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Medical Office: Most Popular Articles

These articles are the most popular over the last month.
How much can you make as a medical office...
Medical Receptionist [med-i-kuhl ri-sep-shuh-nist] (Noun): a person employed in a medical office responsible for performing basic clinical, administrative and office support.
What Do the 3 Digits on Bill Codes Stand for?
Type of bill codes are three digit codes located on a claim form that describes the type of bill a provider is submitting to a payer. Each digit has a specific purpose and is required on all UB-04 claims in field locator 4.
What You Need to Know about the UB-04 Form
Information on the billing form for institutional providers.
Use This Sample Letter to Remind Patients to...
Here are four sample billing cycle letters for patient's with balances greater than $250.00.
What Is Coordination of Benefits?
How to determine coordination of benefits when the patient has multiple insurance health plans.
Medical Biller
Responsible for the timely submission of technical or professional medical claims to insurance companies.
Medical Office Manager
Medical Office Manager
Top 10 Reasons Claims Get Denied
Understanding the reasons why medical claims deny can help limit the number of denials your office receives.
Get Authorization, Get Paid
Denied claims due to unauthorized patient procedures or services can be a major loss in revenue that should not be taken lightly. Although most medical offices are moving closer to 100% verification for patient services, there is still no guarantee that every account will make it through the insurance company claims department stamped paid.
The Major Differences Between Physician and...
There are two different types of billing - professional billing and institutional billing.
5 Tips to Avoid Violation of HIPAA Laws
All healthcare providers have a responsibility to keep their staff trained and informed regarding HIPAA compliance. Whether intentional or accidental, unauthorized disclosure of PHI is considered a violation of HIPAA.
3 Golden Rules to Medical Office Management
No matter if you are managing the small staff of a physicians office or the billing staff in a hospital, the manager can accomplish the goals of the organization from the medical office aspect using various tactics.
5 Side Effects of Ineffective Communication
Incomplete or inaccurate patient records and communication breakdowns can have serious consequences for the medical office and its patients. One vital piece of information not communicated can have disastrous results. Although some mishaps are unavoidable, effective communication can result in better outcomes for patients and the overall success of the medical office.
Use This Sample Billing Letter to Remind...
Here are three sample billing cycle letters for patient's with balances less than $250.00.
Understanding Claims Adjudication
Claims Adjudication refers to the determination of the insurer's payment or financial responsibility, after the member's insurance benefits are applied to a medical claim.
Ten Responsibilities of Health Information...
Health Information Management is the process of maintaining, storing and retrieving patient health information in accordance with applicable Federal, State, and accrediting agencies' requirements.
Preparing the CMS-1500 Form
Getting your professional fees billed and paid should not give you a headache. Learn how to properly prepare the CMS-1500 form.
Electronic Health Record Versus Paper Medical...
Many providers have been hesitant to take on the task of converting from the paper-based medical record system to the electronic medical record. Become familiar with the difference in each system.
ICD-9 Coding Overview
ICD-9 codes are used to describe a patient's diagnosis including symptoms, diseases or disorders.
Insurance Verification: Avoiding Denied Claims
Insurance verification is a key component to the revenue cycle. This article explains the importance of having an insurance verification process in place.
Update: CPT Codes Added in 2014
Added CPT Codes Radiology Related 2014
6 Importants Parts of a Medical Record
Depending on the level or need of care a patient has, records may vary, but all medical records will contain some common information.
Remittance Advice
What is a remittance advice? Medical Office.
What are the Six Most Commonly Used Procedure...
Medical coding is a major factor in obtaining insurance reimbursement as well as maintaining patient records.
Top 5 Most Common Billing Mistakes
Improve the financial performance of your revenue cycle by identifying and correcting the most common medical billing mistakes.
Telephone Etiquette
Does your receptionist have excellent telephone etiquette? It is important for your medical office staff to consistently offer a polite, consistent phone manner. When a patient calls in, the way in which the front desk personnel handle the telephone call determines how your facility is perceived.
Claims Adjudication
Claims Adjudication refers to the determination of the insurer's payment or financial responsibility, after the member's insurance benefits are applied.
The Role of Accounting in the Medical Office
As the backbone of the organization, the accounting department allows the organization to operate at its fullest potential. Without an accounting department, it would be impossible for any type of organization to operate in a cost effective manner.
