Up-Coding, Under-Coding – Huh?

Up-Coding, Under-Coding, Right-Coding - Medical Billing Audits what does it all mean? All medical providers receive requests from Medicare or Medicaid entities to provide documentation to review the accuracy of the coding. These inquiries may result in paybacks or recoupment of funds and/or informational letters describing the nature of the findings. Large health care entities [...]

By |2020-04-28T12:42:09-05:00August 5th, 2018|Finance, Financial, Healthcare|Comments Off on Up-Coding, Under-Coding – Huh?

Auditing Adjustment Codes

What do adjustment codes do on the payers’ explanations of benefits? These codes tell the payee – the provider why all the money charged was not collected. Perhaps it is a contractual adjustment (difference between what was charged and what the contracted rate with the payer is). Perhaps there is patient liability. There might be [...]

By |2020-04-28T12:42:11-05:00February 26th, 2017|Business, Finance, Healthcare|Comments Off on Auditing Adjustment Codes

The Coding Commodity

The Merriam-Webster dictionary defines commodity as “something useful or valued.” In healthcare, coding is the most important yet silent commodity in the revenue cycle. With over 68,000 medical diagnosis codes available through ICD-10 and over 87,000 procedures codes for providers to comb through, coding specialists are essential to get paid. Though electronic health records were [...]

By |2020-04-28T12:42:11-05:00January 22nd, 2017|Business, Healthcare, Medical|Comments Off on The Coding Commodity

Are You Eligible?

Calls come in daily for new appointments. Some calls are existing patients and some are new patients. There may be patients waiting to check in. How fast can you get the patient an appointment and get them off the phone? Is this the correct way to measure customer service? Patients might become impatient with wait [...]

By |2017-01-07T16:17:39-06:00January 7th, 2017|Healthcare, Management, Small Business|Comments Off on Are You Eligible?

Collections – the Good the Bad the Ugly

In my past life I spent 7 years managing patient accounts for a growing healthcare agency. During that time due to rising healthcare premium costs families started choosing higher and higher deductible plans and plans with higher and higher out-of-pocket expenses.  Also the agency service the pediatric population and they had the state of mind [...]

By |2020-04-28T12:42:12-05:00July 18th, 2016|Healthcare, Small Business|5 Comments

Healthy Paws Savings Plans

It’s exciting to announce our new, exclusive “Southern Hills Healthy Paws Savings Plans”. Our health savings plans were developed with the desire to provide our pets and pet parents with more than just a discount on vaccines. “Southern Hills Healthy Paws Savings Plans” are designed to provide the comprehensive care your pet will need based […] [...]

By |2016-07-13T15:55:31-05:00July 13th, 2016|Veterinarians|0 Comments