Medicare, Medicaid, and third-party commercial insurers employ the concept of a global surgical package when reimbursing surgeons for specific medically necessary services that they provide to patients under their care. What this means is that certain services are incidental to the main procedure, or that they are considered an integral component of that surgical procedure. […]
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An ambulatory surgical center (ASC) is a healthcare facility that is dedicated to providing medically necessary surgical services to a patient in the outpatient setting. ASCs are paid according to a unique set of regulations and standards under the Medicare program, under Medicaid, and under contractual agreements with private commercial health insurers. This article focuses […]
Medical billing and coding for skilled nursing facilities (SNFs) seems complicated at first. Reimbursement for services received in an SNF are subject to an increasing number of regulatory restrictions, beginning with the Balanced Budget Act of 1997. In an effort to reduce potential fraud and abuse due to double billing by healthcare providers, SNFs currently […]
Medical billers are the professionals responsible for the cash flow of a medical practice. They are knowledgeable about insurance regulations, health insurance contracts, medical coding, and bookkeeping. Medical billers spend much of their work day on the computer and the telephone. Medical billing is the act of communicating with third party payers what services were […]
Professional medical billers have mastered the specialized language of medical code, and this code is based on the language of medicine. Medical billers and medical coders need to comfortable using and understanding medical terms in order to apply the correct codes to describe services delivered to patients. Medical language is precise. Each of the specialized […]
