Medical Office Sitemap - Page 1 2016-09-26

Medical Billing and Coding
Medical billing and coding requires a complete knowledge of insurance payers and the laws and regulations of the healthcare industry.

Medical Office - Medical Billing & Coding - CPT Codes
CPT codes are used to describe outpatient procedures.

Medical Office - Medical Billing & Coding - HCPCS Codes
HCPCS codes are used to describe drugs, supplies, and procedures.

Medical Coding
Medical Office.

Use of Modifiers In Coding
Accuracy in coding with modifiers is a crucial step in maximizing reimbursement.

Online Medical Coding Course
If you are interested in a career in Medical Coding, then this is the course for you. This course is designed to be a prerequisite to prepare you for your Medical Coding education that can be obtained through a professional course, technical or trade school.

Anatomy & Physiology
Human anatomy plays a huge role in the process of medical coding.

The Best Ergonomic Chairs for a Medical Office
Best pick for ergonomic chairs in a medical office

Include These Important Elements in Your Business Plan
Organization, Marketing and Financial Elements are the three most important elements of a medical office startup business plan.

How to Meet Medical Necessity Requirements
A physician must be thorough in their notes and explanations in order to give the payer’s medical reviewers sufficient data from which to determine the necessity of a diagnosis, a set of tests, or a treatment or therapy.

What is the difference between EHR, EMR, CPR, EPR, CCR, and PHR?
In order to understand the full concept of the electronic health record, here are six terms and the definitions that help explain it all.

What is the difference between EHR, EMR, CPR, EPR, CCR, and PHR?
In order to understand the full concept of the electronic health record, here are six terms and the definitions that help explain it all.

What is the difference between EHR, EMR, CPR, EPR, CCR, and PHR?
In order to understand the full concept of the electronic health record, here are six terms and the definitions that help explain it all.

What is the difference between EHR, EMR, CPR, EPR, CCR, and PHR?
In order to understand the full concept of the electronic health record, here are six terms and the definitions that help explain it all.

What is the difference between EHR, EMR, CPR, EPR, CCR, and PHR?
In order to understand the full concept of the electronic health record, here are six terms and the definitions that help explain it all.

What are EHR, EMR, CPR, EPR, CCR, and PHR?
In order to understand the full concept of the electronic health record, here are six terms and the definitions that help explain it all.

Medical Office - HIPAA - Compliance
Any organization that accesses patient health information is considered a covered entity and is required by law to comply with HIPAA provisions or face civil and/or criminal penalties.

How to Avoid Violation of HIPAA Laws
All healthcare providers have a responsibility to keep their staff trained and informed regarding HIPAA compliance.

How to Handle Insurance Overpayments
No one wants the hassle of having an insurance overpayment. However, there is a simple process to make sure refunds are handled promptly.

Most Common Mistakes Made When Combining Modifiers
Prevent denials due to invalid modifier combinations

Medical Office - HIPAA - Privacy and Security
The privacy and security of protected health information is a major area of focus for all health care providers. Learn HIPAA guidelines on how to keep your patient's PHI secure.

Manager Resources
Here are some resources medical office managers can use regarding policies and procedures, associations, education and other tools needed to run a successful medical office.

How to Properly Dispose of Protected Health Information
Proper disposal of protected health information (PHI) and other confidential information whether paper or electronic format is a requirement of HIPAA.

The Four Points of Upfront Collections
Requesting money from a sick patient for some people seems insensitive, however, it must be understood that health care costs money.

Registered Nurse Job Description
Job Description. Medical Office.

5 Side Effects of Ineffective Communication
Incomplete or inaccurate patient records and communication breakdowns can have serious consequences for the medical office and its patients.

Diversity can improve patient satisfaction
Diversity is an environment that recognizes, values and promotes the differences of people within the Medical Office and the community.

- By Category
An index of categories in the

Small and Independent Practices
Tips for small and independent practices

Career Guide
Are you interested in a Medical Office Career? Find out more here.

8 Barriers that Hinder Change in Small Medical Practices
​The entire health care industry is changing at a rapid pace requiring the medical practice to continuously improve.

Measuring Medical Office Financial Performance - A/R Days
How do you measure A/R days? Medical Office.

How to Calculate Denial Rates
How do you measure denial rates?

How to Calculate Collection Rate
How do you measure collection rates?

FAQs - Frequently Asked Questions
Frequently Asked Questions. Medical Office.

Medical Office Industry - About.com
Explore topics such as medical billing, coding and records, privacy practices, health IT, PM and RCM, patient satisfaction, and financial management.

Glossary Terms
The medical office glossary provides a brief description about the most commonly used medical office terms.

Medical Billing
Medical Billing. Medical Office.

Medical Office - Patient Satisfaction
Customers of a medical office are not typical customers. They are patients that expect the highest quality of care and some may be in the midst of a medical crisis which requires delicate handling.

Medical Office - ICD-9 Codes - Coding - Revenue Cycle - Medical Office
ICD-9 codes are used to describe a patient's diagnosis including symptoms, diseases or disorders.

