MEDICAL BILLING

Understanding the RAC Audit Process

One of the greatest challenges facing practitioners is a potential investigation by a Medicare Recovery Audit Contractor (RAC). Medicare estimates that there is a sixty two percent error rate among reimbursement claims in which documentation doesn’t match the... read more

What Lies Ahead With Medicare Payments?

The Affordable Health Care Act changed the healthcare landscape and it’s evolving further through new Medicare decisions. The only way for practitioners to financially survive the uncertainty is through diversification. To help practitioners prepare for the future,... read more

Insurers and Doctors Decline Marketplace Policies

One of the major selling points for the Affordable Health Care Act was the ability for patients to keep the doctors they liked and the coverage they had. Individuals without insurance can now sign up for an insurance policy at the Healthcare Insurance Marketplace, but... read more

Medical Billing Basics, Rules, and Regulations

A medical insurance billing (MIB) specialist is one of the most trusted individuals in a practice. Clinicians trust billers with the personal information of their patients, to obtain the largest revenues to which they’re entitled and to do so in a manner that’s... read more

Insurance Claim: How to Handle and Appeal

When a reimbursement denial is received, medical insurance billers (MIBs) may need to initiate an appeal process to collect disputed funds for practitioners. In this informative article, Nitin Chhoda reveals the most common reasons for denials and the best strategies... read more