InfoHub https://infohubservices.com/ Tue, 29 Nov 2022 14:43:23 +0000 en-US hourly 1 https://wordpress.org/?v=6.1.1 https://infohubservices.com/wp-content/uploads/2019/10/cropped-INFO-HUB--32x32.png InfoHub https://infohubservices.com/ 32 32 5 Best Practices to Recover your Revenue in A/R https://infohubservices.com/blog/5-best-practices-to-recover-your-revenue-in-a-r/ Tue, 29 Nov 2022 14:40:15 +0000 https://infohubservices.com/?p=47543 Medical practitioners overcome numerous challenges to get into the field. Sure, it’s a high skill based sector which has direct impact on patient’s lives. It is a noble profession. However, when it comes to revenue, this industry struggles just as much. Those working in medical field are already under a lot of stress. Simple errors can cause big losses and sometimes such losses are irreversible. Hence getting the best people to do the job is necessary. Speaking about finances in medical billing sector, any practitioner or a medical facilities primary financial goal is to collect maximum monetary reimbursement for the services provided. Keeping the revenue cycle running in a healthy way is crucial for the financial growth of the facility and also to boost morale of the employees. A simple strategy to counter this would be to set up an Account Receivables management policy for smooth running of your financials. So here are five best practices to recover your revenue in Accounts Receivable.

 

1. Regular Analysis of Denial Report and Errors

Till the time all due payments are completely process, a close observation of claims even after submission is strongly advised. This is done in order to track down any claims that are rejected or denied without missing any. This will also prove to be beneficial and will come in handy so that you can promptly work on AR recovery.

 

2. Identify the Root Cause

If you face frequent claim delays or denials or it happens quite frequently, it is very important to understand the pattern leading to such consequences. Once you study past claim denials or delays and understand what exactly causes it or if there are any frequent errors or missed information then it may help you to overcome a massive hurdle. It is advisable to locate and resolve the fundamental cause of such occurring in order to avoid them in future.

 

3. Tracking to Avoid Errors

Keeping a uniformed track of your accounts receivables will enable the providers with necessary data to identify customers who might be in the red zone. This will also provide with valuable data to understand any patterns or trends that can be evaluated to avoid claim denials or delays. The time and efforts invested in this process will eventually assist the healthcare facilities to track down and recover the otherwise lost revenue. This is vital for financial growth as well as boosting the morale of people who render their valuable services.

 

4. Outsourcing

The medical sector is one of the most stressful ones. Employees and those who are involved in rendering the services are already overworked and that can lead to many conflicts and exhaustion. Keeping in mind that most processes are cone manually and there is little to no scope for machines to interfere yet, any help possible is welcome. Hence, many medical facilities come to a decision to outsource medical billing services to medical billing company or a medical billing agency. It helps to increase the revenue since the medical billing companies in their team’s house those who have extensive knowledge and experience. It also reduces time and efforts required to train the staff from scratch.

 

5. Trained Staff

Having trained staff is always beneficial since they have the proper working knowledge of how to handle things if there are any errors or in case any challenges arise. The outcome will be superior quality wise and since there are lesser chances of errors occurring, you claims denial or delays will be reduced significantly.

Medical billing sector comes with its own set of challenges. A lot organizations now prefer to outsource medical billing services to medical billing agency. We at Info Hub are equipped with a capable team of experienced professionals. We provide one of the best medical billing services so you can be assured that your process is safe with us.

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5 Challenges Providers usually face with Medical Billing Process https://infohubservices.com/blog/5-challenges-providers-usually-face-with-medical-billing-process/ Tue, 22 Nov 2022 10:10:17 +0000 https://infohubservices.com/?p=47498 Medical Billing process is a tricky task. A simple error or missed information can cause delays or denials of claims which will have a major impact on the revenue cycle of the medical facility. That is why a lot of such facilities turn to medical billing agencies or medical billing companies to handle their medical billing process. And so far, the decision to outsource medical billing services has proven to be quite helpful to these organisations.

However, this process too comes with its own set of challenges which even the experts can have a hard time with. So here are the five challenges providers usually face with medical billing process.