Medical Office - Medical Billing & Coding - Billing Forms
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Health Information Mgt
Health Information Management is the practice of handling the patient health record while honoring medical and legal guidelines.

E-Health Technology
E-Health refers to the latest information on technology and software innovations in the health care industry specifically related to electronic processes.

Reduce Claims Processing Time
Getting your medical claims out of the door and paid as soon as possible is every health care provider's primary goal as far as finance is concerned.

3 Technologies Critical for Patient Satisfaction
Patients are happier when they have access to health care technology

Is Epic EHR an Epic Failure?
The EHR movement has created a kind of frenzy in the health care industry. Is Epic EHR an Epic Failure?

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Annual Compliance Training
Medical Office.

Annual HIPAA Compliance Training
Covered entities must train all members of the workforce on HIPAA policies and procedures.

Patients Poisoned for Money Part 2
Medical Office Ethics

Covering Young Adults on Parent’s Plan
Covering Young Adults on Parent’s Plan

Covering Preventive Care With No Cost
Covering Preventive Care With No Cost

The Right to Appeal
The Right to Appeal. Medical Office.

Ban on Insurance Companies Restricting Emergency Room Care
Ban on Insurance Companies Restricting Emergency Room Care

Ban on Insurance Companies Limiting Choice of Doctors
Ban on Insurance Companies Limiting Choice of Doctors

Ban on Insurance Companies Limiting Coverage
Ban on Insurance Companies Limiting Coverage

Ban on Insurance Companies Dropping Coverage
Ban on Insurance Companies Dropping Coverage

Ban on Discriminating Against Kids with Pre-Existing Conditions
Ban on Discriminating Against Patients with Pre-Existing Conditions

Medicaid Adopts NCCI
All state Medicaid programs began to adopt the National Correct Coding Initiative on October 1, 2010 as required by CMS. Learn what this is and how you it will affect the processes of your medical office billing.

Part 5: Adverse Medical Events
Identifying Opportunities for Improvement in 6 Steps

Part 3: Managed Care Contracts
Identifying Opportunities for Improvement in 6 Steps

Part 4: Occupational and Environmental Safety
Identifying Opportunities for Improvement in 6 Steps

Part 2: Workflow and Productivity
Identifying Opportunities for Improvement in 6 Steps

Part 1: Patient Flow
Identifying Opportunities for Improvement in 6 Steps

Part 6: Fee Schedule
Identifying Opportunities for Improvement in 6 Steps

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8 Interventions for Novice Managers
There are many interventions to develop the skills of novice medical office managers

Being a Medical Office Manager
Being a medical office manager

Delegating Duties
Delegating duties. Medical Office.

Have a Work/Life Balance
Work Life Balance. Medical Office.

Prioritize and Organize
Prioritize and organize. Medical Office.

Improve Communication
Improve Communication. Medical Office.

Prepare for Change
Prepare for change. Medical Office.

Medical Identity Theft - The "Red Flags" Rule
The health care industry is not exempt from the consequences of identity theft. It is important to develop a process to protect your patients and your organization from the damages caused by medical identity theft.

An Overview of the UB-04 Billing Claim Form
Information on the billing form for institutional providers. How to complete a UB-04 form accurately.

The New CMS 1500 Form
What has changed on the new CMS 1500 form?

NCCI: Add-On Code Edits
NCCI add-on code edits. Medical Office.

NCCI: Medically Unlikely Edits
NCCI medically unlikely edits. Medical Office.

NCCI: Procedure-To-Procedure Edits
NCCI procedure to procedure edits

Introduction to NCCI
An introduction to NCCI. Medical Office.

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Five Steps to Improve Employee Performance
Improving medical office staff performance in five simple steps

Five Steps to Improve Employee Performance (For Employees)
Employees can improve their own performance in five simple steps

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Major Changes for the Medical Office in 2015
There were three changes that had a major impact in 2015: ICD-10, value-based payments, and EHR

12 Signs That You Have What it Takes to Be a Medical Office Manager
What does it take to be a great manager? Here are 12 signs that you have what it takes.

NCCT - National Center for Competency Testing
Billing and Coding Certifications

NHA - National Healthcare Association
Billing and Coding Certifications

AAPC - American Academy of Professional Coders
Billing and Coding Certifications

PAHCS - The Professional Association of Healthcare Coding Specialists
Billing and Coding Certifications

PMI - Practice Management Institute
Billing and Coding Certifications

AHIMA - The American Health Information Management Association
Billing and Coding Certifications

AIHC - American Institute of Healthcare Compliance
Billing and Coding Certifications

AMBA - American Medical Billing Association
Billing and Coding Certifications

Board of Medical Specialty Coding & Compliance
Billing and Coding Certifications

MAB - Medical Association of Billers
Billing and Coding Certifications

MMI - The Medical Management Institute
Billing and Coding Certifications

Four Different Payment Methods
Understanding the different methods of payment is essential for the financial management of the medical office.

Marketing Strategies for the Medical Office
Marketing your medical practice requires someone that can be realistic about market expectations, setting and accomplishing goals, etc.

