Tag: billing

Automated Hospital Billing Services Can Save Money

It seems like every month people hear about a few hospitals being forced to close or cut back services because of losses. Part of that can be related to the fact that they have to treat every patient that comes through the door, regardless of ability to pay. Some of it might be the low reimbursement rates from the government for Medicare and Medicaid patients. Regardless of the reasons, every hospital desires to cut costs and save money without affecting patient care. Using automated physician billing services can really make a difference in the bottom line.

Even just a few years ago, most hospitals employed a physician as an employee of the hospital. In the last decade or so many have gradually shifted to an independent contractor model to save costs. When the physician is an employee, the hospital must carry some of the burden for malpractice insurance not only for themselves, but for employees as well. Shifting doctors to independent contractors frees a lot of these costs from the hospital to the doctor. Many doctors like this as well, as they can negotiate their rates for services rather than be paid a fixed fee. They are also free to associate with multiple hospitals, which gives them the possibility for many more patient visits.

None of this would be possible without automated accounting systems. Hospitals must now track both doctors and patients, pay doctors for their services, and additionally collect money from both patients doctors when necessary. Most physicians utilize finance software as well to track what they are owed by both the hospital and the patient. The usage of hospital billing has skyrocketed in recent years because it really keeps everyone on top of payables and receivables that are due.

The main benefit of all of this is to reduce costs and increase revenue for all parties. Where a few years ago someone might be able to slip through the cracks and not pay the bill to a physician or a hospital, automated hospital billing services make that a virtual impossibility now. The software automatically ages accounts with a due balance to 30, 60 and 90 days due. It makes it easy to see which accounts are likely not to pay and then send them to collections in a timely manner which decreases losses.

The efficiency of the modern services makes a difference as well. Some patients may see 5 or 6 doctors in a single hospital stay, and interact with at least as many different departments. Modern accounting services are able to cross reference every interaction a patient or a physician has and dramatically reduce billing errors such as under-billing or double billing for the same service. This results in fewer hours wasted trying to resolve problems, and more time spent running a hospital.

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Medical Coding and Billing Course Description and Requirements in White Plains

Big Apple Training is an allied health training school. For over 20-years we have prided ourselves in providing current state of the art education taught by qualified instructors.

Now at our White Plains location we are offering . Here are the details:

Course Description

is a 120-hour program designed to provide you with the essential skills required for an entry-level position in .
You will learn the principles of medical coding related to the three main coding manuals: CPT, ICD-9-CM and HCPCS Level II.
Medical Billing will provide you with the knowledge of health insurance and reimbursement.
You will familiarize yourself with common medical billing practices, the health insurance industry, legal and regulatory issues and differences in reimbursement methodologies.
You will learn principles of medical billing related to proper claim form preparation, submission and payment processing, and the follow up process.
Instruction provided by MD’s, RN’s, and other professionals in the healthcare industry. This includes the owner of a successful business. Course Requirements
Prerequisite: You must complete the Anatomy (40 hours) and Medical Terminology course (40 hours) or provide evidence of competency in these areas. Acceptable items as proof of competency include: college transcript, MD, RN or LPN certificate or license.
Course Length: The Anatomy course consists of 40 hours of in-class instruction.
Class Hours: Days/Times Per Week: 4 classes of 2.5 hours per week (10 hours weekly)
Course Length: The Medical Terminology course consists of 40 hours of in-class instruction.
Class Hours: Days/Times Per Week: 4 classes of 2.5 hours per week (10 hours weekly)
Certificate of Completion: To receive a certificate of completion, you must achieve a passing score of 70% or higher and complete all modules. No reduced hours in the course or tuition discount for previous education or training will be granted. Our program prepares you for national license examinations, and provides real world scenarios that prepare you for a career. Contact Big Apple Training for further details.

