Billing Services
What is a Billing Service
The medical billing process is an interaction between a health care
provider and the insurance company (payer). The entirety of this interaction is
known as the billing cycle
sometimes referred to as Revenue Cycle Management. This can take anywhere from
several days to several months to complete, and require several interactions
before a resolution is reached. The relationship between a health care provider
and insurance company is that of a vendor to a subcontractor. Health care
providers are contracted with insurance companies to provide health care
services. The interaction begins with the office visit: a physician or their
staff will typically create or update the patient's medical record.
Billing Services
are required to be familiar with all the current regulations / guidelines :
·
HEDIS
·
PQRS
·
Meaningful Use
·
Quality Measures
·
ICD-10
AccuChecker
OnLine CLASSIC is an Internet database subscription service that allows you to
have the resources at your fingertips.
The Complete Tool For Medical
Reimbursement
The AccuChecker OnLine
CLASSIC is a comprehensive database with:
·
Procedures –
CPT, Category II and HCPCS codes.
·
Diagnoses codes
(ICD-9-CM, ICD-10-CM and ICD-10-PCS).
·
Converter of
ICD9 to ICD10.
·
Medicare fee
schedules including OPPS rates in radiology.
·
Coding
techniques like:
o
Corrective
Coding Initiative (CCI)
o
Medical
Necessity - procedures matching diagnoses.
o
Medicare’s LCD
and NCD.
o
Surgical
modifiers outlining coding guidelines.
o
Global period
for surgical services.
AccuChecker OnLine CLASSIC is
available in two (2) versions:
State Version - Fee Schedules for the State ONLY.
National Version - Fee Schedules for the entire nation –for each zip
code.
For more details
call 305-227-2383 or 1-877-938-9311
Ask for your
Free Trail or Webinar
Paul G. Silverio-Benet
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