Hiring the Best Medical Office Staff
The first impressions your customers receive about your medical practice are often from your office staff making them crucial to the success of your organization. Know what skills are important when hiring your medical office staff.
Improve AR Days with Claim Follow-Up
Once the bill has been received by the insurance company, you do not have to be at their mercy to get paid in a timely manner. Follow-up on your outstanding claims and improve the time it takes to get your claims paid.
Appealing Denied Medical Claims
If you haven't considered appealing your denied claims or are having trouble getting them paid, here is some important information that you can use to assist you in developing a new process.
United Healthcare and Medical Billing Review
Basic information on billing medical claims to United Healthcare.
Develop a Winning Upfront Collections Policy
There is a process to developing a winning upfront collections policy. Learn what needs to be included in your upfront collections strategy.
What does a medical assistant o?
Medical Assistant. Medical Office.
Aetna
Basic information on billing medical claims to Aetna.
8 Areas of AR Management
Improving the financial position of your medical office depends on how well you manage your accounts receivables.
CPT Codes
Procedure Codes. Medical Office.
Implementing a New Information System
Selecting an information system (IS) in a healthcare organization takes time and planning. Here are factors to consider when making this decision.
What does a medical records clerk do?
Medical records clerk job description, education and salary.
Understanding HCPCS Codes
In order for medical claims to process correctly, there is a standard of codes used to identify services and procedures. HCPCS codes are an important billing component.
Medical Office Managers
Career Guide. Medical Office.
Part 2: Workflow and Productivity
Workflow and productivity is essential to the success of the medical office. A streamlined workflow will naturally improve employee poductivity. A medical office without efficient ways to perform necessary job duties cannot perform them effectively.
Establishing a Financial Policy
The success of any health care facility depends on the strength of the medical office's financial policy. There are many categories that should be addressed; here are six of them.
The 3 Main Elements of a Startup Business Plan
Organization, Marketing and Financial Elements are the three most important elements of a medical office startup business plan.
Revenue Cycle Management
It is important to be aware of all aspects of the revenue cycle and how it can impact your insurance reimbursements. This article gives great advice on ways to effectively manage the revenue cycle in order to maximize your insurance reimbursements.
Authorization
Authorization
Learning About Medical Terminology
While most medical office personnel will not necessarily have to know vast amounts of technical medical terminology, it is important to have a working knowledge in order to effectively fulfill your duties in a medical setting.
Strengthen Your Medical Office Staff
Your medical office staff is your greatest asset but what happens when they are not operating at 100%? Learn how to strengthen your medical office staff.
Measuring Medical Office Staff Performance
Managers can measure medical office staff performance by developing and maintaining a system that measures both quality and quantity of work as specified in the job description for each position.
Part 1: Patient Flow
Determining how your patients move throughout your medical office should be one of the first areas to be assessed. From the time a patient schedules an appointment, arrives to the medical office, checks-in for their visit, sits in the waiting area, waits in the exam room, is treated by a physician, checks-out and pays, and finally leaves, only the patient knows whether the entire process flowed smoothly or not.
The New Medicare Adjustment Code
The federal budget sequestration cuts impacting Medicare claims went into effect on April 1, 2013 - April Fools Day - but it was no laughing matter.
Measuring Medical Office Financial Performance
How do you measure A/R days? Medical Office.
5 Benefits of Accurate Payment Posting
Accuracy in payment posting can have a major impact on the success of the revenue cycle.
New to Coding? Find out more here
A brief overview of procedural coding
Changes to the CMS 1500 Form
What has changed on the new CMS 1500 form?
Interested in a career in medical coding?
Job Description. Medical Office.
How Important is Medical Office Terminology
The importance of knowing common medical office terms.
Introduction to OSHA Compliance
Just like any other organization, there are safety and health hazards that can be found in the medical office. OSHA has five guidelines and standards that will help protect the employees of the medical office.
Successful Communication Techniques and Practices
So, what does effective communication look like in the medical office setting?
5 Steps to a Strategic Plan
In any medical office there are factors that can influence the success of the organization. The key is identifying those factors whether they are within your control or not, and developing a plan that will lead to the achievement of the organization's future goals.