Contact Details

E-mail at

Big Apple Training Telephone: (347) 913-7420

Continuing Education Telephone: (718) 231-5995

Fax: (718) 231-8214

Business Office (914) 276-2760

Business Office Fax (914) 276-2934

Visit at :

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Medical Billing Advocate Renders A Reliable Services

Today people are burden with hefty amount of medical bill cost. The inflation rate is rising higher so it is required to check out problem that helps you to save money. The medical treatment cost has soared to a maximum height. To overcome this problem you need highly qualified medical advocate. The medical representative provides good solutions to minimize you medical bill in a proper way.

If you want to get rid of heavy medical bill you must appoint a highly experienced and professional medical billing advocate. You must check out that you are not overcharged with unnecessary bill. Due to the increase in the technology and tool the medical expense has reach to a high level. There are several health care centres where you need not to hire additional medical representative. They provide you excellent and capable medical billing advocate. It is an essential to make your family check-up in the hospital that give you full benefit and proper care. And that time they charge a hefty amount for the treatment so it is necessary to have insurance cover to overcome the expenses.

Medical bills help you a lot when you are going for negotiation so it is advices to maintain all your bills. Now you can lessen health care cost and difficulty that you face while going through the process. With the power of expert and professional your negotiation takes short time. Your proper health check up should be foremost concern. If you have your entire medical bill with you then you can easily reimburse your money.

Medical bill assistance is an excellent solution for decreasing cost of medical bill. You can appoint medical experts to negotiate your bill cost from health care management and helps to save your money. It is quite a reliable way to save money in a well planned manner. Many people are reluctant and do not take concern to negotiate with health care staffs, so it is essential for them to hire a good medical representative to solve their problem.

Highly qualified and professional medical representative helps you in medical bill negotiation. It is necessary to save your money. It does not involve risk and use flexible approach for negotiation. They are highly professional and decrease your medical bills in most affordable price.

Negotiating medical bills is not an easy task so you need to appoint a medical representative who has knowledge about resolving the medical bills. Medical representative helps you to detect any type of errors that is making it overcharges. They help you to save your hard earned money by curtailing your bill expense. You can also get knowledge and guidelines on sites so that you get a reliable service to overcome your problem.

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Increase Your Reimbursement and Avoid Claims Denials with Medical Billing Conferences

Do you pay attention to the practice management system you use? If not, you’re losing reimbursement. To receive your rightful payments, optimize your medical billing practices for effectiveness and efficiency. You must ensure that your practice receives the reimbursement it deserves and that there’s a proper follow-up on unpaid claims. Follow a set procedure to ease your billing worries.

The first step to streamline the process is to assign the right people in your medical billing team to the right tasks. A good billing staff takes care of each account, captures payment, and understands the ins and outs of insurance companies’ requirements – important because you always want to know how your payers decide to reimburse your medical services. The right kind of people on the team will ensure that you steer clear of compliance issues and that the revenue for the practice is optimized. d.

Review and monitor the explanation of benefits (EOB) to make sure you have received what you worked for. Pay special attention to your denials – it’ll help you to understand what’s going on in you medical billing department and whether your coders are coding properly. Another great benefit of reviewing your EOB is you can troubleshoot the reimbursement holes and figure out if insurance companies are paying you according to the contracted rates.

When you have all your medical billing tools in place, all you have to do is stay alert and be on the watch for updates. Interpret the updates correctly to avoid denied claims and compliance issues. To receive the updates on time and learn their correct interpretation, are exactly what you need. Keep your medical billing practice on track and get your office its deserved reimbursement.

Audioeducator offers training and advanced Learning Opportunities for Healthcare Executives, and provide a way to Increase Your Reimbursement and Avoid Claims Denials with Medical Billing Conferences on a recurrent basis by .

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About Hospital Billing Procedures

After a visit to the hospital, whether a planned visit or an emergency one, most people have questions regarding hospital billing procedures. Although each hospital may have its own procedures, some hospital billing services are provided as a general rule by all hospitals.

Upon release, the patient should receive a copy of the bill. If not, a copy of the bill will be received in the mail within a few weeks. The statement will indicate that it is not a bill and for informational purposes only.

If a patient has insurance, the insurance carrier will be billed directly for the services provided. If there is a co-pay, some hospitals will require it to be paid at the time of registration. Others will bill the patient for the co-pay after they receive payment from the insurance company and receive confirmation of the co-pay amount. The insurance company may also send an invoice indicating the amount to be paid by the patient for fees and services not covered by the insurance company.

