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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.
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.
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.
ICD-9 Coding Overview
ICD-9 codes are used to describe a patient's diagnosis including symptoms, diseases or disorders.
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.
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.
What is Medical Coding?
Medical coding is important for the billing and communicating between providers and insurers.
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.
10 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.
Free Online Medical Billing Course
If you are interested in becoming a medical biller, here is Lesson 1: Introduction to Medical Billing.
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.
Top 10 Reasons Claims Get Denied
Understanding the reasons why medical claims deny can help limit the number of denials your office receives.
Aetna
Basic information on billing medical claims to Aetna.
Measuring Medical Office Financial Performance
How do you measure A/R days? 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.
What does a medical assistant o?
Medical Assistant. Medical Office.
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.
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.
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.
Does your receptionist have excellent telephone...
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.
How Well Do You Know ...Medical Billing? Take...
Take the medical billing quiz now!
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.
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.
Remittance Advice
What is a remittance advice? Medical Office.
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.
Medical Assistants
Career Guide. Medical Office.
Lesson 1: Introduction to Medical Coding
Lesson 1: Introduction to Medical Coding
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.
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.
Top 5 Most Common Billing Mistakes
Improve the financial performance of your revenue cycle by identifying and correcting the most common medical billing mistakes.
Claims Adjudication
Claims Adjudication refers to the determination of the insurer's payment or financial responsibility, after the member's insurance benefits are applied.
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.
UB-04
Medical Office.
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.
United Healthcare and Medical Billing Review
Basic information on billing medical claims to United Healthcare.
Coventry Health Care
Basic information on billing medical claims to Coventry Health Care
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.
Why job descriptions help you hire the best...
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.
How to Join the CIGNA HealthCare Network
Information on Becoming a Participating Provider
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.
What are the Six Most Commonly Used Procedure...
Medical coding is a major factor in obtaining insurance reimbursement as well as maintaining patient records.
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 Great ICD-10 Debate
There has been a lot of opposition to the ICD-10 implementation scheduled for October 2013. Should the deadline be extended? What are the benefits? What are the disadvantages?
Authorization
Authorization
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.
What does a medical records clerk do?
Medical records clerk job description, education and salary.
Update: CPT Codes Added in 2014
Added CPT Codes Radiology Related 2014
How Does EHR Improve Patient Care?
The expansion of health information technology is important to the improvement of the health care industry as a whole. Health IT which includes the electronic health record (EHR) enables health care providers to effectively manage patient care through the use and sharing of patient records.
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.
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.
Four Steps for Great Patient Relations
Four Steps for Great Patient Relations
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.
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.
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.
Learn the rules for accurate coding
Learn the basic rules of medical coding
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.
CPT Codes by Category
Procedure Codes. Medical Office.
The Do's and Don'ts of Medicare Billing
Here are a few simple tips to improve your Medicare billing process.
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.
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.
3 Reasons to Follow-Up on Claims
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.
E-mail Etiquette 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.
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.
Interested in a career in medical coding?
Job Description. Medical Office.
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.
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.
Registered Nurse (RN)
Job Description. Medical Office.
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.
Changes to the CMS 1500 Form
What has changed on the new CMS 1500 form?
Successful Communication Techniques and Practices
So, what does effective communication look like in the medical office setting?
Medical Office Managers
Career Guide. Medical Office.
Registration Form Template
This registration form template lists the information that the medical office needs to include when creating a registration form.
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.
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.
6 Terms Related to the Electronic Health Record
In order to understand the full concept of the electronic health record, here are six terms and the definitions that help explain it all.
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.
Learn More About HIPAA
HIPAA violations can lead to fines and possible legal trouble.
Modifiers Use in Coding
What is a Modifier? Medical Office.
8 Areas of AR Management
Improving the financial position of your medical office depends on how well you manage your accounts receivables.
How much can a medical biller expect to make?
Job Description. Medical Office.
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.
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.
How to Participate in an Aetna Network
Information on Becoming a Participating Provider
Registered Health Information Technician
Registered Health Information Technician (Noun): a person employed in a medical office responsible for assembling, organizing, and maintaining healthcare information.
Medical Record Checklist
Medical Record Checklist
What providers need to know about TRICARE
Basic information on billing medical claims to TRICARE.
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.
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.
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.
What is HIPAA Anyway?
The intent of this summary is to shed some light on the issue for those who are currently in the dark about the “what” and “why” of HIPAA.
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.
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.
Coding, Billing and Collections Practices in...
Coding, billing, and collections are important to a thriving medical facility no matter the size or specialty.
Cheat Sheet for Medical Billers
Cheat Sheet for Medical Billers
How Well Do You Know ...ICD-9? Take the Quiz
Take the ICD-9 quiz now! Medical Office.
Collection Do's and Don'ts
Maintaining excellent customer service while still offering excellent customer can be a challenge. Learn the do's and don'ts of patient collections practices.
How Important is Medical Office Terminology
The importance of knowing common medical office terms.
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.
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.
Epic Problems or Epic Results
Is Epic EHR an Epic Failure? Medical Office.
Simple Steps to Appeal a Medical Necessity Denial
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OSHA and HIPAA Compliance Laws
The two major compliance issues that can have the most impact in a practice is OSHA and HIPPA.
New to Coding? Find out more here
A brief overview of diagnosis coding
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.
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?
Lesson 2: Medical Office Terminology Part 1
Lesson 2: Medical Office Terminology Part 1
The Medical Billing Process
The medical billing process in 6 steps
5 Reasons Patients Don't Come Back
The top five reasons patient's don't come back include these.
Use of a GA Modifier
A GA Modifier indicates that the services being performed are not considered medically necessary.
Lesson 3: Medical Claims Processing
Lesson 3: Medical Claims Processing
Medical Terminology: The Study of Medical Terms
The definition of medical terminology
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.
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.
Lesson 4: Medical Billing to Medicare,...
Medical Billing to Medicare, Medicaid, and Other Payers
Medical Office Manager
Medical Office Manager
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.
Effective Collections 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.
Registered Nurse
Job Description. Medical Office.
Did You Know That Medicaid is the Always Billed...
Do you know whether Medicaid is billed first or last? Find out why Medicaid is always the payor of last resort.
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.
Performance Support Tools for Medical Billers
Whenever a medical office begins to struggle with revenue performance, they usually make the decision
Understanding Medicare Secondary Payer
Understanding the difference between when Medicare is primary or secondary can make billing Medicare easier for health care providers.
Motivating your medical office staff
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.
Lesson 3: ICD-9 Coding
Lesson 3: ICD-9 Coding
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.
BSN to MSN Online Profile
BSN to MSN is an online tool for health care students to find in depth information about nursing degree programs.
5 Benefits of Accurate Payment Posting
Accuracy in payment posting can have a major impact on the success of the revenue cycle.
Use These Tools to Reduce Your Claim Processing...
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.
Update: CPT Codes Added, Revised, and Deleted...
Added CPT Codes GI Endoscopy Related Codes 2014
Using the SOAP format
Using SOAP in the electronic health record
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.
The "Clean Up" Crew
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Did your patient write a bad check?
Receiving a nonsufficient funds or NSF check is simply something out of any organization’s control unless you decide that you will not accept them at all. However, there are still a large amount of people that write personal checks to pay their medical bills.
Use of Modifier 59
Medical Office.
Superbill
Medical Office.
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.
4 Methods of Payment
Understanding the different methods of payment is essential for the financial management of the medical office.
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.

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