Insurance Info

Should you ever suffer the tragedy of a car crash and become severely injured, your first priority should be to get all the medical attention you need. An experienced Rialto car accident lawyer will warn you, however, that signing a medical lien to cover your medical expenses is the least preferred option in most cases. Before explaining why, a review of car accidents in Rialto, California may be helpful.

Car Accidents in Rialto Cause Many Tragedies

In 2006, the California Highway Patrol’s Statewide Integrated Traffic Records System (SWITRS) reported that eight people were killed and 392 were injured in Rialto car collisions. Drunk drivers caused four deaths and 59 car crash injuries. A total of four pedestrians were killed and 34 were injured in car accidents. Bicycle and motorcycle accidents injured 12 and 17, respectively. In 2007, seven car accidents caused eight fatalities. In 2008, nine car accidents resulted in nine fatalities. Continue reading ‘Consider Other Payment Options Before Agreeing to a Medical Lien’ »

Medical billing is a complex procedure of invoice and collecting payments for the health care service provided to the patient. To run a profitable medical business, hospitals and other health care facilities should follow an effective way of collecting reimbursement. Electronic medical billings is vital to run a successful practice.

Medical billing requires accuracy and efficiency which is essential. Medical billing is the process in which there is submission and follows up of claims to insurance companies so as to get the payment of services provided through a health care supplier. Claim process is also used for lots of insurance companies, either they government owned or private companies.

There are various types of online medical billings processes:

• Recording the patient personal information such as Name, Age.
• Second is coordination of benefits
• Collection of medical insurance.
• Fourth is the basic medical coding.
• Fifth is handling of medical claim denial
• Sixth is filling HCFA and UB92 claim.
• Last is explanation of benefits. Continue reading ‘What is Medical Claim Billing and Process?’ »

Are you looking for an affordable way to pay for your medical procedure but just can’t find the right solution? If so, then we encourage you to take a closer look at our competitive and easy-to-afford medical financing programs. Our financing programs are ideally suited for individuals that are seeking affordable solutions for medical procedures that may or may not be medically necessary.

To apply for financing, contact us today to complete our confidential application. Once this application is complete, you’ll review the application with one of our agents to discuss your unique financial needs and options. Continue reading ‘How to Apply For Medical Financing’ »

There are two different types of medical insurance plans, managed and traditional. Here are some questions that you need to ask before you choose a medical insurance plan for yourself and your family.

Do you have a current doctor that you want to continue seeing and do you want the freedom of choosing another doctor if additional care is needed? If this is the case, you need to avoid HMO plans. A PPO or POS plan is okay, but a traditional health care plan would be best as they allow for maximum flexibility when it comes to choosing your own doctors.

Do you have any upcoming medical events, like surgery? If you are switching health care plans make sure that pre-existing conditions are covered. And make sure to find out if there is a waiting period before your coverage begins. Continue reading ‘Medical Insurance – Ask the Right Questions’ »

Having your staff bogged down by health insurance and Medicare claims paperwork could be costing your practice thousands of dollars every year. According to The New England journal of Medicine, physicians’ overhead and billing expenses take up 43.7% of their gross professional income.

Once you endure the paperwork phase of filing your medical claims, you have a long wait for your money. The typical turn-around time is 60 days, according to the Health Care Financing Administration.

On top of all that, typical claims filing has a rejection rate off 30%, some offices even higher. Filling out the forms on paper and mailing them takes time, then the completed forms can sit in the office of the insurance company for weeks. The process is highly inefficient. Continue reading ‘Be a Doctor Again’ »

It’s no secret that most third-party payers have become increasingly stingy (perhaps even stubborn?) with their reimbursements and that the economy has many patients strapped for cash. Yet, you certainly want to be paid for the good work that you do as chiropractors. To help maximize collections and minimize preventable errors, consider the following five steps:

• Registration – Offer patients the choice to complete their forms online before the visit to save you work and reduce errors. Be sure that changes in patient info (new address, name change, etc) are forwarded to your billing service as well as your practice management software. Updating changes internally won’t get you paid if your biller is still using old information.