Medical Office Start-Up Checklist
The process of starting a Medical Office can be a difficult task but with the proper planning, it doesn't have to be.

Medical Office Start-Up Checklist
The process of starting a Medical Office can be a difficult task but with the proper planning, it doesn't have to be.

Quality Analysis
Financial performance is the foundation that the entire organization rests on. If your finances are not where you want them to be, learn how quality analysis can be used to reach your financial goals.

Recruitment
Four HR Practices for an Effective Medical Office Staff

Effective Communication
Four HR Practices for an Effective Medical Office Staff

Staff Development
Four HR Practices for an Effective Medical Office Staff

Motivating Staff
Four HR Practices for an Effective Medical Office Staff

Tell Your Sick Employees to Stay Home
Why sick medical office staff should stay home

S is for Subjective
Using SOAP in the electronic health record

The Electronic Health Record
Using SOAP in the electronic health record

O is for Objective
Using SOAP in the electronic health record

A is for Assessment
Using SOAP in the electronic health record

P is for Plan
Using SOAP in the electronic health record

Using S.O.A.P to Prevent Medical Errors
Using SOAP in the electronic health record

EHR/EMR Software Resource Guide
Here are ten resources for your EHR/EMR software needs.

Patient's Bill of RIghts
There are eight key areas related to patient rights within the medical office.

Medicare Secondary Payer
Understanding the difference between when Medicare is primary or secondary can make billing Medicare easier for health care providers.

Medicare Advantage Plans (Part C)
Medicare Part C are Medicare Advantage Plans, also known as Medicare Managed Care Plans that provide Medicare patients an alternative insurance plan in place of traditional Medicare benefits.

ASC Billing Basics
Some basic information for billing ASC claims

Understanding Coordination of Benefits (COB)
How to determine coordination of benefits when the patient has multiple insurance health plans.

Code of Ethics
Does your Medical Office have a standard of ethical conduct?

Confidentiality
Does your Medical Office have a standard of ethical conduct?

Antikickbacks and Competitive Conduct
Does your Medical Office have a standard of ethical conduct?

Conflicts of Interest
Does your Medical Office have a standard of ethical conduct?

Marketing
Does your Medical Office have a standard of ethical conduct?

Fraud and Abuse
Does your Medical Office have a standard of ethical conduct?

Chemical Safety and Precaution Procedures
Does your Medical Office have a standard of ethical conduct?

Accounting Principles
Does your Medical Office have a standard of ethical conduct?

The Importance of Ethics in the Medical Office
Does your Medical Office have a standard of ethical conduct?

Putting Policies in Writing: EHR, HIPAA, & Risk Management
Written protocols for EHR, HIPAA, & Risk Management are important for medical office efficiency

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5 Steps You Can Use to Prepare for Healthcare Changes in 2015
Prepare for Healthcare Changes in 2015

7 Ways to Spruce Up Your Medical Office for Spring
Spring Cleaning Tips for the Medical Office

Four Ways to Operate at Top Capacity in the New Year
Improve medical office efficiency in order to operate at top capacity

Essential Skills For Medical Office Managers
With the right combination of skills, knowledge and determination, any manager can successfully lead their team to accomplish the objectives of the medical office.

Employee Safety Precautions
Just like any other organization, there are safety and health hazards that can be found in the medical office. OSHA has five guidelines and standards that will help protect the employees of the medical office.

CHAMPVA Fact Sheet
Basic information on billing medical claims to CHAMPVA

Basic Information on Billing Medical Claims to Aetna
What do you need to know about Aetna? Basic information on billing medical claims, filing appeals, and other information

Coventry Health Care
Basic information on billing medical claims to Coventry Health Care

The Basics of Health Insurance Plans
Basic information of health insurance plans is important for treating patients for an illness or injury. Becoming familiar with the types of health insurance plans that are common to the medical office eliminate problems and complications in the long run.

Insurance Verification: Avoiding Denied Claims
Insurance verification is the first and most important component to the revenue cycle. Its essential for avoiding denied claims.

Six Basic Parts of a Completed Medical Record
Depending on the level or need of care a patient has, records may vary, but all medical records will contain some common information.

15 Terms Related to HIPAA
15 HIPAA definitions and terms

15 Terms Related to HIPAA
15 HIPAA definitions and terms

8 Responsibilities of the Front Desk
The front desk staff are usually the first contact the patient has with your office.

Typical Reasons Medical Offices' Claims Get Denied
Understanding the reasons why medical claims deny can help limit the number of denials your office receives.

Benefits of Integrating to a Digital Medical Record System
Many providers have been hesitant to take on the task of converting from the paper-based medical record system to the electronic medical record. Become familiar with the difference in each system.

Medical Office Reader Questions Part I
Best Medical Office Questions

How to Create a Financial Policy for the Medical Office
The success of any health care facility depends on the strength of the medical office's financial policy. There are many categories that should be addressed; here are six of them.

Strategic Planning for a Medical Office
In any medical office there are factors that can influence the success of the organization.

6 Current Issues for Medical Office Managers
What are the most current issues for medical office managers? How can a medical office manager implement successful stategies?

