MEDICAL BILLING

Why Medical Necessity is Necessary

Medical professionals must prove that that a particular service or treatment was necessary before a patient’s healthcare insurance provider will pay for it. Medical necessity trumps other criteria in the adjudication process and Nitin Chhoda provides new insights into... read more

The Life of a Claim: How You Get Paid

The clock starts ticking on the life of an insurance claim the moment a patient makes an appointment and doesn’t end until the practitioner is paid. To better understand the life cycle of an insurance claim, Nitin Chhoda offers a first-hand look at the process. First... read more

Payer : Who Is It and Who Has the Money? Part 1

Medical professionals collect reimbursement payments from a variety of sources. Known as payers, they encompass commercial insurance companies, third-party administrators and government-funded programs. In part 1 of this revealing article, Nitin Chhoda identifies the... read more

Medical Billing — Its Role and What it Means to Your Office Structure

A structured medical practice is essential to ensure that reimbursement claims are submitted in a timely manner. Missing, lost, misplaced or improperly filed patient records creates unnecessary medical billing delays and interrupts the flow of funds into the practice.... read more

Health Insurance and Its Top Three Mistakes or Issues

There are three major mistakes within the office setting that are contributing to a loss of revenue through non-payment. The errors can easily be prevented and some can be eradicated before patients ever arrive for their appointments. Clinics across the nation are... read more

Medical Coder and Practice Staff’s Ethics are More Important than Their Typing Speed

There’s a code of ethics that automatically comes into play in medical offices and employees are cognizant of this. Staff and medical coder are aware that they can’t share personally identifiable information with outside sources, but what they don’t realize is that a... read more

Supply, Demand, and Combatting Limited Reimbursements of Insurance

The way healthcare insurance is viewed and paid for has evolved significantly over the last century and the law of supply and demand is the rule of the day. The business of selling insurance is a multi-million dollar industry, the sole purpose of which is to make... read more

Medical Billing And Coding Outsourced

Medical billing and coding are indeed a very complex subject.  It is important to analyze whether your practice will need an in-house medical biller and coder or have it outsourced. Nitin Chhoda gives some factors to consider in order to guide your physical... read more

Medical Coding As A Modern Necessity

Nitin Chhoda provides reasons why medical coding is necessary and the role it has in a private practice setting.  By defining what medical coding is and what codes are involved, it helps simplify the process for practice owners and staff. What is medical coding?... read more