If a patient does not have insurance, payment arrangements will need to be made beforehand for planned admissions, and at the time of registration for emergencies. Hospitals accept cash, check, money orders or credit cards. Most hospitals are willing to work out payment plans with patients unable to pay the full amount and many have financial aid services available. The admissions staff can also assist a patient in determining whether they qualify for a government-sponsored program or payment assistance program that may cover all or some of the expenses.

Physician billing is for professional services and/or procedures performed by the doctor. This is separate from the hospital billing, which is for costs such as the operating room, patients room and overhead costs. Separate bills are generally sent from the physician and the hospital for inpatient and outpatient visits. In addition, each physician, such as a cardiologist, anesthesiologist, or radiologist, would prepare and send a separate bill. These will also be processed separately by the insurance company.

Hospital visits, whether planned or unplanned, can be scary and expensive and billing can be confusing. However, the hospital has staff that is trained to help with billing questions and can respond to any issues that may arise either before or after admission. A patient should be sure to look over all invoices related to the treatment and admission to be sure that no duplicate or incorrect charges are on the statements.

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Offshore Medical Billing – Transition Process

The success of any outsourced medical billing project purely depends on the transition process carried out by offshore medical billing companies at the initial stage of on-boarding a new client. The efficacy of this process plays a vital role in streamlining the managerial bandwidth of US medical billing companies at a later stage. Offshore medical billing companies in India and other countries follow a series of steps to make sure that the transition process takes place smoothly and efficiently. The series of steps involved in transition process flow are briefed below:

1. Signing Contractual Agreements: When a US medicalbilling company decides to partner with a reliable offshore medical billing company, both parties accept to sign contractual agreements like the Service Agreement and Business Associate Agreement (BAA). A medical billing solutions provider is said to violate the HIPAA laws, if it does not sign a BAA with its client. The Service Agreement should also have an efficient compliance plan and a SOW that clearly outlines the work processes, training, and auditing techniques of the service provider.

2. Forming the Transition Team: The next step is forming a team with highly-skilled professionals who handle the transition process smoothly. It is during this phase that client manager and account managers are assigned. Account manager of the offshore medical billing company is the first point-of-contact, who undergoes the initial training process. After learning the client requirements and nuances of work, the account manager trains and educates the same to the in-house team.

3. Establishing Secure Connections: To understand the and get access to the EHR and PMS, offshore vendors should establish secure VPN (Virtual Private Network), Cloud, or TSC (Terminal Services Client) connections. They should also communicate effectively with US medical billing companies by scheduling regular calls.

4. Data Transmission: To carry out medical claims processing effectively, offshore medical billing companies will sometimes require access to client data. To ensure safe data transmission, offshore vendors must set up DMS (Data Management System) or secure FTP data servers with their clients.

5. Knowledge Sharing: As knowledge sharing is the key to error-free medical claims processing, offshore medical billing companies should hold regular web conference meetings with their clients. This way, they can learn the nuances of the billing process.

6. Creating the Account Manual: Right from the pre to post-transition processes,everything is documented in what is called as the Account Manual. It contains important operational protocols and best practices, which were developed in association with the client during the course of the transition process. Updates from clients will be communicated to offshore medical billing companies through phone calls and emails regularly. The updates will also be documented in this manual for future reference. Once the Account Manual is approved by the client, the project is said to go live, for regular work.

One of the reputed offshore medical billing companies that carry out the transition process without much impact on the revenues is e-care.

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Medical Billing Accuracy Areas To Monitor

A medical billing companys growth or stagnation is determined by the accuracy level of medical billing services performed. The healthcare revenue cycle management stays on the positive side, if the accuracy level is high. Conversely, the company might face many difficulties with reimbursements, if the accuracy level dips inconsistently. Therefore, it is highly essential that medical billing companies monitor the key problems of the medical billing and coding process to keep up the accuracy level. Key areas to monitor are:

Erroneous Patient Information: Eliminating errors at the initial stages of the medical billing and coding process is the best practice that every billing company must follow. Patient demographics entry is the initial step, so documenting wrong patient information like incorrect member ID or Payer information can have a huge impact on medical claims billing.