National Health Observances for 2016
Attention health professionals, teachers, and community groups! Here is a list of national health care holidays for 2016

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5 Components for Effective Internal Controls
Internal controls are defined as a process designed to discourage fraud, safeguard company resources, and ensure compliance with laws and regulations. Internal controls are only effective if they are determined by the specific needs of the medical office, implemented, monitored, and measured to make sure they are functioning as planned.

5 Tips for Scheduling Emergency Medicine Physicians
EM physician scheduling tips to rid you of scheduling nightmares

Demand for Nurse Practitioners on the Rise
Nurse practitioners are primary care providers

Ten Employee Benefits
Determining employee compensation does not only involve deciding an hourly rate or pay ranges for each position within your medical office staff. Compensation also includes benefits in any form other than the salary that is paid to the employee.

Why Join? The Benefits of Joining Professional Associations
Joining a professional associations is a step in the right direction for individuals interested in enhancing their knowledge base, advancing their career, or broadening their professional network.

Type of Bill Codes
Type of bill codes are three digit codes located on a claim form that describes the type of bill a provider is submitting to a payer. Each digit has a specific purpose and is required on all UB-04 claims in field locator 4.

Five Important Front Desk Functions
Want to Be a Medical Office Receptionist?

A Typical Day in the Medical Office
The title of this article is a little misleading - there is no such thing as a typical day in the medical office.

Diagnostic Medical Sonographer
Learn more about working as a diagnostic medical sonographer in this career guide with salary information.

The Five Best Medical Office Jobs
5 Best Medical Office Jobs in 2015

What Are Virtual Medical Scribes?
A virtual medical scribe is an individual that enters patient data into the electronic health record (EHR) on behalf of a physician.

Lesson 1: Introduction to Medical Billing
If you are interested in becoming a medical biller, here is Lesson 1: Introduction to Medical Billing.

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Medical Billing : Step By Step
3 Steps for Medical Billing. Medical Office.

"Distinct Procedural Service" Now Include 4 New Modifiers
Beginning January 1, 2015, there will be 4 additional subsets of modifier 59 that provide a more specific or descriptive reason available to choose from.

verywell
verywell. Medical Office.

Medical Office - Financial Management
Financial management refers to the day-to-day operations as well as the long term direction of the medical office. There are various components of financial management from setting prices to controlling costs to accounts receivable management. A successful medical office depends on how well the organization understands the importance and purpose of financial management.

Office Furniture
Selecting the best furniture for the medical office

Physicians
Physicians play an important role in the medical office. Sometimes their role is to manage, but they also serve as a bridge between the clinical and administrative sides of the practice.

5 Fundamentals to Efficient Follow Up
Adequate staffing with proper collections training will provide the desired outcome in the collections phase

Credentialing for Physician Practices
Here are ten of the most frequently asked questions about credentialing for physician practices.

HIPAA Privacy Rule
Any organization that accesses patient health information is considered a covered entity and is required by law to comply with HIPAA provisions or face civil and/or criminal penalties.

The Pros and Cons of E-Prescribing
E-Prescribing is used to eliminate handwritten prescriptions, reduce phone calls and faxes to pharmacies, etc

Open Communication with Patients
Four Steps for Great Patient Relations

Four Steps for Great Patient Relations
Four Steps for Great Patient Relations: Appropriate Scheduling of Patient Appointments, Patient Flow, etc.

Reduce Disruptions to Patient Flow
Four Steps for Great Patient Relations

Telephone and Electronic Communication
Four Steps for Great Patient Relations

Why You Should Work Part-Time as a EM or HM Physician?
Help your growing practice stay afloat by working part-time as an emergency medicine or hospitalist physician.

When Patients Refuse to Pay
The last conversation a provider wants to have with a patient is a discussion over refusal to pay.

Lesson 4: CPT and HCPCS Codes
In order for medical claims to process correctly, there is a standard of codes used to identify services and procedures.

Hospital Bill Type 14X Redefined
Billing Medicare Laboratory Tests on Hospital Billing Claims with bill type 14X and what it means for providers.

Medicare Part A Explained in Four Parts
Medicare is split into two parts. Medicare Part A is called hospital insurance and Medicare Part B is called medical insurance.

Here is a list of 4 essential HIPAA office products
There are lots of products available to help you adhere to HIPAA rules and regulations. Here are 4 essential HIPAA office products.

Revenue Cycle - Medical Billing - Insurance Info Pages
Important information about how to bill medical claims to different insurance carriers.

Revenue Cycle - Medical Billing - Job Aids
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Online Medical Billing Course
Are you interested in becoming a medical biller? Try this free online medical billing course.

How Well Do You Know ...Medical Billing? Take the Quiz
Take the medical billing quiz now!

How Well Do You Know ...Medical Billing? Take the Quiz
Take the medical billing quiz now!

How Well Do You Know ...Medical Billing? Take the Quiz
Take the medical billing quiz now!

How Well Do You Know ...Medical Billing? Take the Quiz
Take the medical billing quiz now!