Training Requirements

Collecting the patient’s data and processing it correctly are one of the most crucial parts of medical billing process. Since this is a tedious task, the probability of error increases tremendously. In order to avoid such errors, the staff which handles such roles needs to be trained thoroughly so that they have a deep understanding of how to handle things. Even if the patient’s information is correctly collected and processed, the staff needs to be well aware of how to track and follow up on it. Any errors during this process can result in adding up to already costly hospital expenses.

Multiple Claims

Due to the lack of technology, sometimes the person in charge needs to file multiple claims manually. This becomes even worse for the speciality providers. Depending upon medical speciality, one may have to file thousands of claims per week. Some billers lack the technology to process multiple claims at once so this requires the person in charge to file these claims manually which in turn creates hold ups and slows down the billing process.

Increasing Claim Denials

The medical billing codes constantly change all over the field. Amongst such rapid changes it gets hard to keep a track of it all. This can affect the overall goal and the revenue of the medical facility. It also comes with its other disadvantages such as low revenue leading to negative effects on the cycle. Usually, a computerised system helps in significantly reducing delays or denials on claims but that would require a skilled and highly trained professional to constantly monitor the system. Many medical facilities choose to outsource medical billing to third party medical billing companies who already house a team of trained professionals.

Outdated Technology

It is a known fact that when it comes to churning a big chunk of data, machines are more capable than humans. The factor of human error is completely eliminated and the technology designed will give out reliable data. However, if the medical facility makes use of outdated systems, then a fresh set of problems arise. Training individuals on outdated system is a task and while no proper knowledge gets passed on, errors are bound to happen which might even cause financial losses to the facility along with the precious time lost to locate and rectify the error.

Customer Support

While taking upon any task proper guidance is required. While it might not be the case every time but in medical billing process where precision is the key, a comprehensive customer support to guide the team is required. A lot of companies struggle with such services but this is crucial as the codes and procedure are getting updated frequently. A proper customer support to resolve any operational problems and to clarify things regarding the process is required to ensure seamless working of the process and also error free delivery.

Just like any other sector medical billing process also comes with its own set of challenges. So, a lot organizations now prefer to outsource medical billing services to medical billing agency. We at Info Hub are equipped with a capable team of experienced professionals. We provide one of the best medical billing services so you can be assured that your process is safe with us. To get the best services contact us today!

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A Guide for Comprehensive ” DENIAL MANAGEMENT” https://infohubservices.com/blog/a-guide-for-comprehensive-denial-management/ Tue, 15 Nov 2022 09:00:40 +0000 https://infohubservices.com/?p=47442 Denial Management, in simple words, is a strategic process that resolves any issues which might cause claim denials. Both rejected claims and denied claims have the potential to be a huge issue for healthcare organizations. Denial management is considered one of the most complicated yet vital parts of the revenue cycle management process. Seeking professional help from a medical billing company with the right tools is considered the most convenient solution here.
As denied and rejected claims have a direct impact on the revenue cycle, it is important to get it right. It is advisable to employ a system monitoring the denials and what causes them. This is one of the most important steps to take into consideration before you try and look for solutions. So here is a comprehensive guide for the Denial management process.


There are two types of Denials

  1. Hard Denial – A hard denial is permanent, and cannot be corrected or reversed. Hence the revenue over which is considered to be lost.
  2. Soft Denial – A soft denial is temporary, and is payable if the necessary information is added or rectified.


Claim Denial can be a result of many issues.

Here are the top five to keep an eye out for:

  1. Duplicate Claims – This situation arises when a claim is submitted for a single encounter on the same day for the same patient by the same provider for the same service team.
  2. Incorrect or Missing Information – This covers anything from a missing field or blank field to coding errors.
  3. Prior Authorization – Before service is performed if prior authorization is not being taken then the claim can be denied.
  4. Benefit Coordination – Patients who are covered by more than one health plan can lead to delays or denials of claims. This can be avoided if the patient’s benefits are coordinated.
  5. Network Provider – If the services are provided by an out-of-network provider can lead to the payer denying to pay the claim or a part of it.
  6. Deadline Exceeded – When the payer’s required days of service are exceeded it can lead to delays in claims.

