Category – Billing

dental sleep medicine More dental practices are billing medical plans today than ever before. This is due to the crossover of several procedures that are medically necessary yet require a licensed dentist to perform. Most notably is the oral appliance to treat obstructive sleep apnea, often referred to as “oral appliance therapy”. This treatment is an alternative to traditional CPAP ...

Why Switch to Medical Billing Software We are already in the first few months of 2018, and hopefully, your clinic is still not billing the old-fashioned way.  So really the title should be why you might want to change your medical billing software, assuming that you’re already using one. I understand that everyone is different, which leads to value different ...

Points of Pain with Medical Billing We all know that the world is not perfect, and really that there is nothing that we can clearly see that is perfect.  With that being said, there are some issues that reside in medical billing. Today we will go ahead and talk about a few of the issues that have been known to ...

CMS is Making Big Changes in 2018 The Centers for Medicare and Medicaid Services (CMS) is back in the headlines and this time, it is for good reasons.  CMS announced on January 2, 2018 that doctors and other eligible clinicians participating in the Quality Payment Program can begin submitting their 2017 performance data using a new system on the Quality ...

Popular CPT Codes of 2017 We all know that CPT Codes change vastly and frequently over the different specialities.  Also, it’s important to consider your geographic location as the rules and regulations can change from State to State and even region to region so that is one thing to keep in mind.  Today we’re going to focus on the Behavior ...

CPT Coding – Forever Changing.   I’ll assume if you’re reading this blog that your already somewhat familiar with CPT Codes (Current Procedural Terminology.)  The first publication of the CPT Code was back in 1966 through American Medical Association (AMA).  The healthcare industry has changed drastically since 1966, which in turn means that CPT Coding has changed with it.  Typically ...

 Medicaid FraudSo in case you missed it last month, Agency for Healthcare Administration (AHCA) announced the selection of of Chris M. Presley, a Law Enforcement Investigator in the Office of the Attorney General, as the winner of the 2017 Fraud Fighter Achievement Award.  Mr. Presley was the one responsible of discovering Medicaid Fraud that has taken place for some time ...

CVS is buying aetna Insurance ! There is a big shape up going on in the news.  If you haven’t heard, CVS is buying Aetna Insurance company.  If you don’t know what these companies represent, well CVS is a retail pharmacy store.  Aetna is one of the healthcare providers for insurance.  They say this merger will make it so one ...

enrolling in medicaid any practices and facilities accept state Medicaid. After undertaking payor enrollment with Medicaid they begin seeing patients. Shortly thereafter, they may realize they’ve made a grave mistake as they didn’t enroll with ALL Medicaid products and now are not being paid for the patients they’ve seen. This blog will help you figure out the difference between Medicaid ...

Should you be an entrepreneur and start your own practice or should you be hospital (or group) employed? For some physicians, the answer is crystal clear – you want to start your own practice. The process of starting a practice is quite extensive and should begin before a physician finishes his/her residency or before the decision to leave a hospital ...