How Well Do You Know ...Medical Billing? Take the Quiz
How Well Do You Know ...Medical Billing? Take the medical billing quiz now! 8 Questions to test your medical billing knowledge.

How Well Do You Know ...Medical Billing? Take the Quiz
Take the medical billing quiz now!

How Well Do You Know ...Medical Billing? Take the Quiz
Take the medical billing quiz now!

How Well Do You Know ...Medical Billing? Take the Quiz
Take the medical billing quiz now!

Authorization Defined
What is an authorization? An authorization is an approval of medical services by an insurance company.

Three Safeguards to Reduce Risks to PHI
With the increased use of information technology in health care, your medical office must continue to find ways to maintain the security of PHI.

Medical Office Tips - Staff Issues - Training and Development
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Medical Office - Revenue Cycle - Financial Policy
The success of any health care facility depends on the strength of the medical office's financial policy. Establishing a financial policy guarantees the ability of the organization to continue to provide excellent health care to your patients.

Medical Office - Revenue Cycle - Financial Policy - Medical Office Assessment
Have you considered performing an assessment of your medical office? Focusing on your current operations allows you to identify opportunities for improvement. Usually managers and administrators only consider performing an assessment when the medical office is in financial trouble, however, an assessment can be done any time to evaluate your overall performance. Performing an assessment now can prevent costly consultant fees later.

E-mail Netiquette Guidelines
Electronic communication is becoming more popular these days than phone calls, snail mail and, even in some instances, face-to-face meetings.

12 Point Medical Record Checklist
12 Point Medical Record Checklist - A medical record is a systematic documentation of a patient’s medical history and care.

Deciding to Establish a Paper-Free Medical Office
There are many benefits to changing from a traditional medical office to a paperless one. If you are unsure, here are a few reasons you should

Becoming a CIGNA HealthCare Participating Provider
Information on Becoming a Participating Provider for CIGNA HealthCare Network and other pertinent information

Four Steps for Telephone Etiquette
Does your receptionist have excellent telephone etiquette? Here are four steps for improving customer service through improved telephone etiquette.

3 Ways to Improve Patient Billing Communication
Patient satisfaction is not just based on how well the patient views the medical treatment received, it is also how patients view communication.

Occupational and Environmental Safety
An occupational and environmental safety assessment focuses on the work environment of the medical office.

10 Responsibilities of Health Information Management
Health Information Management is the process of maintaining, storing and retrieving patient health information

Steps to Participate in an Aetna Network
Learn how your office can become a participating provider for Aetna health insurance.

Happy National Medical Biller's Day!
National Medical Biller's Day. Medical Office.

7 Disadvantages of Outsourcing Your Medical Billing
The idea of outsourcing your medical billing claims can be a difficult choice if you don't know all of the facts.

Human Resources
As everyone knows, first impressions are lasting ones. The first impressions your customers receive about your medical practice are often from your office staff making them crucial to the success of your organization.

Associations
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Education
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The Six Basic Principles of Medical Ethics
There are six basic principles of medical ethics: autonomy, beneficence, nonmaleficence, justice, veracity, and fidelity

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Denials Resolution
Most insurance carriers are required to pay the claim or provide a denial in writing within 30 days of receipt. A claim that has not processed within 30 days is subject to interest penalties, however, being paid interest is not in your goal. Your goal is to get payment as quickly as possible. Taking a proactive approach to handling denials can improve AR days substantially.

Assess Your Office Patient Flow
Determining how your patients move throughout your medical office should be one of the first areas to be assessed.

Insurance Verification: The 5 Most Important Questions to Ask
Medical Office Headlines - Medical Office Q & A - Medical Office

Why Medical Coding Should Be Accurate?
Medical coding is a major factor in obtaining insurance reimbursement as well as maintaining patient records.

The Do's and Don'ts of Medicare Billing
Here are a few simple tips to improve your Medicare billing process.These are some do's and don'ts that are commonly known to prevent billing errors.

Evaluating Medical Office Staff Performance (Guide)
Managers can measure medical office staff performance by developing and maintaining a system that measures both quality and quantity of work

The Top 5 Most Common Billing Mistakes
Improve the financial performance of your revenue cycle by identifying and correcting the most common medical billing mistakes.

Medical Office - Customer Service - Patient Satisfaction
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Improve AR Days With Claim Follow-Up
Once the bill has been received by the insurance company, you do not have to be at their mercy to get paid in a timely manner. Follow-up on your outstanding claims and improve the time it takes to get your claims paid.

Handling NSF Checks
Receiving a non-sufficient funds or NSF check is simply something out of any organization’s control unless you decide that you will not accept them at all.

Patient Complaints
In the healthcare field, the patient is often left with no other option but to file a complaint against a healthcare worker.

Medical Office Tips - Understanding HCPCS Codes
In order for medical claims to process correctly, there is a standard of codes used to identify services and procedures. HCPCS codes are an important billing component.

Guide to Understanding Claims Adjudication
Claims Adjudication refers to the determination of the insurer's payment or financial responsibility, after the member's insurance benefits are applied to a medical claim.