Once you have correctly located the causes for denials, here comes a tougher task. Denial management and making sure that it does not occur frequently is a meticulous procedure.

Here are a few things to keep in mind to make this process easier:

  1. Common Reasons – Denials or delays in claims can occur due to various reasons. It primarily depends on the type of healthcare organization and the scale on which they function. If there are any repetitive errors occurring then specific changes along those lines need to be made.
  2. Quick Assessment and Action – In case any denials take place or if there are any delays then it is important to follow up and get them corrected. The preferred time limit for this is within a week.
  3. Clear Delegation of Jobs – Managing the denials procedure is a tedious process. It consists of a lot of steps and they need to be error-free for a seamless workflow. If the work is delegated amongst different departments or outsourced to medical billing agency or a medical billing company can assure error-free and hassle-free work.
  4. Establish A Work Model – In any healthcare organization denials are an integral part of the revenue cycle. An effective work model in place can help you handle this issue in a much better manner.

Keep The Process Organized – An organized denial management process can facilitate solutions to resolve any delays or denials in claims. Denied or delayed claims can lead to a reduction in revenue and some grave administrative issues.


Financial stability is vital for any healthcare organization. A sustainable Denial Management process can help streamline the process while weeding out any causes leading to denial or delays. A simple solution could be to outsource medical billing services to a medical billing agency.


We, at Info Hub, provide the best-in-market medical billing services equipped with an experienced and skilled team to turn denials into revenue.

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Why Healthcare Providers consider Offshore Medical Billing Companies in India? https://infohubservices.com/blog/why-healthcare-providers-consider-offshore-medical-billing-companies-in-india/ Thu, 10 Nov 2022 08:49:29 +0000 https://infohubservices.com/?p=47434 The medical industry is one of the most demanding. It requires doctors, nurses and staff on tight schedule and sometimes things can get overwhelming. In such cases, any help that will make things easier is welcomed. One such solution is – outsource medical billing to offshore medical billing companies. There are many reasons why a medical facility should consider outsourcing their services to medical billing companies in India. So, if you’re someone who is looking for such services, this article is for you.

Cost Efficient

In a little span of time, India has established itself as a prime destination for outsourcing of work processes. Since, there is no requirement for training, infrastructure and other miscellaneous tasks from the medical facility, this decision becomes a huge cost saver for the facility. Let’s not forget about the cheap yet skilled labour in India!

Time Is Money

The billing process can be a time-consuming procedure. Adding to that, there is always a possibility of error. Such mistakes can be costly. When you opt to outsource medical billing to an offshore medical billing company, then you are not only saving on time but also on money as they hire trained professionals who are less likely to make any errors.

Latest Technology

India has been chosen by many US based healthcare organizations to outsource their medical billing procedures. This is due to the fact that many such organizations in India are abreast with the latest technologies in the sector. Almost all the medical billing companies in India invest in latest technologies such as Work Process Automation and Revenue Cycle Report Software to ensure seamless functioning and error free process.

High Quality

In India, majority of the population comes under young category. Most of which are educated and possess good communication skills. They are also trained and skilled in many technical skills which cater to them while they are employed. So, when you outsource your process, you have a greater control. You can set the standards for skills and communication, and hire only those who make the cut. Since the young population is high in number, you get to choose the best.

HIPAA Compliant

HIPPA regulated the use and disclosing of an individual’s personal health information by some organizations. For any top medical billing company in India, familiarity with HIPAA is necessary. Also, they are required to take appropriate steps to protect the sensitive information on priority basis. Most of the outsourcing companies in India are HIPAA compliance certified and are qualified to handle sensitive information.

Smooth Transition

In India, many of the medical billing companies are equipped with latest technology and sophisticated hardware to ensure smooth work flow. This enables the offshore Indian company to work as a virtual part of the organisation. Intensive trainings can be easily managed through such facilities.

Perfect Timings

India has a unique geographical advantage which makes medical billing companies here the perfect choice for US healthcare facilities. It’s the difference in time zone. The Indian time zone is 12 to 14 hours ahead of the US time zone. This means, the billing can be completed even before your day begins!

