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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…)

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How payment posting is an analytical tool in medical billing

The medical revenue cycle is a long and complex process. At the end of a medical billing cycle, a patient’s payment records are posted in the patient’s account. Payments can be from both patient and payor. This stage of the billing cycle is called payment posting. Although appearing to be a simple task, accuracy and attention to detail are required besides being time-consuming.

Payment posting will reveal if there are under-payments by payors. Payment for every line item should be closely monitored for issues. Appropriate and immediate action should be taken to resolve the problems. (more…)

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What are the major challenges in physician credentialing?

Credentialing is the process of checking a provider’s competency, as demonstrated by education, training, licensing, and work experience. The Credentials Verification Organization will directly ascertain the medical provider’s education, training, licenses, work history and malpractice history.

Physician credentialing is essential to all parties in the healthcare industry. Hospitals and clinics are guaranteed quality care from the physicians they hire. Physicians, when credentialed, can become part of an insurance company’s network. Medical Credentialing assures patients that the healthcare industry is maintaining the highest standards of care. (more…)

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