The Do's and Don'ts of Patient Collections Practices
Maintaining excellent customer service while still offering excellent customer can be a challenge. Learn the do's and don'ts of patient collections practices.

Strengthen Your Medical Office Staff
Your medical office staff is your greatest asset but what happens when they are not operating at 100%? Learn how to strengthen your medical office staff.

Medical Office Manager Job Description
Medical Office Manager

What Is a Claims Adjudication in Medical Offices?
Claims Adjudication refers to the determination of the insurer's payment or financial responsibility, after the member's insurance benefits are applied.

Medical Office - ICD-9 Codes - 240 thru 279
Endocrine, Nutritional and Metabolic Diseases, and Immunity Disorders

Medical Records Clerk Salary - Job Description
Medical records clerk job description, education and salary.

What is a Rejected Claim?
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Remittance Advice
What is a remittance advice? A Remittance Advice (RA) is a document supplied by the insurance payer...

Medical Office - Hiring Tips - Job Descriptions - Medical Office Jobs
Job descriptions should clearly define the responsibilities of the specific job. It is a significant tool necessary for the success of your organization. Here are a few basic medical office job descriptions you can use to aid you in developing job descriptions that are geared to your facilities needs.

Medical Terminology
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Medical Office Careers - Administrative
Administrative careers are those that do not consist of direct patient contact

Medical Office Careers -Clinical
Clinical careers include jobs that provide direct patient care

UB-04 Medical Office Definition
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Most Commonly Used Medical Procedure Codes
Medical coding is a major factor in obtaining insurance reimbursement as well as maintaining patient records.

Medical Biller - Description and Duties of the Job
Responsible for the timely submission of technical or professional medical claims to insurance companies.

Preparing the CMS-1500 Form - Medical Office Billing
Getting your professional fees billed and paid should not give you a headache. Learn how to properly prepare the CMS-1500 form.

Do You Need to Hire a Medical Office Manager?
Here are four questions you need to ask before hiring a medical office manager:

Claims Follow Up
There are lots of things your medical office can do to prevent delays in claim processing and in some instances result in a higher reimbursement. Claims follow up leads to consistent outcomes in your efforts to collect revenue.

Upfront Collections
The fastest way to increase cash flow and improve collection rates is to collect patient responsibility up front. Patients are less inclined to pay or are difficult to reach once the services have been performed. Rather than waiting until the collections stage of the revenue cycle, providers should take advantage of discussing financial issues and collecting patient payments early in the process.

Insurance Verification
The revenue cycle should begin prior to the patient’s arrival. As soon as the appointment is made, the patient’s insurance information needs to be verified. Because insurance information can change at anytime, even for regular patients, it is important that the provider verify the member’s eligibility each and every time services are provided. There are many benefits to obtaining insurance verification prior to the patient's arrival.

Medical Office - Revenue Cycle - Payment Posting
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Practice Management and Revenue Cycle Management
Managing the revenue cycle efficiently is no easy task and requires your constant attention. Each phase of the Revenue Cycle - from the moment a patient is scheduled for an appointment until the time payment is received from the insurance company - is equally important to maximizing insurance reimbursements. It is vital for the financial stability of the hospital or physician office to have a process in place for each phase of the revenue cycle.

The Value Agenda
The value agenda is the concept of improving patient care while reducing healthcare costs

Simple Steps to Appeal a Medical Necessity Denial
There are many reasons for insurance carriers to deny an insurance claim. There is always the option of filing an appeal.

Hosting Effective Medical Office Meetings
Many times meetings can become ineffective when there isn't enough planning involved to accommodate time limitations it is not properly organized.

Cheat Sheet for Medical Billers
Creating a cheat sheet for your medical office staff can help to make billing and collecting payments a lot easier.

The Role of Accounting in the Medical Office
As the backbone of the organization, the accounting department allows the organization to operate at its fullest potential.

Guide to Learning About Medical Terminology
It is important to have a working knowledge of medical terminology in order to effectively fulfill your duties in a medical setting.

United Healthcare and Medical Billing
Basic information on billing, followup, and collections of United Healthcare medical claims.

Career Guide: Medical Office Managers
Medical Office Managers generally handle the business of healthcare depending on the size of the facility, the level of responsibility and job title.

7 Advantages of Outsourcing Your Medical Billing
The idea of outsourcing your medical billing claims can be a difficult choice if you don't know all of the facts.

Medical Office Insurance Verification & Authorization
Denied claims due to unauthorized patient procedures or services can be a major loss in revenue that should not be taken lightly.

ICD-9 Coding Overview
ICD-9 codes are used to describe a patient's diagnosis including symptoms, diseases or disorders.

3 Golden Rules to Medical Office Management
The manager can accomplish the goals of the organization from the medical office aspect using various tactics.

HR Tasks for Medical Office Managers
A manager has several roles to perform within a medical office. Human resources tasks are high on the list of things to do.

Medical Office - Health IT - Billing Software
Learn about how billing software can assist in every aspect of your organizations billing efforts.

Medical Office - Medical Billing - Quick Tips
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Professional vs Institutional Medical Billing
There are two different types of billing - professional billing and institutional billing.

