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Insurance Eligibility Verification Service is an essential front-office process whereby a patient’s insurance eligibility/ insurance coverage is verified to know the extent of benefits a patient is eligible for under their insurance plan. The verification has to be done thoroughly and accurate details obtained. The amount of co-pay that the patient has to bear can be determined through proper insurance verification. Hence it is best to carry out this verification before the patient visits the physician.

At Bristol Healthcare Services, our team of billers will verify the patient’s health insurance and note all the information necessary that will enable us to prepare clean claims. Next, we check with the payor regarding the insurance coverage, the current status of the policy and then follow-up with the patient. (more…)



What is Medical Coding?

The AAPC defines medical coding as “the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.” The codes for recording diagnoses and procedures are decided based on medical records, such as transcription of physician’s notes, laboratory and radiologic results, etc. Medical coding services are carried out by professional coders who are certified.

Why is coding needed?

Even for a simple visit to the doctor, symptoms are recorded, procedures are performed and prescriptions for medicines are made out. All of this information is coded by professional coders. As illnesses get more complicated, the amount of data to be conveyed to payors is much more. Medical coding enables the efficient transmission of vast amounts of data. Moreover, it allows for uniform documentation of illnesses and treatments between medical facilities. Federal agencies use coding to track the prevalence of diseases. (more…)


4 smart ways of billing to increase revenue for Pediatricians

The American Academy of Pediatrics (AAP) has defined pediatrics as “the specialty of medical science concerned with children’s physical, mental, and social health from birth to young adulthood.

“Pediatric care encompasses a broad spectrum of health services ranging from preventive health care to the diagnosis and treatment of acute and chronic diseases. Pediatrics is a discipline that deals with biological, social, and environmental influences on the developing child and with the impact of disease and dysfunction on development”.

Hence pediatricians deal with numerous conditions, procedures, treatments, and preventive healthcare. Pediatrics is a high volume specialty, with pediatricians seeing 30-40 patients per day during the flu season. As the profit margins are thin, pediatrics billing mistakes can cost the practice dearly. (more…)