Uncategorized Archives - InfoHub https://infohubservices.com/category/uncategorized/ Thu, 02 Feb 2023 09:47:39 +0000 en-US hourly 1 https://wordpress.org/?v=6.1.1 https://infohubservices.com/wp-content/uploads/2019/10/cropped-INFO-HUB--96x96.png Uncategorized Archives - InfoHub https://infohubservices.com/category/uncategorized/ 32 32 All You Want to Know About Pathology Billing https://infohubservices.com/all-you-want-to-know-about-pathology-billing/ Wed, 01 Feb 2023 07:53:52 +0000 https://infohubservices.com/?p=47829 A lot of medical facilities are on a lookout for assistance to make their stress a little bearable. Pathology billing involves deep expertise in billing and coding of the varied services offered. A lack of it can affect the financial health of the practice. One of the ways is to outsource medical billing to an offshore medical billing agency. Know everything about Pathology billing with us.


What is Pathology Billing?

Under pathology, there are two types of tests which are called qualitative and quantitative respectively. Pathology Billing is a billing which includes clinical pathology, anatomical, general and other fields along with sub specialties.


Types of Tests Included

In case of drug testing the above mentioned two tests can be deployed. For instance, qualitative testing is used to determine whether a drug is present and quantitative test is utilized to determine the amount of drug present.


EMR System

Since any form of medical billing must be done in a cautionary manner in order to avoid any errors which cause claim getting delayed or denied altogether, a lot medical facilities have hence adopted an EMR System or Electronic Health Record (EHR) system.

Such a system has proven to be immensely effective to reduce the number of errors resulting due to incomplete or missing records. This system helps to develop a singular channel to locate findings by the pathologist, physician notes and charts which enable multiple systems to access and share the required patient information.


Vital Codes

An important thing to keep in mind when dealing with pathology billing is that Pathology codes are not measured by the test results but are measured by the number of tests performed.  Here is a list of top ICD-10 codes use in pathology billing –

  • ICD-10-CM Code K29.50 – Gastritis related medical ailments
  • ICD-10-CM Code K20.8 – Diagnosis of allergic inflammatory condition occurred in esophagus
  • ICD-10-CM Code N20.1 – Code used for kidney stones
  • ICD-10-CM Code C50.911 – Code used to help in order to specify breast cancer amongst women

Pathology billing works is slightly different from other types of medical billing. As mentioned above, pathology codes are measured by the number of tests performed. A simple example to explain that could be, if someone is undergoing a test for both alcohol and phenobarbital, then these will get added as two separate procedures.


Common Know-How’s

Always remember to accurately put down details of the patient’s demographics. This is important as or contains some of the vital details about the patient and the illness they suffer from. Along with that, it is necessary that the person undertaking billing procedures must be aware of which pathology service is non split billable and which is split billable.

Additionally, a strong understanding of correct codes as per the guidelines is recommended. In case of any errors do take place in billing codes, pathology claims scrubbing can be utilised. This can be used to locate and eliminate any errors in billing codes.

Reduced number of errors in billing procedures will in turn reduce the number of claims denial. This is vital for maintaining a healthy revenue cycle of the medical facility. And to add up to that, a healthy revenue cycle boosts up employee morale to serve the society with even more zeal.

Keeping in mind the highly demanding nature of the medical industry, medical facilities are opting for medical billing agency and medical billing company which can deliver error free work and reduce claim denials. The staff is experienced and experts in their field and they are also well aware of the latest updates in compliance. This can benefit the facilities to a great extent.

At Info Hub Services, we house an enthusiastic team of experts which are highly knowledgeable in the field of medical billing, to deliver quality output. Our experienced billers can assist in streamlining pathology billing process and generating revenue.

The Ultimate Guide to Outsourcing Medical Billing Services to India https://infohubservices.com/the-ultimate-guide-to-outsourcing-medical-billing-services-to-india/ Mon, 09 Jan 2023 13:15:15 +0000 https://infohubservices.com/?p=47631 By 2026, it is anticipated that the global market for outsourced medical billing would be worth $19.7 billion, growing at an average annual rate of 11.8%.

