Offshore vs. Onshore Coding—Does it Make a Difference?

Posted in Best Practices, Medical Coding, Medical Coding BPO, Medical Coding Outsourcing, Offshore Medical Coding, Outsource Coding, Outsourced Coding, Outsourced Medical Coding

The main issue that needs to be considered regarding offshore vs. onshore coding is not where the support comes from, but the technology, training, and expertise of the coders. With high-speed connectivity, security, and coding workflow software, the location of the coder is not as important as the expertise of the coder. Facing lower reimbursements …

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Specificity of ICD-10 Coding Can Improve Reimbursements for Vaccine Administration

Posted in ICD-10, Medical Coding, Medical Coding BPO, Outsourced Coding, Outsourced Medical Coding, RCM Solutions, Revenue Cycle Management (RCM)

Administration of vaccines is an important part of healthcare delivery, and a critical contribution to preventive public healthcare. However, risings costs are making it difficult to align vaccine administration expenses with revenues. There may be some relief to these rising costs and it comes from something that was once seen as a burden for medical …

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Coding Denials “Wait and See What Happens” Will NOT be a Good Strategy When the ICD-10 Grace Period Ends!

Posted in Medical Coding, Medical Coding BPO, Outsource Coding, Remote Medical Coding

The Centers for Medicare & Medicaid Services’ (CMS) grace period for denials of claims under ICD-10 will end on October 1, 2016. Healthcare providers and billing companies must be prepared for this deadline and its financial effects. When CMS instituted the new ICD-10 program last year, it announced that Medicare claims would neither be denied …

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CMS and AHIP Move to Improve Healthcare Quality Measures

Posted in Business Process Outsourcing (BPO), HIPAA, Medical Coding, Medical Coding BPO, Offshore Medical Coding, Outsource Coding

The Obama administration and health insurers took steps recently to standardize and improve the measures that are intended to gauge the quality of healthcare. The CMS and trade group America’s Health Insurance Plans (AHIP) have announced an agreement to adopt a core set of quality measures for the nation’s doctors. Officials say the measures are …

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The Climb to Conquer “Mount ICD-10” Is Going to Get Steeper

Posted in Business Process Outsourcing (BPO), HIPAA, Medical Coding BPO, Outsource Coding

The climb to conquer Mount ICD-10 is going to get steeper and more difficult. Be sure you have an experienced guide to help you on this perilous journey. The ICD-10 transition difficulties were lessened by CMS by not dropping all of the thousands of new codes on the healthcare industry at one time. That is …

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There Is NO Substitute for Training & Experience When It Comes to HIPAA Compliance

Posted in Business Process Outsourcing (BPO), HIPAA, Medical Coding BPO

By Nitin Thakor, GeBBS President & CEO The HHS Office for Civil Rights (OCR) recently imposed heavy monetary fines and acceptance of resolution agreements and corrective action plans on two provider organizations following substantial violations of the HIPAA privacy and security rules. About 30 organizations to date have now agreed to such sanctions after OCR …

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CMS Chronic Care Management (CCM) Initiative Can Help Improve Bottom Line for Physicians

Posted in Business Process Outsourcing (BPO), Coding Outsourcing, Medical Coding BPO, Medical Coding Outsourcing, Offshore Medical Billing, Offshore Medical Coding, Offshore Revenue Cycle Management, Outsource Coding, Outsourced Medical Billing, Outsourced Medical Coding, Remote Medical Coding

In today’s healthcare delivery environment, physicians are constantly looking for new ways to earn and increase their bottom lines. For example, the 2015 Medicare Physician Fee Schedule (PFS) will pay for non-face-to-face services for CPT code 99490 — Chronic Care Management (CCM), which reimburses practices on an average of $42 per patient, per month. Of all …

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Medical Coding Outsourcing is More Than Staffing

Posted in Business Process Outsourcing (BPO), Coding Accuracy, Medical Coding BPO, Medical Coding Outsourcing, Offshore Medical Billing, Offshore Medical Coding, Offshore Revenue Cycle Management, Outsource Coding, Outsourced Medical Billing, Outsourced Medical Coding, Remote Medical Coding

Outsourced medical coding’s traditional approach has been staff augmentation. It has been typically used to meet short-term gap needs due to turnover, extended absences, or electronic medical record (EMR) changes. In other words, it has been used when a healthcare provider needed temporary additional resources to supplement its existing resources. However, from our experience, this …

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Top 10 Reasons Why You Should Outsource Your Revenue Cycle Activities

Posted in Affordable Care Act, Business Process Outsourcing (BPO), Insurance Billing Solutions, Medical Billing BPO, Medical Coding, Medical Coding BPO, Offshore Medical Billing, Offshore Medical Coding, Offshore Revenue Cycle Management, Remote Medical Coding, Revenue Cycle Management (RCM)

In today’s healthcare environment of shrinking reimbursements, due to governmental mandates and Medicare policy changes, the importance of maintaining a healthy revenue cycle is second only to providing the best patient care possible. Without an adequate margin there can be no medical mission. One way to ensure your revenue cycle remains as healthy as possible …

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