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Monthly Archives: August 2016

Attn: Medical Billing Companies

A quick analysis will help you find where you are among your competitors, if you haven’t done – do it right now!

Maintaining a medical billing company is a biggest task; as you have to monitor both employee and client satisfaction.  Also need to overcome the challenges besides competing with other companies in the same domain while managing the financial health of your entity.

This analysis will identify you whether your company needs an expansion to be comparatively competitive amongst the top billing companies.

If you find you are far behind in growth, you can value add a virtual office by subcontracting partial of your work to an offshore vendor to cut cost.  It has been the secret of success of many medical billing companies across the nation.  Why not break your rule of traditional in-house billing and find a trusted partner for outsourcing your medical billing, medical coding or accounts receivable service.  Now a days, Most of the offshore billing companies work on two different modules: either on a percentage basis or per FTE chargeable.

Percentage basis means the offshore billing company charges only a percentage of the revenue they bring in for your company.  With this in mind, they are going to be a lot more diligent about faster collections and resubmitting claims. Your current employees don’t need to run through denied claims.

FTE Chargeable means the offshore billing company charges on an hourly basis, thus they bring in expert associates to complete your work within stipulated TAT that too with highest productivity or reimbursement.  So that you can manage your priority work completed on time and to manage HR policies.

Retain your clients earning their goodwill and trust, off shore partners are there to deliver work effectively with excellent quality and time.  Your clients will be 100% satisfied with your performance and will refer more clients.  By offshoring your works you earn trust and expand your client base.  Also double your financial growth

Do not stop with one subcontractor, source two or more to double your business growth.  Why not you enjoy the same as your other competitors do!

Secret of Success

  • Shop offshore subcontractors
  • Find what module works for you fine
  • Negotiate pricing
  • Talk to experts – Double your business growth

Effective July 1st certain new codes and billing instructions are updated

The Outpatient Prospective Payment System (OPPS) includes significant changes billing instructions for various payment policies as indicated in the 2016 OPPS final rule.

Find below mentioned the effective Changes:

Instructions are being revised to clarify that payment for services identified by RADIOLOGY CPT CODES 77014, 77280, 77285, 77290, 77295, 77306-77321, 77331, and 77370 are included in the AMBULATORY PAYMENT CLASSIFICATION (APC) payment for CPT code 77301 Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications.

This July update also revised a handful of status indicators for Pathology CPT codes.  Effective from July 1, 2016 the SI for 85396 Coagulation/fibrinolysis assay, whole blood (e.g., viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report per day and 88141 Cytopathology, cervical or vaginal (any reporting system) requiring interpretation by physician will change from Q4 Conditionally packaged laboratory tests to N no additional payment, payment included in line items with APCs for incidental service; and the SI for 88174 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; screening by automated system, under physician supervision and 88175 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescrubbing or review  under physician supervision will change from N to Q4.

CMS is revising its policy to clarify providers should not separately report non-therapy outpatient department services that are adjunctive or similar to a comprehensive APC (C-APC) procedure (SI J1), or the specific combination of services assigned to the Observation Comprehensive APC 8011 (SI J2), with therapy CPT codes specifically, outpatient physical therapy, outpatient speech-language pathology, and outpatient occupation therapy furnished either by therapists or non-therapists, and included on the same claim as the C-APC procedure.

New Category III codes made effective from July 1st Category III code 0438T Transperineal placement of biodegradable material, peri-prostatic (via needle), single or multiple, includes image guidance will replace HCPCS Level II code C9743 Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies).

The update also implements HCPCS Level II code Q9981 Rolapitant, oral, 1 mg, SI K, APC 1761with effective from 1st HCPCS Level II code Q4164 Helical, per sq cm is being reassigned from the low-cost skin substitute group to the high-cost skin group.  HCPCS Level II code Q9982 Flutemetamol F18, diagnostic, per study dose, up to 5 millicuries will replace C9459, and Q9983 Florbetaben F18, diagnostic, per study dose, up to 8.1 millicuries will replace C9458.

HCPCS Level II codes C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) and C1817 Septal defect implant system, intracardiac will be added to the list of devices allowed for the device intensive procedure from 1st July, 2016.

Bristol Healthcare services initiated social awareness camp this July, 2016

At Bristol healthcare Services, we recently conducted a health check camp for our employees and extended the services to nearby residents affected with ‘Diabetic Complications’

Bristol Healthcare services realized most of the employees working in rotational shifts are usually ignorant about their health status, though their risks are higher due to desk bound lifestyle.  In association with NGO we organized a special camp with the help of paramedical staff a health checkup camp.  Blood sugar Random, Blood pressure and Diabetes was checked for approximately 300 employees and +2000 residents free of charge at 12 public places around the city to spread awareness about the disease on 4th of July.

Results were given to the employees immediately and the same was mailed to the participants attached with explaining the importance of Health Checkup packages and profiles offered by Diagnostic center along with a gift coupon to undergo master health checkup to them.

Our Vice President Mr. Raymond Kelly said “An inactive, deskbound lifestyle involving lack of exercise, poor calorie management and high stress are one of the biggest contributors to diabetes. He conveyed tips to stay fit materializing exercise a habit”.  Also, he said an advance diabetes detection camp is planned to organize on November 14th, 2016. “The camp will be organized from 10 am to 1pm. We will check the blood sugar of patients and scan them for retinopathy and neuropathy ailments. Further diagnosis will also be done for free.”

Diagnostic procedures like basic checking of height, weight and blood pressure were also performed. Bristol healthcare services will also conduct similar camps in the coming days.