• Claims scrubbing – Have a system in place to correct suspended claims and send them out the door pronto. If you are in a high volume practice, it may be impossible to check all your doctor’s notes for tests and services that may be missing on the fee slip, but you can at least randomly audit some claims before they are submitted. Many software programs also offer claims scrubbing features that check for errors before you send them to the insurance company. These generally work great – if you use them! Continue reading ‘Boost Your Chiropractic Collections Despite Tough Times’ »

A medical billing service is the answer for those looking to make their medical practice more effective. It provides all types of administrative help in managing billing. They are HIPAA approved, manage your entire billing process, track your accounts, submit claims to the claims clearing houses and pursue the rejected claims.

What are the benefits of hiring medical billing services?

Medical Billing Service is an efficient alternative to processing billing in-house. It saves you time and money. Following are some of the reasons you should hire one.

* It saves money by reducing your costs and increasing collections of delinquent account.
* It reduces the time your staff spends on processing claims. You may be able to eliminate most of the staff and thus save expenditure on their health care, salary, insurance and training.
* It usually performs better than the in-house staff. They keep their staff updated on insurance regulations and codes. It lessens number of denied and rejected claims. They are also quick to resubmit the claims returned from clearinghouses.
* Their turnaround from clearinghouses is faster as they process large number of claims with them.
* They have bigger incentives to increase collections as they are paid a percent of the amount they collect. Continue reading ‘Medical Billing Services Provider Can Improve Your Collection and Lower Your Costs’ »

Doctors now-a-days have started taking help from medical billing services which helps the doctor to prepare a document for a patient who has an insurance policy or simply calculate the total amount of money to be paid after the treatment and hand it to the doctor. Doctors have complained that they are facing difficulties in preparing complicated claim forms and insurance policy procedures. These technical hassles are no longer the headache of the doctor as there are a number of companies which will prepare the medical bills on behalf of the doctor or the hospital.

More and more doctors are looking for outside help. There will be representatives of the company, who will advise the doctors, attend the seminars organized by different insurance companies and offer regular financial reports to the doctors. This is popularly known as medical billing outsourcing. And one will find that there are a number of organizations who are helping doctors with the billing process. Most in-house staffs are not willing to prepare the medical bills. At times they are so long and so complicated, that common staffs find it difficult to prepare the perfect document without any errors. A medical billing company will come to the aid of the doctors. Continue reading ‘Medical Billing Services For You!’ »

An acronym for International Classification of Diseases, ICD-9 is a numeric diagnostic code used by insurance companies to determine whether to pay for a medical test, treatment or procedure. The 9th edition is the most recent one, with ICD 10 slated for 2013.

The new ICD-9 codes effective October 1, 2009 are fewer in number than previous years. But with the increasing emphasis on medical necessity and complete documentation and appropriate assignment of ICD-9 codes, these codes bring with it added complexities for the coder.

In June this year, National Center for Health Statistics (NCHS) expanded code category 488 to add two new codes:

- 488.0 (influenza due to identified avian influenza virus)

- 488.1 (Influenza due to identified novel H1N1 influenza virus) Continue reading ‘ICD 9 Codes Effective Oct 1, Fewer in Number Than Previous Years’ »

Effective January 1, 2007, the Centers for Medicare and Medicaid Services (CMS) implemented Medically Unlikely Edits (MUEs) to reduce the Paid Claims Error Rate for Part B claims. These edits are designed to minimize errors that occur due to clerical entries and incorrect coding based on anatomic considerations, CPT/HCPCS code descriptors, among others.

Previously called Medically Unbelievable Edits or MUEs, these apply only to the services specifically listed in the table of MUEs, as such, all services do not have MUEs associated with them. Continue reading ‘Do Away With Unfair MUE Denials by Attending Audio Conferences’ »