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Medical Billing Blog Posts

Pros and Cons of Outsourcing Medical Billing

Patrick Dougherty

A variety of economic and regulatory factors can affect the ability of patients to pay for medical services. For example, an economic downturn can cause widespread unemployment that leads to higher deductibles and co-pays, resulting in a major loss of revenue for many practices. Insurance companies’ rules and coding standards are also constantly changing, which can cause claims to be unexpectedly denied. All of these changes can  adversely impact a practice’s bottom line.

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Topics: Medical Billing

Avoiding Medicare Abuse and Fraud in Your Medical Practice

Harold Gibson

While most practices are making minor, innocent mistakes with Medicare billing such as transposing a number from time to time, significant abuse and fraud issues could land you and your practice in hot water with the government -- even if you aren't aware of the problems. There is a wave of new technology available that allows regulatory agencies to pinpoint problem areas more quickly and with greater accuracy. The Affordable Care Act designated several hundred million dollars to ramp up anti-fraud efforts including sophisticated data analytics, the employment of additional law enforcement personnel, and an intense scrutiny of claims before they are paid. Fraud sentencing is becoming stricter, including civil and monetary violation penalties for practices that don't return overpayments, for instance. With all of the challenges around medical billing, how can you avoid activities that could be flagged as Medicare fraud and abuse within your practice? 

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Topics: Medical Billing

Outsourcing Medical Billing Locally in Atlanta, GA

Patrick Dougherty

Most physicians find outsourcing medical billing much easier than taking on the practice in-house, especially in the wake of more stringent insurance regulations. Proper outsourcing allows an office to hire a complete division for the same price that it would cost for one in-house employee. Specialty medical billing companies also have a greater expertise in dealing with the nuances of billing, allowing the in-house staff of an office to focus on what it does best – attending to patients.

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Topics: Medical Billing

5 Medical Billing Mistakes Most Profitable Practices Avoid

Patrick Dougherty

Medical billing is a complex process and everything needs to run smoothly; if your billing system is disorganized or disrupted, the result can be far less cash flow than you anticipated. Some of the most common medical billing problems can derail the payment process and could even prevent you from being paid at all. From simple disorganization to failing to follow up on aging claims and even piling too many responsibilities onto your billing staff, here’s what to watch for if you want to improve your billing process:

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Topics: Medical Billing

Are Your Medical Billing Mistakes Costing You Patients?

Patrick Dougherty

The low estimate on medical billing errors is $17 billion, according to a report from the Institute of Medicine. Even if the $29 billion they state as the top of the range is an overstatement, do you have your share of $17 billion to give back to patients and insurance companies? Furthermore, do you even want a part of the 250,000 patients who die each year because of medical errors (according to the medical journal BMJ) on your conscience?

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Topics: Medical Billing

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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