4 Challenges of Managing a Medical Office
What are some challenges medical office managers have faced recently? How can they be resolved?

A Model for Patient Satisfaction
When creating an office standards index or policy and procedure manual, the office manager should consider every aspect of patient care.

4 Key Areas to Measure Success
If you can't measure it, you can't manage it. Here are four key areas to measure medical office success.

Lesson 3: Medical Claims Processing
Lesson 3: Medical Claims Processing Billing electronic and paper claims

The Basics of MedPay Reimbursements
Med-Pay is a form of liability insurance coverage that pays all or part of an insured driver's medical claim for injuries sustained

Medical Office Receptionist Job Duties
Medical Receptionist: a person employed in a medical office responsible for performing basic clinical, administrative and office support.

Does E-Prescribing Actually Save Time and Money?
E-Rx is used to eliminate handwritten prescriptions, reduce phone calls and faxes to pharmacies, and quickly generate refill requests and authorizations.

Medical Office - Professional Associations - Medical Office
POMAA offers membership to medical office managers and practice administrators with resources that provide certifications, compliance, networking and education.

HIT Recruitment Tactics
Guest Author Megan Cordell gives insight into gBench and what it offers to Health IT.

Radiology Technicians
Find out more about a career as a radiology technician in this guide with salary information.

Medicaid
Medical Office.

Medical Office - Medicare and Medicaid Programs - Government Health Programs
Medicare and Medicaid are health programs coordinated by Centers for Medicare and Medicaid Services or CMS.

Medical Office - Medicare - General Information
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Fraud Prevention
Over the years, Medicare has been proactive in its efforts to bring awareness to Medicare fraud, a national problem that costs the program millions of dollars each year. The Medicare program relies heavily on a number of sources to assist them in the detection and prevention of Medicare fraud including professionals of the healthcare industry.

Medicare Deductible, Coinsurance and Premium Rates
Updates for Medicare Deductible, Coinsurance and Premiums for 2016 for collecting upfront collections

Help Prevent Medicare Fraud
Help Prevent Medicare Fraud - Antikickback laws, special fraud alerts

A New Plan for Medical Office Success
Here are four ideas to guide your medical office to success

Sample Billing Letters - Balances Less than $250.00
Here are three sample billing cycle letters for patient's with balances less than $250.00.

Implementing a New Information System
Selecting an information system (IS) in a healthcare organization takes time and planning. Here are factors to consider when making this decision.

Avoid Violating HIPAA by Preventing Privacy Breaches
Privacy breaches of protected health information continue to be a problem for the entire health care industry.

5 Ways to Maximize Insurance Reimbursements
It is important to be aware of all aspects of the revenue cycle and how it can impact your insurance reimbursements. This article gives great advice on ways to effectively manage the revenue cycle in order to maximize your insurance reimbursements.

5 Benefits of Accurate Payment Posting
Accuracy in payment posting can have a major impact on the success of the revenue cycle.

Guidelines for Setting Up a Medical Office
Starting a medical practice starts with these key areas

Informing Patients of Medical Privacy Rights
Health care providers have an obligation to provide their patients with a Notice of Privacy Practices. Learn more about what you need to do to be HIPAA compliant.

Medical Office HR - Recruiting - Recruiting a Successful Medical Office Staff - Medical Office
Recruiting a successful medical office staff is an important responsibility. Customers of a medical office are not typical customers. They are patients that expect the highest quality of care and some may be in the midst of a medical crisis which requires delicate handling. Not only is it important for the staff to have certain professional skills and strengths, it is imperative that they understand that patient lives are reliant on the quality of their work. Effective planning is essential for recruiting success.

Medical Office - Human Resources Management - HRM
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6 Areas of Focus for Practice Management Success
It is often a misconception that practice management is about managing the office of a medical practice, however, practice management is multidimensional

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Minimizing Patient Dissatisfaction Due to Wait Time
Extensive wait times can be frustrating for patients and may be responsible for reducing patient retention.

The Importance of Learning Medical Office Terminology
The importance of knowing common medical office terms.

Budget Cuts Impacting Medicare Claims
The federal budget sequestration cuts impacting Medicare claims went into effect on April 1, 2013 - April Fools Day - but it was no laughing matter.

Medical Office Staffing and Job descriptions
The first impressions your customers receive about your medical practice are often from your office staff making them crucial to the success of your organization. Know what skills are important when hiring your medical office staff.

The Complex Puzzle of Scheduling
The challenges of emergency physician scheduling

Basics of Appealing Denied Medical Claims
If you haven't considered appealing your denied claims or are having trouble getting them paid, here is some important information that you can use to assist you in developing a new process.

Examples of HIPAA Privacy Breaches
Don't let any of these social media breaches happen to you...

Medical Office Accounts Receivable Management
Improving the financial position of your medical office depends on how well you manage your accounts receivables.

Medical Office - Accounts Receivable Management Page 2 - Financial Policy
Improving the financial position of your medical office depends on how well you manage your accounts receivables. Page 2.