Satisfied Patients

Customer satisfaction or in this case patient satisfaction is the most important aspect for any entity functioning in product or service-based industry. Dealing with the hassles of billing and complications can be very stressful and upsetting for the patient and their family. This can put them in distress thus resulting in an unpleasant experience. If you outsource medical billing services then do not worry, the medical billing company will take all the necessary care to fulfil the requirements.

We at Info Hub Services are equipped with a capable team of experienced professionals. We provide one of the best medical billing services so you can be assured that your process is safe with us. To get the best services contact us today!

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How To Reduce Your Ophthalmology Backlogs https://infohubservices.com/blog/how-to-reduce-your-ophthalmology-backlogs/ Tue, 08 Nov 2022 13:53:33 +0000 https://infohubservices.com/?p=47422 Ophthalmology is a branch in medicine which deals with diagnosis and treatment of eye disordered or illness. A surgeon who is trained in this field is known as ophthalmologist. The procedures they perform include optic nerve problems, eye infections, cataracts and other conditions which affect the eye.

It is fact that doctors are overworked so this begs the question – is it advisable to put them under administrative pressure as well? This also arises a dilemma of keeping the practice afloat. Rendering services and not getting rightly reimbursed, can be detrimental for those who are involved in delivering those services. Such cases can have a high impact on job satisfaction levels of physicians and medical staff involved. It is just as important to maintain the financial health of the practice.

Understanding Ophthalmology Backlog

 Is your practice leaving hard earned revenue on the table? Between unpaid medical claims and outstanding patient balances, US physicians are leaving $125 billion on the table each year. Accounts receivables is the amount you are owed for the services you have performed and billed. A high A/R amount means that a sizable portion of your labour is going underpaid. To make sure you are getting paid on time and consistently, keep your A/R as low as you can. You can learn a lot about the state of your ophthalmic revenue cycle by taking the time to comprehend your accounts receivable (A/R) and how it changes over time.

How to Reduce A/R days?

  1. Start with the lowest – Sort unpaid balances and claims according to which can be recovered the quickest. Start with medical claims that have simpler problems that can be readily resolved by your team, such as erroneous patient or provider information, requests for further supporting evidence, or incorrect codes.
  2. Manage by payer – Keep an eye out for patterns in underpaid claims, such as those involving particular refused or excluded codes or practises requiring prior authorization or referral paperwork. Additionally, you can expedite your efforts by speaking with the insurance payer representative about several open medical claims at once.
  3. Focus on large outstanding amounts – You should be mindful that greater sums could be more challenging to get, particularly if they belong to the patient. You might want to think about setting up a payment plan with the patient for bigger patient debt or perhaps taking partial payment.

To assist manage the cash flow of your practise, you must continually measure, analyse, and work your accounts receivable (A/R), which is constantly changing. In order to prevent it from growing, you should ideally analyse your collection backlog every week and conduct a deep dive into your A/R every month. A sound medical billing process ensures the hospital stays profitable while also making sure that patients are treated with continued care. It creates a revenue cycle which is achievable and continues to thrive.

When it comes to medical billing which is time consuming and very tedious, it can be handed over to a medical billing company or a medical billing agency so that it can be taken care of by the third party organisation.

The billing must be done accurately, if not then an increase in errors and claim denials can reduce the revenue for the medical facility and this will have a direct impact on reimbursements. This is why accurate billing using the right codes is essential to ensure protection of the overall revenue and job satisfaction of staff involved.

Our staff at Info Hub Services, a medical billing company, can successfully secure maximum profits for physicians, and enable them to a focus on their practises. Our knowledge is based on expert, technical, and international hospital and healthcare practise billing for ophthalmology, helping you reduce backlogs with help of A/R callers, and grow your practice.


 

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5 Tips for Physician Financial Management https://infohubservices.com/blog/5-tips-for-physician-financial-management/ Tue, 01 Nov 2022 13:06:27 +0000 https://infohubservices.com/?p=47408 Every physician has a demanding career where patient care is their utmost priority. This directs the doctor to get engrossed in their core work – caring for their patients. Often this converts the financial management for every physician to become their last priority. However, financial management should be as vital as taking care of the patient for any physician, as it will improve the overall outcome by making the business aspect of the practice healthier. Therefore, developing robust financial management will improve your patient satisfaction by improving your practice’s revenue.

