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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...

The average patient can find around $1,000-$2,000 worth of medical billing errors in his medical bills over a five-year period. Healthcare services are expensive enough without dealing with medical billing errors that make you pay for services you did not receive. Medical billing error rates have...

It is tough for a healthcare group to choose an appropriate and suitable vendor among the many competing in the industry today. However, it is first important for healthcare providers to decide which vendor is best suited for billing their services. Here are some important...

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