According to a Medical Group Management Association analysis from April 2020, COVID-19 caused medical offices to see a 55% decline in revenue.


Is your practice experiencing dwindling revenues? The period during and after COVID-19 has especially strained physicians and made it necessary to ensure high focus on billing and reimbursements. Revenue cycle management includes a key component called medical billing services. So, while carrying out the process, comprehensive analysis is required. Any mistake along the procedure has the potential to harm the overall finances. Therefore, a lot of businesses choose to outsource their medical billing needs.


Understanding Outsourced Medical Billing Services

When a health facility, hospital, private practise, clinic, etc. permits a committed third-party partner to manage all or part of the back-end billing, this is known as outsourcing medical billing. This includes coding review, claim submission, payment posting, fix and reprocess claim rejections, process appeals, accounts receivable management, and patient payments and statement call centre. This is all that is required to process a claim after the provider closes the encounter and adds their visit notes to the electronic medical record. A specialist outsourced revenue cycle team’s primary goal is to maximise revenue while optimizing your processes and operations and securing payment for medical services as promptly and effectively as feasible.


Reasons Why Outsourced Medical Billing Services to India Are Preferred

Your practise can maintain stability and maintain financial control by outsourcing medical billing, independent of changes in patient volume, personnel levels, and other variables. You can get advantages for your entire practise over time by outsourcing your medical billing services to India. The benefits of outsourcing medical billing services for your business include:

1. Reduced workload on your staff – Outsourcing your medical billing helps reduce workload and the accompanying stress on the practice’s staff, thus enabling them to focus on other important jobs such as patient care.

2. Efficient medical billing and coding – When you outsource your medical billing to agencies, be assured that the team is adept with the nuances of billing and coding, which lead to reduced errors and increased profits.

3. Cost-Effective – Medical billing services can be outsourced at a reduced cost and come with greater financial sense. There is less reason for concern when billing services are outsourced because physicians do not have to wait for any staff to submit claims. They are not required to spend money on employing and training employees.

4. Timely Reimbursements – The team ensures timely filing and timely reimbursements, owing to their know-how of the medical billing process. They leave no stone unturned in submitting claims on time so that you do not lose dollars.

5. Compliance – When a company or organisation refers to compliance, it means that the office has a rigorous plan in place to perform out duties in line with the law. The use and dissemination of personal health data by particular entities is governed by HIPAA. The regulations are put into place to stop fraud and misuse.

6. Updated with Changing Regulations – Incredibly, the billing niche is one area where the laws and regulations of the medical industry are continually changing. It can be difficult and time-consuming to keep up with all the changes, but it is necessary to do so. When medical billing is outsourced, the outsourcing partner will manage rule and regulation changes effectively.

7. Advantage of the time difference – The time difference between India and US works in favor of the physicians, where the turn-around time helps in quick solutions.

Because the primary goal of billing is insurance company payment, representing all information on a patient’s diagnosis, treatment, procedure, and medical history requires highly specialised knowledge. The correctness and effectiveness of the claim submitted to the insurance company completely determine the likelihood of receiving compensation.

A service that offers medical billing is a response that is wholly appropriate for the medical demands of the twenty-first century. Since these services can be delivered swiftly and inexpensively, your practise can gain a variety of advantages. One of the top medical billing companies in India, Info Hub Services provides medical billing, credentialing, medical coding, and RCM Consulting services. Over the years, we have gained the trust of our clients, and assure to increase profits for your company.

How Telehealth Billing benefits Mental Health Providers https://infohubservices.com/blog/how-telehealth-billing-benefits-mental-health-providers/ Fri, 21 Oct 2022 12:06:25 +0000 https://infohubservices.com/?p=47390 Undoubtedly, mental health billing is already quite challenging especially due to the ever-changing policies. Working with new codes and billing procedures, being HIPAA compliant, and knowing the mental health services covered in telehealth are just the starting of the pain points. There is also a need to be aware of the new software and technology used in telehealth billing, specifically for mental health. In such a scenario, implementing telehealth billing effectively can be pretty advantageous for mental health providers. 