A physician can undertake a few ways (especially with the help of technology) to improve financial management. Let’s discuss the top five tips for it:

Tip 1. Speed Up the Collection Process

Did you know? Technology can help your practice in several ways, making it more efficient. There are several HIPAA-compliant software in the market that can be used to improve your collection process. Instead of staying the legacy way, it’s time to upgrade and streamline your collection process with the help of revenue cycle management software.

Establishing a Practice Management System (PMS) is essential before implementing a new process. It will ensure that the new system will work effectively for everyone, including physicians, healthcare providers, and other admin staff. The PMS you select will define how your practice will be reaping the benefits of the electronic process and the software. Also, it is essential that the PMS you choose aligns with your practice and requirements and works with the EHR.

Tip 2. Improve Patient Collection 

The other strategy that should be implemented to ensure better financial management for your practice is to improve your patient collection. Patient collection is a never-ending headache for most physicians. In fact, the collection becomes more challenging with more patients opting for higher deductible insurance plans.

It has been seen that physicians can collect only 60 percent of their dues from the 20 percent of the revenue that co-paying patients provide. Overcoming this revenue collection can be quite a hurdle when it starts to pile up; your practice will surely spiral down. You should either work with a collection agency or re-evaluate the collection strategies for better financial management. It would also require changing and updating your billing and coding practices.

Tip 3. Electronic Claim Submissions

Manual submission time is an old tradition; one must use the updated software to generate an electronic claim. Before submitting the claim, you should conduct a pre-audit to ensure it has no incorrect or missing information. In most cases, claim rejections and denials can be reduced with in-built checks of the latest software. It allows one to address potential issues before sending them to the health insurance company.

You should also check your electronic claim status to confirm the receipt of the claim in real-time. When an electronic submission is used, the insurance company must respond to the claim’s status in the next business day. Hence, instead of waiting weeks to know your status, immediate action can be taken to rectify any issues with your claim. This eventually ensures better financial management of your practice. 

Tip 4. Verification of Insurance Eligibility

Start saving time and dollars with electronic eligibility verification before your patient visits. Although the patient’s eligibility can be verified via the web portal or phone, these methods fail to provide vital information and prove inefficient. When a patient’s eligibility verification is done electronically, all the necessary details can be gathered practically in no tie.

All staff who schedule the appointment must collect your patient’s insurance information and submit it online for electronic eligibility by entering your patient’s data. As per federal regulation, the health plan must respond within twenty seconds. Thus, it will give your practice enough time to make your patient aware of their financial responsibility when they visit your practice.

Tip 5. Outsourcing The Medical Billing Practice

Though you have an entire team of nurses, assistants, and other staff, you need to operate with top skill sets (irrespective of the size of your practice) to handle your patients, their requests, insurance claims, billing, and coding on an urgent and regular basis. Staying on top of all these can be challenging.

The best way to stay ahead with the financial management in such a case is to outsource your medical billing and coding. The experts of the outsourced company will take care of your revenue management cycle. At the same time, you and your nurses, assistants, and staff can look after the patient and improve your services.

Where To Find the Financial Management Partner?

Now that you have a good idea of the five tips on how you can improve the financial management of your practice, the question remains who can help? Info Hub is a medical billing and coding company with a team of experts who can help you to build a sustainable financial management plan for your medical practice. They use the latest HIPAA-compliant software to help establish a beneficial revenue cycle management while ensuring every claim is passed without any hitches. They also provide reduced A/R time to enjoy uninterrupted revenue flows.

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Top 5 Offshore Medical Billing Companies Reviews https://infohubservices.com/blog/top-5-offshore-medical-billing-companies-reviews/ Tue, 25 Oct 2022 12:47:38 +0000 https://infohubservices.com/?p=47397 With the advent of technology, the healthcare industry has witnessed exponential growth in the last few years. Technology has been decisive in improving the health system in the U.S. With the increase in the demand for reasonable care among patients, the growth in the industry has been unprecedented. As a result, medical billing providers and companies have come under immense pressure to ensure error-free medical billing claims.

