Each reimbursement claim goes through an adjudication process once it reaches a clearinghouse and eventually, every biller will receive a denial. Depending upon the reason, healthcare providers can appeal the decision and MIBs will play a major role in the process. In... read more
Under the Affordable Care Act known as Obamacare, approximately 30 million new patients will enter the healthcare system. The Association of American Medical Colleges estimates that by 2015, the U.S. will require 60,000 more doctors than it will have at that time. The... read more
A practice that runs smoothly requires a variety of trained and experienced professionals. Medical insurance billers (MIBs) are an important part of any medical team and in this article, Chhoda familiarizes billers with the individuals they will encounter and how the... read more
The Affordable Health Care Act, known as Obamacare, is intended to reduce healthcare costs through multiple methods. One way is through a pilot program known as “Independence at Home” that utilizes technology to monitor a variety of health conditions. Known as... read more
It wasn’t that many years ago that few people had healthcare insurance and they only went to the doctor when faced with life-threatening injuries and illnesses. For virtually everything else, they utilized a variety of home remedies and over-the-counter treatments.... read more
The Affordable Health Care Act, colloquially known as Obamacare, was signed into law on March 23, 2010, legislation that encompassed more than 2,500 pages and destined to be the biggest change in healthcare in more than 150 years. Many of the Act’s finer points... read more
For the approximately 80 million individuals who already have healthcare insurance through an employer-offered policy, they won’t have to purchase coverage on the Health Insurance Marketplace. They can keep the policies they have but may be taxed on them, depending on... read more
The Affordable Health Care Act, known as Obamacare, impacts private practices in multiple ways, but nowhere is that more evident than a pilot program of Accountable Care Organizations (ACOs). An ACO is a group of healthcare providers that work as a team to deliver and... read more
Denials disrupt a medical insurance biller’s (MIB) cash flow to their clients, but incurring exclusions from one of the government operated healthcare programs can cost thousands of dollars. Exclusions severely limit employment opportunities and in this revealing... read more