How does an effective Telehealth Billing benefit Mental Health Providers?

We all know that the telehealth billing process has different terminologies, billing codes, CPTs, and modifiers. As a practitioner of telehealth in mental health services, the billers and coders have to be aware of all the changes of Medicare, Medicaid, and private insurers, while using the EHR  to warrant better telehealth services.

Here are some benefits that an effective telehealth billing can offer to the mental health providers:

1. Reduce Billing Errors

When it comes to mental health, the telehealth billing starts with the location of the patient and the provider during the visit, along with the service given by the practice. Hence, an effective telehealth billing would involve the following:

  1. Originating site: It has to state the patient’s location during the treatment to get approved by Medicare. 
  2. Distant site: The location of the service provider during the visit.
  3. Place of service: The code is given for the telehealth billing to inform the originating and the distant site since the payer rates change based on the physician’s location during the service.
  4. Practice type: It informs the payer about the service given to the patient.

But these are not all; CPT codes are used with ICD codes and some modifiers to make the payment process smoother. Added to these, all these involve submitting them electronically on ANSI 837 EDI.

All these details can be easily missed by the telehealth biller when they are looking after other administrative aspects. That’s why it is important to ensure the billers have the proper training, keep up to date with their knowledge and submit the claims timely.

2. Billing Compliance

Telehealth billing is not only complicated but also ever-changing. Mental health is even more challenging than keeping up to date with the changes implemented by Medicare, Medicaid, and other third-party medical insurance companies. The billers have a full-time job to ensure they adhere to all the payer’s protocols. Hence, they need to stay up-to-date with every bit of change in the requirements and regulations set by the insurers, the government, and any other medical industry to warrant the claim submissions are clean and without any errors.

3. Increase revenue

With telehealth billing in mental health, it has been proved that overhead costs are reduced, and timely submission of the claims is ensured with almost error-free billings. All these points to the fact that there is a significant way to increase the practice’s revenue. With the best-trained staff and the latest billing technology, you can put the best revenue cycle management in place to improve the turnaround.

4. Enhance Patient Satisfaction

When the telehealth billing and coding is carried out effectively, the ability to concentrate on patients and their requirements is much better. With correct billing, the reimbursement is hassle-free, which offers the patient relief. It means that their claims will be complete without any issue, thus receiving uninterrupted services. The patients can also receive a professional and courteous reply regarding their billing from the telehealth staff.

How to Add Expertise In Telehealth Billing For Mental Health Providers? 

Did you know the lack of knowledge in correct billing (often in telehealth and telemedicine) results in revenue loss up to 3.3 percent annually. One of the best ways to mitigate the challenges and requirements often imposed by the billing system in telehealth is by working with an experienced telehealth billing partner such as Info Hub. These medical billing partners with experience in telehealth billing can offer extensive help in improving revenue and overall patient care.

Finding a partner like Info Hub for your telehealth billing for mental health services will provide you with a dedicated and specialized team. They will ensure no claim denials and rejections using the correct coding, and billing.

Key Challenges in Dental Billing https://infohubservices.com/blog/key-challenges-in-dental-billing/ Thu, 31 Mar 2022 11:14:56 +0000 https://infohubservices.com/?p=45582 Dental businesses encounter a variety of billing and coding issues in today’s healthcare system. CDT codes are prone to frequent changes that can be difficult to decipher. Billing for dental operations and getting insurance claims accepted can be time-consuming. Dental medical billing or submitting dental operations to a patient’s medical plan can be even more difficult. Outsourced dental billing services can help practises overcome these obstacles, but they must be aware of the common billing and coding issues that might hurt their bottom line. Unpaid medical bills account for 52% of collection services, according to the US Consumer Financial Protection Bureau. About 43 million people owe money on their medical bills, illustrating the difficulty that a practise has in collecting the amount.