The process further becomes more challenging when there are regular updates ad changes to the medical billing, coding, and regulations. Hence, outsourcing offshore medical billing has become the norm to provide the best care to the patients while ensuring there is no revenue loss for the procedures provided to the patients.

Let’s have a look at the top offshore medical billing companies’ reviews:

Different Medical Billing Systems

There is a need to be aware of the different medical billing systems, especially when an offshore medical billing company in India is outsourced. The primary systems for medical billing and coding include:

Closed System

Any practice that requires focusing on a single practice without allowing the transfer of files falls under a closed system. The closed system is often used with the EMRs and doesn’t provide any access to collaboration with other healthcare facilities of doctors.

Open System

The open system enables all healthcare reports to be transferred across different healthcare facilities, practices, and professionals. This means the practice needs medical billing software that supports the open system to enable effective communication and collaboration. However, not all software can function or allow open systems.

Isolated System

The isolated system uses the personal health records (PHR) that the patients hold and is entirely removed from the practices, healthcare facilities, and other physicians. While these records cannot replace the EHR or EMRs, they must be used separately. Often, not understanding an isolated billing system can be complex.

Offshore Medical Billing Companies Reviews

Kareo

Kareo entered the healthcare software industry in 2004 with the goal of revolutionizing how independent practices managed their businesses. They now help over 150,000 users provide better care to their patients.

The Kareo Platform contains the software that:

  1. Provides an integrated and certified cloud-based EHR
  2. Assist with in-house billing and patient management
  3. Promotes patient engagement and helps your practice grow; and
  4. Results in the increased and faster collection

Dr Chrono

dr. Chrono’s technology assists medical practices in providing personalized care to their patients. They’ve been assisting healthcare organizations in removing administrative barriers since 2009. They now serve over 17 million patients and have tens of thousands of clients.

Among their solutions are:

  1. Direct claim creation from treatment entries and health records
  2. Duplication elimination
  3. Enhances the accuracy and speed of the claims billing process

AdvancedMD

Since 1999, AdvancedMD has been at the forefront of healthcare technology solutions. Their software helps process approximately 6.5 million insurance claims per year. Not surprising, given their 13,000+ medical practice clients.

The features of AdvancedMD software include the following:

  1. Medical billing
  2. Online scheduling and patient intake
  3. Charting and billing tools
  4. ePrescribing
  5. A self-service patient portal

CureMD

CureMD helps medical organizations of all sizes. Through advanced technology, their solutions can transform your clinical and administrative operations. It also ensures that you are complying with industry best practices and standards. CureMD’s all-inclusive solutions enable you to monitor your Key Performance Indicators (KPI) to increase revenue while tracking administrative tasks such as:

  1. Patient statements
  2. Management reports
  3. Fee schedule reviews
  4. Cash posting
  5. Charge entry

Info Hub – Offshore Medical Billing Company in India

Info Hub is another offshore medical billing company with over 200 expert billers and coders in one team. They successfully handle over 400,000 claims monthly, with over 800,000,000 AR every month. Their entire team of billers and coders work by understanding the practice, the specialties the healthcare facility offers, and the medical billing practices that would suit the requirement.

Info Hub offers:

  • A one-stop solution to all medical billing and coding requirements
  • Equipped with the latest software while being HIPAA compliant

Once all the offshore medical billing companies are reviewed, select the best option available per your practice requirements and patients’ needs. You can also contact the experts of Info Hub at +1 (888) 694-8634 to get a free consultation regarding your doubts.

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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.

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Understanding Common Challenges with Pharmacy Billing  https://infohubservices.com/blog/understanding-common-challenges-with-pharmacy-billing/ Wed, 19 Oct 2022 11:37:22 +0000 https://infohubservices.com/?p=47386 Pharmacy management is best understood, especially when the various processes are handled professionally. The same story stands for a thorough and customized pharmacy billing. Just like other disciplines of healthcare billing, certain billing challenges have been attached to the pharmaceutical companies. But the fact that some drugs and injections are not covered by insurance adds to the complication of pharmacy billing. As a result, expert knowledge is required to understand the efficacy of including or excluding drugs during the pharmacy billing process.