Simple Steps to Appeal a Medical Necessity Denial
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How to Properly Dispose of Protected Health...
Proper disposal of protected health information (PHI) and other confidential information whether paper or electronic format is a requirement of HIPAA. Any facility defined by HIPAA as a covered-entity has the responsibility to ensure the privacy and security of its patient’s information as well as maintaining the confidentiality of their PHI.
Don't Get Fined for Privacy Breaches
Privacy breaches of protected health information continue to be a problem for the entire health care industry. Facilities across the country have found themselves faced with fines due to the unauthorized disclosure of patient information whether accidental or not.
Three Safeguards to Reduce Risks to PHI
With the increased use of information technology in health care, your medical office must continue to find ways to maintain the security of the protected health information (PHI) of the patients they serve.
7 Advantages of Outsourcing Your Medical Billing
The idea of outsourcing your medical billing claims can be a difficult choice if you don't know all of the facts. Before making a decision, learn more about the advantages of outsourcing.
5 HR Tasks for Medical Office Managers
A manager has several roles to perform within a medical office. Human resources tasks are high on the list of things to do.
Coding, Billing and Collections Practices in...
Coding, billing, and collections are important to a thriving medical facility no matter the size or specialty.
Registered Health Information Technician
Registered Health Information Technician (Noun): a person employed in a medical office responsible for assembling, organizing, and maintaining healthcare information.
5 Revenue Cycle Focus Areas
Each phase of the Revenue Cycle - from the moment a patient is scheduled for an appointment until the time payment is received from the insurance company - is equally important to maximizing insurance reimbursements.
How to Handle Insurance Overpayments
No one wants the hassle of having an insurance overpayment. However, there is a simple process to make sure refunds are handled promptly.
Why Medical Coding Should Be Accurate?
Medical coding is a major factor in obtaining insurance reimbursement as well as maintaining patient records. Coding claims accurately lets the insurance payer know the illness or injury of the patient and the method of treatment.
The Do's and Don'ts of Patient Collections...
Maintaining excellent customer service while still offering excellent customer can be a challenge. Learn the do's and don'ts of patient collections practices.
Registration Form Template
This registration form template lists the information that the medical office needs to include when creating a registration form.
Informing Patients of Privacy Rights
Health care providers have an obligation to provide their patients with a Notice of Privacy Practices. Learn more about what you need to do to be HIPAA compliant.
5 Steps for Creating an Effective Social Media...
If you haven't done so already, it is time to update your medical office policies to include the use of Social Media for both personal and professional use.
Building a Dynamite Patient Access Services Team
The cycle of a patient account originates with the initial entry of patient demographic information. Building a dynamite patient access services team is a crucial step toward improving billing and collections efforts and increasing revenue cycle performance.
Performance Support Tools for Medical Billers
Whenever a medical office begins to struggle with revenue performance, they usually make the decision
Epic Problems or Epic Results
Is Epic EHR an Epic Failure? Medical Office.
Use of a GA Modifier
A GA Modifier indicates that the services being performed are not considered medically necessary.
Free Online Medical Billing Course
If you are interested in becoming a medical biller, here is Lesson 1: Introduction to Medical Billing.
Coventry Health Care
Basic information on billing medical claims to Coventry Health Care
How to Participate in an Aetna Network
Information on Becoming a Participating Provider
Update: CPT Codes Added, Revised, and Deleted...
Added CPT Codes GI Endoscopy Related Codes 2014
Reduce Claims Processing Time
Getting your medical claims out of the door and paid as soon as possible is every health care provider's primary goal as far as finance is concerned. The faster the claim goes out, the faster the money comes in. Make sure your office is equipped with the necessary software to save time and money.
How to Join the CIGNA HealthCare Network
Information on Becoming a Participating Provider
E-mail Netiquette Guidelines
Electronic communication is becoming more popular these days than phone calls, “snail” mail and, even in some instances, face-to-face meetings. In any professional setting including the medical office it is important to consider several things when sending out emails to coworkers, patients, physicians, hospitals, vendors or other professionals.
A Model for Patient Satisfaction
When creating an office standards index or policy and procedure manual, the office manager should consider every aspect of patient care from initial contact to final billing.
