Medical Office: Most Popular Articles
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.
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.
Information on the billing form for institutional providers.
Here are four sample billing cycle letters for patient's with balances greater than $250.00.
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.
Health Information Management is the process of maintaining, storing and retrieving patient health information in accordance with applicable Federal, State, and accrediting agencies' requirements.
Responsible for the timely submission of technical or professional medical claims to insurance companies.
How to determine coordination of benefits when the patient has multiple insurance health plans.
There are two different types of billing - professional billing and institutional billing.
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.
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.
Medical Office Manager
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.
Understanding the reasons why medical claims deny can help limit the number of denials your office receives.
What is a remittance advice? Medical Office.
Depending on the level or need of care a patient has, records may vary, but all medical records will contain some common information.
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.
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.
This registration form template lists the information that the medical office needs to include when creating a registration form.
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.
Here are three sample billing cycle letters for patient's with balances less than $250.00.
Added CPT Codes Radiology Related 2014
ICD-9 codes are used to describe a patient's diagnosis including symptoms, diseases or disorders.
Getting your professional fees billed and paid should not give you a headache. Learn how to properly prepare the CMS-1500 form.
Improve the financial performance of your revenue cycle by identifying and correcting the most common medical billing mistakes.
The federal budget sequestration cuts impacting Medicare claims went into effect on April 1, 2013 - April Fools Day - but it was no laughing matter.
Insurance verification is a key component to the revenue cycle. This article explains the importance of having an insurance verification process in place.
Basic information on billing medical claims to Aetna.
How do you measure A/R days? Medical Office.
Selecting an information system (IS) in a healthcare organization takes time and planning. Here are factors to consider when making this decision.
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.
Medical coding is a major factor in obtaining insurance reimbursement as well as maintaining patient records.
Job Description. Medical Office.
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.
Claims Adjudication refers to the determination of the insurer's payment or financial responsibility, after the member's insurance benefits are applied.
Improving the financial position of your medical office depends on how well you manage your accounts receivables.
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.
Basic information on billing medical claims to United Healthcare.
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.
There is a process to developing a winning upfront collections policy. Learn what needs to be included in your upfront collections strategy.
What are the most current issues for medical office managers? How can a medical office manager implement successful stategies?
Procedure Codes. Medical Office.
Medical Assistant. Medical Office.
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.
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.
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.
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.
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.
Information on Becoming a Participating Provider
Medical records clerk job description, education and salary.
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.
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.
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.
Accuracy in payment posting can have a major impact on the success of the revenue cycle.
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.
So, what does effective communication look like in the medical office setting?
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.
Blue Cross Blue Shield 2013 Updates, 1 - 10
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.
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.
What has changed on the new CMS 1500 form?
Organization, Marketing and Financial Elements are the three most important elements of a medical office startup business plan.
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.
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.
Revised and deleted CPT Codes 2014 Radiology Related
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.
Do you know whether Medicaid is billed first or last? Find out why Medicaid is always the payor of last resort.
Lesson 4: CPT and HCPCS Codes
Career Guide. Medical Office.
Diversity is an environment that recognizes, values and promotes the differences of people within the Medical Office and the community.
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 are important to a thriving medical facility no matter the size or specialty.
If you are interested in becoming a medical biller, here is Lesson 1: Introduction to Medical Billing.
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.
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.
Take the medical billing quiz now!
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.
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Registered Health Information Technician (Noun): a person employed in a medical office responsible for assembling, organizing, and maintaining healthcare information.
Take the HIPAA compliance quiz now! Page 3.
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.
Here are a few simple tips to improve your Medicare billing process.
Information on Becoming a Participating Provider
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.
No one wants the hassle of having an insurance overpayment. However, there is a simple process to make sure refunds are handled promptly.
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.
Certain information regarding a patient's medical record is considered protected health information. According to HIPAA, PHI requires special handling to prevent a breach in confidentiality. Learn more.
Safety culture surveys are great tools to open awareness about any issues within a medical office that can lead to situations that can harm a patient.
Basic information on billing medical claims to Coventry Health Care
Identifying and resolving problems in the medical office can go a long way in improving and maintaining a successful medical practice.
Understanding the different methods of payment is essential for the financial management of the medical office.
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.
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.
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.
There are several things a medical office manager must know in order to begin planning in preparation for the ICD-10 implementation.
Is Epic EHR an Epic Failure? Medical Office.
Here are some tips and products that can help to secure patient data in the medical office.
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.
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.
The safety of your patients is one of the most important areas of focus for the medical office. To ensure the patient safety of your patients, follow these 5 simple steps.
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.
Don't let any of these social media breaches happen to you...
The medical billing process in 6 steps
Here is the list of the upcoming national health observances for 2014
What makes up the skeletal system?
Take the medical coding quiz now!
A brief overview of procedural coding
Here are two reader questions regarding medical authorizations and the answers.
Lesson 5: DRG Codes & Modifiers
The definition of medical terminology
Medical Coding Quiz
Maintaining excellent customer service while still offering excellent customer can be a challenge. Learn the do's and don'ts of patient collections practices.
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.
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.
A GA Modifier indicates that the services being performed are not considered medically necessary.
Cheat Sheet for Medical Billers
There are many free resources available to health professionals and medical office staff. Take advantage of these great opportunities.
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.
Pass your next Medicare audit with flying colors....
The top 20 physician specialties and definitions from A - Z.
This section provides a brief overview of Medicare basic
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.
E-Prescribing is used to eliminate handwritten prescriptions, reduce phone calls and faxes to pharmacies, and quickly generate refill requests and authorizations.
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.
An assessment of managed care contracts give the medical office the opportunity to determine whether the provider agreement is fair, competitive and up-to-date. Knowing the current condition of the managed care contracts allow the Medical Office to consider several options.
In order to understand the full concept of the electronic health record, here are six terms and the definitions that help explain it all.
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.
If you can't measure it, you can't manage it.
Some basic information for billing ASC claims
POMAA offers membership to medical office managers and practice administrators with resources that provide certifications, compliance, networking and education.
Understanding the difference between when Medicare is secondary or primary can make billing Medicare easier for health care providers
Some of the best medical office careers are right here
Change is the only constant in the health care industry. Is your medical office ready?
In the healthcare field, the patient is often left with no other option but to file a complaint against a healthcare worker.
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.
Billing and Coding Certifications
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.
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.
Medical coding is important for the billing and communicating between providers and insurers.
Added CPT Codes GI Endoscopy Related Codes 2014