Medical Billing and Practice Management blog

You’ve learned medical billing and considered the pros and cons of starting your own business in the field. Chances are you’re ready to take the plunge if you can answer “yes” to each of the following questions:

1. Can you bill and code with your eyes closed?
2. Are you the go-to person in your office for medical billing questions?
3. Are you proficient at managing multiple projects and people?
4. Can you manage yourself and your time well?

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Small businesses employ more than half of the U.S. workforce. (The U.S. Small Business Administration defines a small business as one employing fewer than 500 people.)

While U.S. entrepreneurs start more than half a million new businesses each year, only about two-thirds of those survive two years. Fewer than half celebrate five years in business and only about a third survive a decade.

Starting a business certainly isn’t for the faint of heart —and starting one in the medical billing business is no exception.… Read More

So you studied medical billing and you’re ready to go to work. You should know there are plenty of pitfalls along the path to producing perfect patient bills and filing flawless medical claims. The American Medical Association (AMA) estimates the medical practice billing error rate at a mere seven percent. However, a 2014 NerdWallet.com study found mistakes in almost half (49%) of Medicare claims. (The average is probably somewhere between the two.) To ensure the medical bills you produce are as accurate as possible, here are five of the most common billing and coding errors to avoid.… Read More

As a medical biller, you’re a provider’s key to getting paid. Most providers get into medicine because they want to contribute to the greater good, not to deal with the headaches that come with insurance payers. They’re happy to delegate the sometimes-tedious processes of billing and collecting to specialists. Some Medical Reimbursement Specialists, as billers are sometimes described, completely manage a medical practice’s revenue cycle, from coding and submitting claims to billing patients to tracking accounts payable and receivable.… Read More

Passed in 2010, the Affordable Care Act (ACA) defined value-based healthcare as delivering the best patient health outcomes at the lowest possible cost. It requires organizing health care around patient needs rather than around the services physicians provide. This moves providers away from the traditional fee-for-service payment model. For providers, this means instead of being paid based on the volume of procedures and tests they perform, providers will be compensated based on the quality of care delivered.… Read More