The problem of dental billing hangs large and gives rise to some key challenges in medical billing services for dentists. Here are some of the many obstacles faced by dentists in their medical billing.

1. Time Constraint

A busy practise with insufficient administrative support might be problematic, especially if manual invoicing systems are used. The practise will benefit from automation, and services such as electronic attachments can speed up claim adjudication without the need for extra support workers. When only one person is responsible for billing, it represents a significant load for practises.

  1. In-office patient attention
  2. Treatment plans
  3. Calls
  4. Claims on insurance
  5. Appeals for claims that have been denied
  6. Account receivables management

This takes away time from you and your team to focus on revenue-generating elements of the practise. Your primary concentration will be on repairing the numerous items that aren’t working properly, and you’ll frequently overlook billing details.

2. Following Claim Guidelines

It is necessary to follow the tight processing criteria set forth by insurance companies and government organisations. Failure to comply might result in claims being rejected, among other consequences. The billing cycle of a practise can be improved by managing processing guidelines.

3. Coding Updates

There will always be billing issues, but many of them can be overcome. Because so much is out of your control, you’ll need to be diligent in dealing with billing issues relating to payer processes. However, by integrating technology and automation-based systems, you can fix flaws in your administrative operations.

Dentistry’s materials and technology for procedures and implants are constantly evolving. As new materials and techniques become available, the requirement for codes to support them increases. Annual coding updates, which are provided once a year, can keep even the most seasoned practise managers on their toes. Codes are frequently updated to improve clarity or to specify newly additional treatment areas.

Each practise must study and document the changes to the most commonly used codes, as well as assess how they will affect billing. Billing managers must also self-educate to verify that they are billing operations correctly due to the large number of regular modifications.

4. Lack of Follow-Up

You’ll have more patients who walk away with unpaid bills if you don’t have a good follow-up system in place. The majority of dental patients are covered by one or more insurance policies. As a result of the unavoidable accumulation of errors, claims are difficult to collect. When you realise you’re losing money, the natural instinct is to expand the number of patients you see. In order to maximise money, the dentist now works overtime. This is usually not the best strategy because collections will still be poor, as more people will file unverified insurance or pay late.

5. Collection of Copays

Copays are payments made in advance for services rendered by caregivers. If physicians do not receive the full amount up front, they may have difficulty obtaining the remaining portion of the patient’s payment. It is better for both, the patients and the practise to collect fees and copays at the time of treatment. A high cost following a treatment might be intimidating, and paying it is usually more difficult.

If these obstacles are not addressed, the collection rate suffers. Claim denials occur from coding errors, hurting the dental offices’ financial flow. Many dental offices also lack the expertise to help consumers understand their medical insurance benefits. Thousands of dollars are lost as a result of unaccepted treatment options.

Ways to Overcome Dental Billing Challenges

To reflect the method accomplished, use the most precise and up-to-date codes. It is necessary to report the CDT Code that is in effect on the date of service. Descriptions and radiography are examples of supporting documentation.

Investing in easy-to-use file and organisation software. These don’t have to be in your office. These virtual team members come in to support your practise and can be outsourced to your existing staff.

Unverified insurance claims account for over 30% of total revenue. This necessitates the presence of professionals. As claims are properly managed, you will be able to identify procedures that are covered by a specific policy. This makes it simple for you to advise your patients on how to obtain the best medical treatment without fear of being short changed or having their claims dismissed.

The patient’s name and the date on which the radiographs were obtained are required for diagnostic radiography. Periapical photographs must be included in claims for teeth treated with crowns or on lays. Charting and radiography are commonly used to determine periodontal therapy. Writing should be clear and simple, and they should include the diagnosis and the reason for the treatment.

Providers are unable to obtain new technology, hire or train staff, or make essential changes to improve patient satisfaction due to disrupted financial flow. As a result, many practises prefer taking resort to offshore billing services. A huge group of billers and coders works for Info Hub, a renowned offshore medical billing company. Dentists can expect increased revenues, enhanced office efficiency, lower administrative and operational costs, and more time to focus on providing high-quality patient care by outsourcing dental billing to us.

