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3 Major Medical Coding Mistakes That Providers Must Know

Neeraj Jain

Medicare and Medicaid have developed specific codes for providers to use in billing the government for patient services. When these codes are altered in such a way as to claim a larger share of reimbursement than is actually due, they are considered fraud reportable under the False Claims Act. Three of the most common types of medical coding fraud occur when claims are upcoded, downcoded as well as unbundled.

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Topics: Medical Coding

Does Your Medical Practice Need a Mobile Strategy?

Neeraj Jain

If you don't have a documented mobile strategy in your medical practice, you're not alone. But consider these statistics:

  • Nearly 70 percent of all U.S. adults own a smartphone. 
  • Nearly 87 percent of Americans earning $75,000 per year or more use a smartphone daily.
  • Nearly 90 percent of 18 to 29-year-olds are regular smartphone users. 
  • Over 75 percent of health care providers use a mobile device for work. 
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Topics: Medical Billing

EHR: Knowing when to upgrade and when to switch

Neeraj Jain

Evolving technologies for medical practices

The passage of the 2009 HITECH Act, tightening of HIPAA regulations and the Affordable Care Act (ACA) as well as other changes and additions to the healthcare billing landscape underscored the need to purchase, install and continually update electronic health records systems to keep up with the heavier workload. Keeping software updated with the healthcare industry’s ever-changing policies and rules is often more than older systems, even when upgraded, can handle.

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Topics: EHR

3 Productivity Enhancers to Boost Your Medical Practice Bottom Line

Neeraj Jain

The new outcomes-based reimbursement paradigm under the Affordable Care Act (ACA) doesn't really change the underlying fact that a physician's most valuable commodity is his or her time. No matter the specialty, income is still dependent on the number of patients seen and the complexity of the services provided. 

According to a study by Medical Economics, primary care physicians (family practice and internal medicine) are working virtually the same number of hours they worked in 2013, yet incomes have dropped off significantly, due almost exclusively to the corresponding drop-off in number of patients seen.           

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Topics: Medical Billing

3 Ways Outsourcing Makes Sense for Medical Practices

Neeraj Jain

Medical billing has always been a highly specialized field, perhaps never more so than in the current era of healthcare reform and ICD-10. Billing technologies are changing, and the ever-increasing regulations and recordkeeping red tape require ever more attention to revenue management. With profit margins shrinking due to lower payments and higher compliance costs, it makes sense for many practices to embrace the economies of scale that come with outsourcing your medical billing.

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Topics: Medical Billing

About this blog

A place for physicians and other healthcare RCM stakeholders to share and discover information about everything related to medical billing and ways to increase revenue.

Founded in 1999, M-Scribe is a full service Revenue Cycle Management (RCM) Company. We provide all types of claims billing services integral to healthcare delivery system.

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