The Basics of Health Insurance Plans
Basic information of health insurance plans is important for treating patients for an illness or injury. Becoming familiar with the types of health insurance plans that are common to the medical office eliminate problems and complications in the long run.
Understanding Medicare Secondary Payer
Understanding the difference between when Medicare is primary or secondary can make billing Medicare easier for health care providers.
HIPAA Compliant Office Products
There are lots of products available to help you adhere to HIPAA rules and regulations. Here are 4 essential HIPAA office products that are a must have.
Medicare ABN
It is important to know when it is necessary to use a Medicare ABN and the responsibility of a health care provider to it's Medicare patients.
When a Patient Complains
In the healthcare field, the patient is often left with no other option but to file a complaint against a healthcare worker.
Use of Modifier 59
Medical Office.
What is Medicare Part B?
Medicare Part B is the part of Medicare called medical insurance. This part of Medicare is optional to patients one they reach the age of 65 and charges a monthly premium. Part B covers most services not covered by Part A.
What is Medicare Part C?
Medicare Part C are Medicare Advantage Plans, also known as Medicare Managed Care Plans that provide Medicare patients an alternative insurance plan in place of traditional Medicare benefits.
5 Things to Know About ICD-10
There are several things a medical office manager must know in order to begin planning in preparation for the ICD-10 implementation.
3 Ways to Improve Patient Billing Communication
Patient satisfaction is not just based on how well the patient view the medical treatment received but also includes how well the patient understands the medical bills they receive.
Use of Modifier 24
Medical Office.
4 Ways to Promote Diversity
Diversity is an environment that recognizes, values and promotes the differences of people within the Medical Office and the community.
Get Maximum Performance from Your Employees
As the leader of your organization, one of your many responsibilities is to find ways to motivate your employees. It is important to understand what factors influence maximum performance and how.
How to Meet Medical Necessity Requirements
A physician must be thorough in their notes and explanations in order to give the payer’s medical reviewers sufficient data from which to determine the necessity of a diagnosis, a set of tests, or a treatment or therapy.
6 Current Issues for Medical Office Managers
What are the most current issues for medical office managers? How can a medical office manager implement successful stategies?
Medical Assistants
Career Guide. Medical Office.
Several Traits for Successful Managers
A successful leader communicates clearly, completely, and effectively. The importance of this cannot be overstated, especially in a medical setting as often times the needs of a medical office are time sensitive.
Medical Office Start-Up Checklist
The process of starting a Medical Office can be a difficult task but with the proper planning, you can have your Medical Office up and running effectively and efficiently. The decisions you make now are crucial as you set your goals regarding every aspect of your Medical Office.
Top 10 Reasons Practices Lose Money
Here are the top 10 reasons that medical practices lose money and some processes that can be implemented to get your finances back on track.
How Well Do You Know ...Medical Billing? Take...
Take the medical billing quiz now!
Social Media's Role in Privacy Breaches
Don't let any of these social media breaches happen to you...
The Do's and Don'ts of Medicare Billing
Here are a few simple tips to improve your Medicare billing process.
The Payor of Last Resort
Do you know whether Medicaid is billed first or last? Find out why Medicaid is always the payor of last resort.
The Four Points of Upfront Collections
Requesting money from a sick patient for some people seems insensitive, however, it must be understood that health care costs money. Although it may be a touchy topic, collecting upfront payment from your patients is a necessary aspect that needs to be addressed.
The Medical Billing Process
The medical billing process in 6 steps
What is Medical Coding?
Medical coding is important for the billing and communicating between providers and insurers.
Medicare Overview
This section provides a brief overview of Medicare basic
Registered Nurse (RN)
Job Description. Medical Office.
When Patients Refuse to Pay
The last conversation a provider wants to have with a patient is a discussion over refusal to pay for what the patient perceives as inadequate treatment. Only one question comes to mind - How can we resolve patient issues?
Lesson 2: Medical Office Terminology Part 2
Lesson 2: Medical Office Terminology Part 2
5 New Patient Handouts
The best way to inform patients and provide them with important information is to put it in writing. Here are 5 handouts that every medical office needs to give out to new patients.
Registered Nurse
Job Description. Medical Office.
Using Chart Audits to Reduce Billing Errors
Assuming that your medical claims are being billed error free is the surest way to getting denials and delayed payments. Incorporating a chart audit process in your day to day operations could be the difference between being paid as early as 10 to 14 days instead of 45 days.
