Just the thought of the Reimbursement Advisory Committee casting its eye on your claims is enough to make Mad Eye Moody cringe. Right now, the AHA is busy finding the simple stuff in automated reviews, but 2010 could have them knocking on more doors. Hospital doors.
If you’re billing for a medical facility, now is the [...]
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The latest on billing solutions and practice management services
31
Jul
Tags: ClaimTek Systems, medical billing, Medical coding tips, RAC, Reimbursement Advisory Committee
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30
Jul
The American Medical Association’s 2009 National Health Insurer Report Card tells us the following:
* Insurers did a better job in accurately reporting the contracted rate to health care providers. It was correct 72 percent to 93 percent of the time in 2009 versus 62 percent to 87 percent in 2008.
* Insurers still have problems with [...]
Tags: 2009 National Health Insurer Report Card, American Medical Association, medical claims
29
Jul
28
Jul
Inefficiency in the claims process is costing Americans $200 billion annually, according to the American Medical Association’s National Health Insurer Report Card.
The report used a random sampling of 1.6 million electronic claims in February and March 2009 to Aetna, Anthem Blue Cross Blue Shield, Cigna, Coventry Health Care, Health Net, Humana, Medicare and the UnitedHealth [...]
Tags: $200 billion waste, American Medical Association, medical claims, National Health Insurer Report Card
27
Jul
The American Medical Association releases its second annual National Health Insurer Report Card that rates claim denials, timeliness, accuracy and transparency. The top eight showed improvement, but still need improving.
Aetna offered the lowest claim denial rate of 1.8 percent while Anthem Blue Cross Blue Shield was the highest at 4.3 percent.
Here’s the link for the [...]
Tags: AMA, American Medical Association, medical billing, National Health Insurer Report Card
24
Jul
Tags: Harry Potter, Office, office management, spoof
23
Jul
The land of 1,000 lakes just hit the grid to provide a new fishing hole of opportunities for medical claims processors.
As of July 15, all Minnesota healthcare providers must now file electronically. The Minnesota Department of Health estimates about $60 million in administrative costs will be saved by 60,000 providers going electronic.
New rules for [...]
Tags: electronic filing, medical claims, Minnesota
22
Jul
Wordless Wednesday: How many of these have you drank today?
Posted by admin Published in Uncategorized21
Jul
It was buried deep in the story, but jumped off the page (or screen nowadays). A review of the new healthcare package proposed by President Obama would pay doctors more:
“physician payment updates would be calculated separately for different billing codes, instead of lumping together overall spending, regardless of specialty, as the SGR system does.”
Alert, alert [...]
Tags: ClaimTek Systems, Health care legislation, medical billing coding, Washington Watch
20
Jul
California docs spend $9 billion on claims processing
Posted by admin Published in Health care reformWho says there aren’t opportunities out there?
The California Public Interest Research Group reports its healthcare providers are spending $9 billing annually on billing and insurance processing. The report says doctors spend 45 minutes on paperwork for each hour of care.
The California Wellness Foundation, which funded the report, promotes a streamlined health care billing system used [...]
Tags: California Public Interest Research Group, California Wellness Foundation, ClaimTek Systems, medical claims
17
Jul
Tags: Dilbert, office management, YouTube
16
Jul
Australia’s ICSGlobal recently spent $1.75 million for Medical Recovery Services (MRS) in Georgia. Now it’s looking for more companies to acquire, according to The Australian newspaper.
“There are 3,000 medical billing companies in the US, and we plan either to partner with or to acquire some of those to build up our presence,” chief executive [...]
Tags: ICSGlobal, medical claims, The Australian
15
Jul
14
Jul
The Healthcare Billing & Management Association (HBMA), a non-profit educational resource and advocacy group representing third-party medical billers and billing professionals, revealed findings of its June convention.
* 46 percent reported less than 60 percent of insurance companies transmit denial information using HIPAA-standard codes
* 68 percent of [...]
Tags: ClaimTek Systems, Healthcare Billing & Management Association (HBMA), medical billing
10
Jul
You’ve been hearing about Twitter and tweets and Facebook and thinking this must be for the teenagers.
Wrong.
Social networking has become the new communications tool. It’s not just sending alerts on what you’re making for dinner. Many businesses are now using it to stay in touch with clients and prospective ones. It’s simple and free. Not [...]
Tags: building business, ClaimTek Systems, Facebook, social networking, twitter, YouTube
9
Jul
We mean, besides earning more for doing it.
A study of nearly 800 patients showed a marked increased by those who received wellness program reminders from their healthcare providers. A MedicalEconomics.com report noted the ALIVE (A Lifestyle Intervention Via E-mail) program improved eating and exercise habits by patients.
If your client isn’t offering wellness program reminders, required [...]
Tags: ClaimTek Systems, Medical Economics.com, wellness programs
8
Jul
7
Jul
Actually, you have some time. The American Academy of Professional Coders now recommends small health care providers wait until six month before the implementation of ICD-10 before beginning training. Starting now when the code program is four years off will just require re-training.
Still, the trade group said companies should start reviewing the new program that [...]
Tags: ClaimTek Systems, ICD-10 codes, ICD-9 codes, The American Academy of Professional Coders
6
Jul
Remember when President Obama campaigned on health care reform? The recession crushed that ambition for the first six months of his presidency, but it seems Obama is finally moving towards dealing with it.
Here’s a link to the transcript of a July 1 speech by the President. It’s long, and there’s a lot of rhetoric. But, [...]
Tags: Health care reform, Obama
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