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Harold Gibson

Harold Gibson

Harold R Gibson is the Chief Financial Officer at M-Scribe - a medical billing service company. Harold is an accomplished healthcare professional with extensive experience in the medical billing and coding industry. You can follow him on Twitter @mscribetech. He is interested in getting your feedback/suggestions. Please email him at h.gibson@m-scribe.com.

Author's Posts

Understanding Medical Necessity to Prevent Claim Denials

Harold Gibson

One of the key ways to protect your practice revenue is to avoid claim denials. While medical billing claims may be denied for various reasons, denials due to a lack of medical necessity — often called hard a hard denial — are quite common. Fully understanding medical necessity is a critical part of preventing denials that cost your practice.

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Topics: medical claim denials, medical necessity denial

Ambulatory Surgery Center (ASC) Needs to Know About ACOs

Harold Gibson

Over the past several years, physician groups and hospitals in various markets have started participating in accountable care organizations (ACO). Some ambulatory surgery centers (ASCs) have already joined ACOs, while others try to determine if they should get involved or go in another direction.

Before you can determine if being a part of an ACO is right for you, it’s important to fully understand ACOs, some of the potential hurdles for contracting with them, and some insider tips on surviving in an ACO market, whether you decide to join one or not.

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Topics: Ambulatory surgical center billing, ACO, ASC

Billing and Coding Tips For Opioid Use Disorder (OUD)

Harold Gibson

The Opioid Treatment Programs Medicare Billing and Payment fact sheet received an update from the Centers for Medicare & Medicaid Services (CMS) back in December of 2020, and it includes new billing and coding policies to use in 2021 when dealing with opioids use disorder (OUD).

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Topics: pain management billing, Opioids Use Disorder billing

Medical Coding Help: How-To Guide to Modifier 22

Harold Gibson

Medical coding modifiers are two characters that are appended to HCPCS Level II or CPT codes, offering more information about the medical service, supply involved, or procedure without changing the code’s meaning. When procedures go beyond the normal range of complexity, sometimes you may need to use a modifier. In this case, modifier 22, which is for “Increased procedural services,” maybe the right choice. However, a difficult procedure isn’t enough to add the modifier to the procedure code.

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Topics: modifier 22

Five Common Myths About Out-of-Network Ambulatory Surgery Center

Harold Gibson

Should you consider running an out-of-network ambulatory surgery center? While it may not work for everyone, it’s not as crazy as you might think. Plenty of myths have circulated surrounding out-of-network ambulatory surgical centers, yet the truth behind those myths shows that there are some key opportunities available if you do decide to continue with out-of-network offerings.

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Topics: Out of Network Ambulatory Surgery Center

About this blog

A place for physicians and other healthcare stakeholders to share and discover information about everything related to running efficient medical practices.

Established in 2002 by a group of physicians, we are a national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, payer contract reviews, and medical coding for a wide range of clients - from solo practitioners to multi-site, multi-specialty practices.

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