Essential Skills For Medical Office Managers
With the right combination of skills, knowledge and determination, any manager can successfully lead their team to accomplish the objectives of the medical office.
3 Problem Areas of the Medical Office
Identifying and resolving problems in the medical office can go a long way in improving and maintaining a successful medical practice.
Tips for Successful Paper Billing
Paper billing is not the first choice for billing medical claims but is sometimes a necessary chore. Of course, the electronic claims process is much simpler and faster compared to the manual process of paper billing. So if you must, here are some simple tips for successful paper billing.
Marketing Strategies for the Medical Office
Marketing your medical practice requires someone that can be realistic about market expectations, setting and accomplishing goals, and assessing the competition. Marketing identifies the types of services that should be offered based on the demands of the community, analyze the performance potential, and develops strategies and goals necessary to maintain a competitive edge.
Use of Modifier 25
Medical Office.
BCBS Updates for 2013, 1 - 10
Blue Cross Blue Shield 2013 Updates, 1 - 10
The "Clean Up" Crew
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The Pros and Cons of E-Prescribing
E-Prescribing is used to eliminate handwritten prescriptions, reduce phone calls and faxes to pharmacies, and quickly generate refill requests and authorizations.
National Health Observances for 2014
Here is the list of the upcoming national health observances for 2014
Lesson 1: Introduction to Medical Coding
Lesson 1: Introduction to Medical Coding
4 Ways to Get Paid
Understanding the different methods of payment is essential for the financial management of the medical office.
5 Fundamentals to Efficient Follow Up
Adequate staffing with proper collections training will provide the desired outcome in your the collections phase of the revenue cycle. Medical office staff should be aware of the fundamental steps necessary for efficient follow up of insurance claims.
How to Prevent Medicare Fraud
The Medicare program relies heavily on a number of sources to assist them in the detection and prevention of Medicare fraud including professionals of the healthcare industry.
Update: CPT Codes Revised and Deleted in 2014
Revised and deleted CPT Codes 2014 Radiology Related
Medical Record Checklist
Medical Record Checklist
What is Medicare Part A?
Medicare is split into two parts. Medicare Part A is called hospital insurance and Medicare Part B is called medical insurance. Find out more about Medicare Part A.
Part 4: Occupational and Environmental Safety
An occupational and environmental safety assessment focuses on the work environment of the medical office that can potentially cause harm, injury or illness to the staff. Performing this type of an assessment can be used to prevent, eliminate and reduce workplace hazards that directly relate to exposures blood or body fluids, hazardous or chemical spills or exposure, medical equipment failure or malfunction, risks of physical injury, security threats, fires or any other unsafe work condition.
Tips for Getting Your Aged Accounts Paid
Getting aged accounts paid can be done but there are still some time restrictions so time is of the essence.
5 Components for Effective Internal Controls
Internal controls are defined as a process designed to discourage fraud, safeguard company resources, and ensure compliance with laws and regulations. Internal controls are only effective if they are determined by the specific needs of the medical office, implemented, monitored, and measured to make sure they are functioning as planned.
Consider Using iPads instead of Clipboards
Paperless forms on an iPad or other electronic device are an advantage...
Using Quality Analysis to Improve Finances
Financial performance is the foundation that the entire organization rests on. If your finances are not where you want them to be, learn how quality analysis can be used to reach your financial goals.
Intuit Health's Patient Portal
Intuit Health's Patient Portal is an anytime, anywhere interactive resource that provides information and increases patient participation in scheduling appointments, completing registration information, obtain lab results or ask questions, and pay their bill.
How to Determine When Medicare is the Secondary...
Understanding the difference between when Medicare is secondary or primary can make billing Medicare easier for health care providers
Medical Authorizations: Questions and Answers
Here are two reader questions regarding medical authorizations and the answers.
Part 6: Fee Schedule
The fee schedule is one of the most important financial tools utilized by the medical office. This file not only reflects the value of the services provided by the physicians but also sets the foundation for profitability.
Hosting Effective Medical Office Meetings
Many times meetings can become ineffective when there isn't enough planning involved to accommodate time limitations or the information presented is not properly organized. Here are several ways you can host more effective medical office meetings.
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