Marketing Strategies and Good Business for Physicians

Marketing Strategies & Good Business Practice for Physicians (Part 1 of 2) By: Andrew Eriksen Published in Medical Exchange In the turbulent healthcare climate we currently live in, it is more important than ever that physicians focus on growing their business and building patient loyalty. This fact takes me to my first point in incorporating […]

Can a Doctor bill under another Doctor? (Incident-To)

what is caqh used for

Wow, this question must come up at least 3 times a week in conversations about expediting the credentialing/enrollment process. Here is an article that we wrote covering this topic. It is possible, depending on your relationship with a commercial insurer, to obtain authorization from them to bill under a supervising physician. This is rare but […]

How Your Practice Can Prepare for Medicare RAC Auditors

There are only three scenarios in which a Medicare Recovery Audit Contractor can utilize an automated review to determine if a claim paid to your practice was an overpayment. If you know what these three scenarios are, your practice can better predict the likelihood of Medicare RAC auditors sending a demand letter to your mailbox. […]

The Benefits of Outsourcing for Hospital Credentialing

time and money illustration

Hospital credentialing is the most intensive credentialing process for medical providers, repeated more frequently than other credentialing standards and involving more organization contacts and supporting documents. The amount of staff time and the expense of researching every medical provider can be heavy, draining resources from other administrative functions, and requiring experienced staff and access to […]

When and How to Bill Using the Locums Q6 & Q5 Modifier

medicare credentialing retroactive

We wrote this article to help you understand when and how to correctly bill Q6 Locum modifier and Q5 Reciprocal Billing modifier and if it’s appropriate to bill incident-to or with a locums modifier during the credentialing process.

Employee Salary vs. Exempt

contract negotiation

Here is an excellent article provided to through our partnership with the payroll service we use (ADP). You do not want to make a decision that will wind up with you in a lawsuit requiring you to pay penalties and overtime due to an employee. This is something to consider when setting up your new […]

Guidelines when outsourcing your billing office

Many of our clients outsource their billing office to a third party but not all of our clients have had a good experience with this. Unfortunately, many companies cut corners and hire workers (or don’t hire enough workers) who are uneducated in your specialty and ill equipped to handle the demands of your office. If […]

DMEPOS Application Essentials

Here are a few key things to remember when submitting an application to enroll your business in the DMEPOS (Durable Medical Equipment and Prosthetics/Orthotics). The applications required for enrolling a business or new location are 855s, CMS588 Remember that you need to send a complete application in for each new service location regardless if your […]

Healthcare Reform Declared Unconstitutional by Florida Federal Judge

Affordable care act

Today, 1/31/2011, a federal judge in Pensacola, Florida declared the Healthcare Reform Law unconstitutional. Specifically, he pointed to the individual mandate requiring citizens to purchase healthcare coverage as unconstitutional and that Congress exceeded the bounds of their authority under the constitution. You can view the full ruling here: Federal Judge Declares Healthcare Reform Unconstitutional

Conversion Factor Fee Calculator Now Available

contract evaluation tools

Understanding the Conversion Factor and how it Affects Your Fees Ever read an insurance contract and wish you had an easy way to understand exactly what you are getting paid and how it compares to Medicare. This tool will quickly tell you what the fee is you can expect along with how it compares to […]