Coding Discrepancies: It is one key area that requires additional care from the coding team. Coders must be aware of the newly updated CPT codes and code the medical procedures accordingly. Besides, they must also pay more attention while using modifiers for a particular service rendered by the physician. If discrepancies occur, then claims might get denied, delaying reimbursements.

Improper Charge Entry: The most critical step in which mistakes are unavoidable is the charge entry process. Medical billing specialists must make sure that each patient is assigned with the appropriate charges for the medical treatment undergone. If errors occur, the medical billing company might face many difficulties from claim denials to penalty charges.

Inaccurate Claims: It is always better to check for faulty claims before submitting them to the payer. This way, a medical billing company can eliminate the problems associated with managing denied claims and AR inflation. Key area to monitor are the Clearing House rejections and work them promptly to avoid delayed submission and payments.

Delayed Cash Posting: Having a consistent positive cash flow is greatly influenced by the payment posting process. A delay in posting payments received from the payer on to the billing system might inflate the AR artificially, .

Poor Denial Management and Follow-up: Even after showing great care in the medical billing and coding process, certain claims do get denied. In that case, the medical billing company must assign a special team of professionals to manage denials prudently and on time. Also, the professionals have to clear the accumulated AR before it results in AR inflation.

Thus, monitoring these key areas can reap great benefits for the medical billing company. Offshore medical billing can be an excellent option to make the medical billing process glitch-free! Consider medical billing outsourcing to a company like e-Care.

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Nuesoft to Offer Nuetopia Billing Services for Medical Practices

Date: January 10, 2010 ATLANTA, GA–(Marketwire – January 10, 2011) – Nuesoft Technologies Inc. today announced the availability of Nuetopia, a new service combining the company’s NueMD and with the expertise of a credentialed team of medical billers and coders.

“Nuetopia is a natural extension of our software offering,” said Nuesoft CEO Massoud Alibakhsh. “After nearly 20 years of providing , we have amassed a great deal of institutional knowledge about medical billing. We decided to harness that proficiency for small and medium-sized medical practices, for which medical billing, coding and claims processing are many times not core competencies.”

Nuesoft has operated its own clearinghouse and Electronic Data Interchange (EDI) departments since 1999, and that has allowed staff to acquire specialized expertise in claims processing. The company also spent nearly two years researching the billing challenges unique to smaller medical practices and has added a team of certified medical billers and coders. This cumulative knowledge has allowed Nuesoft to begin offering to existing clients in 2010.

“What we’ve learned leading up to today’s launch is that it is rare to find a medical practice that is running optimally,” said Alibakhsh. “We see many practices that take on the ambitious task of handling billing and compliance on their own, but it often becomes difficult for them to keep abreast of the complex world of changing insurance rules and evolving regulations.” Before signing up, Nuetopia subscribers receive a free 9-step analysis of their practice’s financial sustainability. That assessment is the basis of a customized plan that includes measurable objectives linked to each practice’s unique challenges. On average, medical offices should anticipate a 10 percent increase in net payments by subscribing to Nuetopia. “Nuesoft was able to take over our billing in one hour,” said Renee Drabik, practice administrator at , which has been using Nuetopia since September. “Our net payments have increased by 40 percent, and the transparency between our office and the service has far exceeded our expectations.” About Nuesoft Technologies Nuetopia is a division of Nuesoft Technologies, the leading for physicians’ offices, billing companies and university health centers. Established in 1993, Nuesoft was one of the first companies to pioneer software as a service (SaaS) and has the datacenter facilities to support secure and HIPAA-compliant application hosting. The company has an esstablished U.S. customer base of more than 15,000 users in 49 states, and, as an independent clearinghouse, processes 3.5 million claims transactions per year. For more information about Nuetopia or Nuesoft, visit or call (800) 401-7422.

