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You didn’t go to medical school to bill healthcare claims. Your skills are best used caring for patients, treating illnesses, and performing surgeries. However, your practice must have money to run smoothly. Improving patient collections is what MPMR does best! Here are 8 ways to...

A Value-Based Payment Modifier, also called a Value Modifier, provide for differential payment to a provider, or group of physicians, under the Medicare Physician Fee Schedule (PFS). The Value Modifier is based on the quality of care given compared to the cost of care during...

The Health Insurance Portability and Accountability Act mandated the use of standardized electronic claims to improve the efficiency of a physicians’ healthcare claims submissions. The standardized electronic claim has been widely adopted in the industry, with more than 92% of health plans and providers using...

Complications are an outcome for many patients who receive medical care, services, treatment, and medications. Coding for complications is often difficult for medical billing professionals. Because complications arise, you need a billing company who knows exactly how to code these issues. Code assignment is driven by...

The International Statistical Classification of Diseases and Related Health Problems (ICD) now is on the 10th revision, making ICD-10 the new kid in town. This code set allows for more than 14,400 different codes, permits the tracking of new diagnoses, and codes for signs/symptoms, complaints,...

Medicare and Medicaid programs are making structural reforms regarding entitlement reform intensities. They plan to add prevention initiatives that will reduce or slow the growth in chronic disease prevalence, introduce care coordination in the Medicare program, and reform how healthcare providers are paid. One of...

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