpatient Prospective Payment System....
Your Guide to the School-Based Medicaid Program
The Massachusetts Medicaid claiming process can be confusing, especially if you are not familiar with the applicable regulations and Medicaid billing process. Navigating through the school-based Medicaid system can seem daunting, but it doesn’t have to be so...
How Medicaid in Education Adds Resources for Students
You've probably heard of Medicaid, government funded health care coverage that provides medical care to low-income families. Did you even know, though, that it serves children in public universities too? Here are some major roles of Medicaid in education. Covers...
How The Pandemic Has Affected The Mental Health Needs For School Aged Children
Imagine, from the point of view of a 10-year-old, their school has been shut down as something very bad is circulating in the very air we breathe. The parents are constantly after the kids to regularly wash their hands, wear a mask, not go out to play, and avoid...
Is School-Based Medicaid Claiming Software worth Purchasing?
It is believed that School-based Medicaid requires a lot of paperwork. Further, you need to maintain all the processes to keep the records. This not only consumes a lot of time but also has room for errors. Thus, it is advisable to use Medicaid claiming software for...
5 Things to Know About School-based Medicaid Claiming
The schools can be the best institutions to offer Medicaid programs to children. A joint state-federal program, Medicaid programs cover the administrative activities cost and medical services while reimbursing them. Schools deliver a range of services that can help...
What Can Schools Bill Medicaid For?
Schools can bill Medicaid for health-related services when those services are provided to children and adolescents who are enrolled in the Medicaid program, or when the services are offered through an Individualized Education Plan (IEP). These plans are covered under...
Get Reimbursed for Providing Speech Pathology and Audiology Services In Your School
Are you a professional that offers speech pathology and audiology services in schools? If yes, then you must be looking for a medical billing company that issues reimbursement of your services with minimal hassle and easy-to-complete paperwork. With New England...
Top 3 Ways Your State’s School-Based Medicaid Program Can Offset the Rising Costs of Mental Health Services
It is vital that children and teenagers who are at-risk for developing mental disorders be identified quickly and connected with the services they require. Schools can play a vital role in helping to identify such children and adolescents. They can connect with them...
Covid And Telehealth: The Evolving Need For Telehealth At Schools
As the COVID-19 virus takes a toll on the health service, telemedicine is gaining traction for healthcare professionals and caregivers to adequately address the needs of infected individuals who need to check in with their doctors about their health. Team Covid and...
Your Speech Pathology And Audiology Services In Schools Can Equal Reimbursement Dollars For Your District!
Reimbursement rates for audiology services under Medicare Part B are regulated by the Medicare Physician Fee Schedule (MPFS) (HOPPS). This does not include services supplied to hospital outpatient clinics underneath the Hospital Outpatient Prospective Payment System....
Your Guide to the School-Based Medicaid Program
The Massachusetts Medicaid claiming process can be confusing, especially if you are not familiar with the applicable regulations and Medicaid billing process. Navigating through the school-based Medicaid system can seem daunting, but it doesn’t have to be so...
How Medicaid in Education Adds Resources for Students
You've probably heard of Medicaid, government funded health care coverage that provides medical care to low-income families. Did you even know, though, that it serves children in public universities too? Here are some major roles of Medicaid in education. Covers...
How The Pandemic Has Affected The Mental Health Needs For School Aged Children
Imagine, from the point of view of a 10-year-old, their school has been shut down as something very bad is circulating in the very air we breathe. The parents are constantly after the kids to regularly wash their hands, wear a mask, not go out to play, and avoid...
Is School-Based Medicaid Claiming Software worth Purchasing?
It is believed that School-based Medicaid requires a lot of paperwork. Further, you need to maintain all the processes to keep the records. This not only consumes a lot of time but also has room for errors. Thus, it is advisable to use Medicaid claiming software for...
5 Things to Know About School-based Medicaid Claiming
The schools can be the best institutions to offer Medicaid programs to children. A joint state-federal program, Medicaid programs cover the administrative activities cost and medical services while reimbursing them. Schools deliver a range of services that can help...
What Can Schools Bill Medicaid For?
Schools can bill Medicaid for health-related services when those services are provided to children and adolescents who are enrolled in the Medicaid program, or when the services are offered through an Individualized Education Plan (IEP). These plans are covered under...