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Optimize The Medical Billing System With Top Medical Billing Solution Providers

Medicare billing has assumed the status of specialized service which is an integral part of any post-treatment procedure. Medical billing companies see to it that the rejection rate of claims remains negligibly low and the physicians can claim maximum reimbursement of the fee rightfully belonging to them.

Medical billing companies in USA are experienced and successful companies in medical practice management. They render personalized service to medical practitioners that will satisfy their unique needs. The services tend to foster the financial stability of medical practices without affecting or damaging the trust between the medical practitioners and patients. Medical billing companies in NJ have a winning recipe in administering medical practices and their established client base can vouch for this. Hands-on approach is embraced to ensure a personal service to esteemed clients. Only dedicated, sensible and competent personnel are entrusted with the responsibility of overseeing the payment clearance process of clients. The companies have streamlined service in place which provide for a pre-arranged contact person to attend to the clients account, enquiries and needs. This key person must ensure an efficient and effective service to the clients practice.

is made more convenient through a number of sterling services. They involve electronic filing, assisting clients with payment queries, patient payment statements, providing adequate training to staff on billing changes for easy adaptation of new techniques, on-site consultation, monthly financial reports, analysis, and cleanup. These coupled with other services ensure that the rejection rate for insurance and Medicare claims is lowest. Follow up with insurance agencies are done religiously to expedite the confirmation and claims acceptance rate.
Companies offering hospital billing services use advanced software to stay connected with their clients. Billing concerns are addressed in a timely manner and assistance is extended to the clients office in daily operation if required

The leading provider billing services are capable of billing any specialty which may include DME, home health, psychotherapy, ultrasound, rural healthcare clinics, physicians of all specialties, rural healthcare clinics, nurse practitioners, X-ray, and urgent care. Electronic Medical Records (EMR) utilization has led to streamlining of data transfer from a clients office to billing companys office. It also eliminates issues pertaining to storage problems of patient files. If the client has already purchased some sort of EMR software to facilitate
, the companies provide an easy interface with the programs. Further assistance will be extended to choose the most appropriate EMR program that optimally suits the clients practice. Medical billing companies have made it extremely convenient to claim medical bills and reduce the amount of harassment the physicians and patients are exposed to.

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Medical Billing Software Program Feasible Option to Make Your Medical Bills Properly

Individuals use Medical Billing Software for making the medical bill accurate and they use it to make your bill quickly. They want for making the medical bill properly immediately after calculation. There is advanced billing and accounting software for making the accounting process of a business under full control. It acts like a simple, efficient as well as cost effective method. There is simple and also the reliable book keeping utility which is useful for the accounting application. It is needed for small business. It is needed in order to meet the goals of the organization. It works in a cost effective process.

– There is software for making the invoice and inventory appropriately. They keep accounts with supply properly. They help in the management process of the business and also assist with do reporting properly. There are many important business operations which the software does properly such because company records, inventory systems, vendor records, customer records, strong report in the financial bills etc. They always develop the single platform. The software can be used to keep the track in the sales, purchase and the inventory in a company or the organizations.

There are utility of your purchase orders which helps in the commercial process to keep a tabs on the sale or the obtain transaction. They use a intuitive billing format which is computerized and they have an intuitive interface which guides the consumer thoroughly. The software is helpful for all kind of the industries which ranges from the small or the medium level for the large level company. Medical Billing Software can be used for the effective track handling in the all customers. They are used by the vendors and item information also. They use a simplified manner.

– There is user pleasant and comprehensive Medical Billing Application. They work in a expert and organized way. There is efficient and robust software which often can make the bill accurate as well as successful in due time. Anyone can learn from the interface in the software also. They help to maintain multiple company details, records in the customer vendor, the information in the tax and the inventory management. The software records the income and expenses associated with an organization. It takes help from the bar code technology. This is advanced and found in modern corporate world.

About the Author:

– Decision Software Systems, Inc. is a leading provider of custom accounting and information management solutions including custom database and fully integrated enterprise accounting software for various vertical markets. Businesses served include: manufacturers, distributors, retailers, and service companies. Industries include medical, aviation, heavy industries, property management, retail and wholesale, and more

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