Info Hub has been providing dental medical billing solutions to practises all around the United States. Our dental coders and billers are well-versed in dental billing regulations and use the most up-to-date technology to ensure the best possible outcomes.

Top 3 Challenges with Ambulance Billing https://infohubservices.com/blog/top-3-challenges-with-ambulance-billing/ https://infohubservices.com/blog/top-3-challenges-with-ambulance-billing/#respond Mon, 21 Mar 2022 12:22:45 +0000 https://infohubservices.com/?p=45530 Ambulance billing presents a number of specific compliance issues. A considerable number of false claim cases, fraud investigations, Medicare audit activity, and other billing-related incidents have been reported in the ambulance sector. To successfully avoid these hazards, billers must have a thorough understanding of the complexities of ambulance reimbursement. Medical billing for ambulances is always challenging since it must adhere to many regulatory regulations.

A number of complications associated with ambulance billing have resulted in frequent errors, which have resulted in claim denials by insurance companies. To minimise and reduce such claims being refused or processed, everyone involved in emergency medical care and transportation needs a better awareness of the criteria listed below in order to enhance the practice’s and ambulance services’ overall performance.

These laws are constantly evolving in order to combat the potential of fraudulent billing. Keeping up with the criteria is a difficult task in and of itself. The following are some frequent challenges to consider when invoicing for ambulance billing services

1. Signatures

All essential signatures on papers are also required for proper billing. Medical billing must also include Advance Beneficiary Notices and Physician Certification Statements in order to be compliant and avoid denial claims. To accept the assignment and submit a claim, all payers require the beneficiary’s signature. If the patient’s illness prohibits them from signing, a representative must do so on their behalf. This could be a relative, legal guardian, or someone who receives social security on the patient’s behalf, the ambulance provider’s representative, or a representative of an agency that assists the patient, or a supplier present during an emergency or non-emergency transfer.

If the signature is missing, an ambulance service or their agent cannot request reimbursement for services performed unless there is adequate paperwork to indicate that the patient was unable to sign and that no one else could sign for the patient. The signature on the form is usually required before filing the claim for payment, but not always for confirming the transit job.

2. Medical Necessity

This is the most crucial aspect of ambulance medical billing compliance. If the patient’s condition prevents them from using other modes of transportation, ambulance transportation is a medical necessity. Payment may not be made if the patient could be carried safely in a car or van, irrespective of the availability of such a vehicle. Every case must have sufficient documentation that is kept up to date and provided as requested. A physician’s instruction for conveyance is not proof of medical necessity, and the absence of such an order does not imply that there is no need. To receive reimbursement, all of the program’s coverage requirements must be met. The only issue is that medical necessity standards aren’t clearly stated. The medical paperwork that must be generated by the staff on duty at the time is known as a patient care report (PCR).

3. Life Support Billing

Aside from mileage data, the Patient Care Report must include all detailed information about the patient’s condition that reflects the damage or condition of the patient’s anatomy, as well as the terminology used. Basic Life Support (BLS) or Advanced Life Support (ALS) is the level of service provided. If sophisticated life support systems, which are more expensive, are used while less expensive, basic life support systems are available, denial may occur. When the patient’s condition is such that the jurisdiction’s basic EMT is unable to provide care, the ALS service level might be paid. The execution of the ALS assessment regulation poses the highest risk of noncompliance, as providers may interpret the rule differently or the evaluation may not be completed.

Because the regulation is interpreted differently by providers, and assessments aren’t always perfect, the administration of the ALS assessment rule poses the greatest risk of non-compliance. Any errors in this documentation can have an impact on revenue cycle management.

Ambulance billing and coding must be done on time and in the right manner in order to get reimbursed. Ambulance providers and billers and coders need to be aware of the nuances of ambulance billing services. Info Hub, an offshore medical billing service company, comes with a huge experience in ensuring the right details and filled in the documentation process and submitted to the insurance company in a timely fashion, so as to get appropriately paid.

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