Not only this, pharmacy billing presents a plethora of new and complex challenges with ever-increasing competition that cannot be solved solely through the use of technology. Therefore, it is critical to outsource pharmacy billing to specialists if you want billing functions to be handled with agility and precision while dealing with the common challenges.

Is your profit margin rapidly dwindling? Is the cost of billing about to go through the roof?

Let’s have a look at the challenges that can be encountered in pharmacy medical billing and coding:

Incorrect Patient Identifier Information

Even minor distractions can cause errors when entering patient information into your pharmacy billing system. However, every pharmaceutical provider is aware that insurance companies routinely deny claims for minor errors such as incorrectly spelling a patient’s name or reversing numbers on their date of birth.

There are two approaches to dealing with this issue and preventing it from occurring. The first step is to double-check each entry you make to ensure its accuracy. The second step is to select practice management software that automatically populates the patient bill based on verified information. If you require patients to enter their own information and confirm it with you prior to their first initial evaluation appointment, there is almost no chance of this type of error delaying payment.

Duplicate Billing

Sometimes one of your employees will prepare a pharmacy bill for a patient, and another will do the same thing, unaware that the bill has already been prepared. In that case, there would be a double bill, potentially resulting in double charges for the patient and an irritated customer. Duplication mistakes are common when using manual pharmacy billing and spreadsheet management.

The solution is automation, which can automatically generate a bill and flag duplicates if someone attempts to generate another pharmacy bill for the same pharmaceutical drug provided to the same patient.

Incomplete Information

Another common error is failing to include important information on a claim, such as the patient’s date of birth or the drug name. Even if there is correct information and the patient has coverage, a blank field can result in a denial from the insurance company.

The solution is to scan your claims before submitting them to ensure there is no missing information or blank fields. It’s your best chance to catch errors before they result in a time-consuming denial and resubmission process.

Service Not Covered

Patient insurance coverage may change due to a variety of factors. There may also be restrictions on how many drugs are covered, resulting in paying out of pocket when a patient’s coverage is exhausted. In fact, improper pharmacy billing can cause costly delays and make collecting from the patient more difficult.

The solution is to check the patient’s insurance coverage at each visit. You must ask the patient to verify their insurance while also ensuring that their benefits have not been exhausted.

Missing Documentation

To pay claims, every insurance provider requires documentation. Without it, they may simply deny a claim and return it to you, in which case you must provide the required documentation and resubmit the claim.

The solution is to train your staff to recognize when documentation is required to prove medical necessity. Ideally, your pharmacy billing software should allow you to attach documentation while submitting a claim.

Outsourcing Pharmacy Billing is One-Stop Solution!

All these challenges in your pharmacy medical billing and coding may have a negative impact on your practice’s cash flow. As a result, it is critical to plan ahead of time for all of these challenges and to implement a strategy that will benefit your pharmaceutical company. One of the best ways to deal with all of these challenges is to outsource pharmacy billing services to Info Hub, the leading offshore medical billing company. Their professional billing service providers will handle all your pharmacy billing issues and increase your revenue.

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Differences Between ICD 10 CM and ICD 10 PCS Codes https://infohubservices.com/blog/differences-between-icd-10-cm-and-icd-10-pcs-codes/ Fri, 14 Oct 2022 10:13:02 +0000 https://infohubservices.com/?p=47383 Did you know? The International Classification of Diseases or ICD is being used by healthcare practices globally to classify, collect and present different healthcare statistics, including mortality. One of the primary areas in healthcare that use the ICD is the medical billing and coding sectors.

The level of specificity in ICD codes helps the healthcare providers to reduce billing errors and confusion, resulting in fewer rejected claims. It also reduces the number of claims denied due to “lack of medical necessity.” The more efficient a claims submission process is, the faster you will be paid.

All this ends up with defining ICD 10 CM as the Clinical Modification whereas ICD 10 PCS as a set of Procedure Coding Systems followed for providing medical services to inpatients. However, there is much more to this.

ICD 10 CM vs. ICD 10 PCS Codes

While coding your healthcare operations, have you ever wondered about the difference between the ICD 10, ICD 10 CM, and ICD 10 PCS?

It is important to note that there is as such no major difference between the ICD 10 and ICD 10 CM when it comes to medical billing and coding. But some difference lies when one codes under ICD 10 CM and ICD 10 PCS. 

As per the medical coding system, ICD 10 CM is used for different diagnostic coding in all healthcare services and establishments across the U.S. On the other hand, the ICD 10 PCS is a set of codes used for inpatient coding in hospital settings. However, what sets ICD 10 PCS apart from ICD 10 CM is the former offers more specific and accurate coding for the services rendered to the inpatients for medical billing.

Let’s have a look at what else accounts for ICD 10 CM, and ICD 10 PCS:

1. ICD 10 CM:

These are the set of codes in a diagnosis classification implemented across the U.S. by the Centres for Disease and Prevention. It must be used for every healthcare treatment setting, mainly in outpatient and clinical settings in the U.S. One must remember that diagnosis coding for ICD 10 CM is done using 3-7 alpha and numeric digits. In fact, it has full coding titles with an almost similar format to that of ICD 9 CM. Furthermore, there are 68,000 codes for healthcare service providers to select from in ICD 10 CM.

2. ICD-10-PCS:

This procedure classification system has been developed by the Centres for  Medicare and Medicaid Services (CMS) to be used for every hospital setting where an individual is provided an inpatient service. When using the ICD 10 PCS coding, the healthcare service provider must remember that it can only be used in inpatient hospital settings. The coding system in ICD 10 PCS has seven alpha or numeric digits.

In fact, this is one of the core differences that can decide acceptance or rejection of the claims. It differs from ICD 9 CM which uses three or four numeric digits, while ICD 10 CM uses 3 to 7 alpha and numeric digits. Furthermore, the codes in ICD 10 PCS are more detailed and cover a wider spectrum of services, which is quite evident from the fact that it has 87,000 codes available.

Another important point to be taken care of is that there are 17 sections within the ICD 10 PCS related to the different types of procedures performed on an inpatient in a hospital setting in the U.S. These sections include:

  1. Administration
  2. Chiropractic
  3. Extracorporeal assistance and performance
  4. Extracorporeal therapies
  5. Imaging
  6. Laboratory
  7. Obstetrics
  8. Measurement and monitoring
  9. Medical and Surgical
  10. Mental health
  11. Nuclear medicine
  12. Placement
  13. Physical health rehabilitation and diagnostic audiology
  14. Radiation oncology
  15. Substance abuse treatment
  16. Miscellaneous

Why do you need Professional Coding and Billing Service Providers for ICD 10 CM and ICD 10 PCS?

With HIPAA rules in place and the ever-changing coding rules and regulations, keeping up with the ICD 10 CM is quite challenging. Even the ICD 10 PCS can be extremely tricky, with more than eighty thousand codes to select from.

Furthermore, ICD 10 CM is a set of coding rules that would require the provision of additional information given within the coding system to the insurance companies and the four organizations that have approved the ICD 10 PCS guidelines. However, the instructions given in the coding system of ICD 10 PCS are to be given priority over the guidelines set in the ICD 10 CM.

Undoubtedly, the guidelines are set to help the coders and the healthcare providers with the procedures to be reported. It also gives additional instruction on the coding sequences such as indexes, tables, and definitions used in ICD 10 PCS.

When there are so many combinations and rules to be followed by the coding and the billing staff, staying on the right track can be tricky. However, when a healthcare service provider partners with an experienced medical coding and billing company such as Info Hub Services, they can assure of fewer claim denials and rejections.

Why Info Hub Services for ICD 10 CM and ICD 10 PCS?

The Info Hub Services know about the latest coding updates and have trained professionals who can handle the medical coding and billing process effectively. With the latest medical billing software and HIPAA-approved technology, Info Hub Services can ensure proper revenue cycle management where the coding is done properly and correctly for every claim to be successful.

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