How to prepare for a Medicare audit
Pass your next Medicare audit with flying colors....

Patient Registration Form Template
This registration form template lists the information that the medical office needs to include when creating a registration form.

Sample Billing Letters - Balances Greater than $250.00
Here are four sample billing cycle letters for patient's with balances greater than $250.00.

Coding Outpatient Procedures
When providers fail to comply with the coding requirements that are necessary for billing outpatient procedures, the chance for improper billing is increased.

Medical billing staff
Submitting clean claims to insurance and government payers are the responsibility of medical billers also known as the

Basic Rules for Medical Coding
Learn the basic rules of medical coding

EHR
EHR or the Electronic Health Record is one of the most important advancements in health information technology.

E-Prescribing
E-Prescribing refers to health information technology that utilizes electronic systems to assist in the ordering of prescriptions.

M-Health
M-Health refers to health information technology that utilizes mobile or wireless systems to provide remotely accessible health care systems.

Telehealth
Telehealth refers to health information technology that utilizes a number of applications to provide remotely accessible health care services.

Medical Office - Compliance
Welcome to Medical Office Compliance!

Medical Office Manager
Welcome to Medical Office Manager! Here you will get the basics of how to successfully manage a Medical Office.

Starting Your Own Medical Office (Practice): Checklist
Welcome to the Start-Up Medical Office Checklist!

Medical Office - Health Information Management - Electronic Health Record
EHR or electronic health record is the digital format that permits patient health records to shared quickly among other health care providers and insurers.

Coding Solutions
Medical Office.

Medical Office - Health Information Management - HIM Standards
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Lesson 1: Introduction to Medical Coding
Lesson 1: Introduction to Medical Coding

The Basics of Medical Coding
Medical coding is important for the billing and communicating between providers and insurers.

Nuclear Medicine Technologist
Take a look at what it takes to be a nuclear medicine technologist in this career guide.

Medical Office - Career Guide - Medical Assistants
Learn more about a career as a medical assistant.

Medical Office - Registered Nurse Job Description - Medical Office Jobs
Learn more about working as a registered nurse with this job description and salary information.

Medical Biller Salary - Medical Office Careers
Learn what it takes to be a medical biller at a hospital with this job description and salary information.

Patient Access Services
The cycle of a patient account originates with the initial entry of patient demographic information.

What are the job duties of an RHIT?
Registered Health Information Technician (Noun): a person employed in a medical office responsible for assembling, organizing, and maintaining healthcare information.

Medical Office Reader Questions Part II
Best Medical Office Questions Part II

Has ICD-10 Caused More Claims to Deny?
New ICD-10 coding system causing claims to deny

Medicare Advance Beneficiary Notice
It is important to know when it is necessary to use a Medicare ABN and the responsibility of a health care provider to it's Medicare patients.

Coding, Billing and Collection Practices
Coding, billing, and collections are important to a thriving medical facility no matter the size or specialty.

Managed Care Contracts
An assessment of managed care contracts give the medical office the opportunity to determine whether the provider agreement is fair, competitive and up-to-date. Knowing the current condition of the managed care contracts allow the Medical Office to consider several options.

Evaluating Staff Workflow and Productivity
Workflow and productivity is essential to the success of the medical office. A streamlined workflow will naturally improve employee poductivity. A medical office without efficient ways to perform necessary job duties cannot perform them effectively.

Fee Schedule Analysis
The fee schedule is one of the most important financial tools utilized by the medical office. This file not only reflects the value of the services provided by the physicians but also sets the foundation for profitability.

Communication Techniques and Practices
So, what does effective communication look like in the medical office setting?

Medical Office - Successful Managers
A successful leader communicates clearly, completely, and effectively. The importance of this cannot be overstated, especially in a medical setting as often times the needs of a medical office are time sensitive.

Definition and uses of an Advance beneficiary notice (ABN)
An ABN or Advance Beneficiary Notice is a notice Medicare requires for health care providers to issue to Medicare patients as a definite way to aware them to the fact that Medicare may not pay for certain services or tests prior to having the services or tests performed in an outpatient setting.

Patient Handouts
The best way to inform patients and provide them with important information is to put it in writing. Here are 5 handouts that every medical office needs to give out to new patients.

Social Media
If you haven't done so already, it is time to update your medical office policies to include the use of Social Media for both personal and professional use.

EHR and Meaningful Use
The expansion of health information technology is important to the improvement of the health care industry as a whole. Health IT which includes the electronic health record (EHR) enables health care providers to effectively manage patient care through the use and sharing of patient records.

E & M Codes in Layman's Terms
Evaluation and Management or E&M codes are the most commonly used billing codes.

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Medical Coding: Step By Step
One major responsibility of a medical coder is to transform the information in medical records into diagnosis and procedure codes for billing.

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Medical Office.

Free Resources for Health Professionals
There are many free resources available to health professionals and medical office staff. Take advantage of these great opportunities.

Creating 5 Star Customer Service
Remember that 5 star service is a state of mind. The best can do for your patients is give the very best you have to offer to every patient every visit.

CPT Codes by Category
Procedure Codes. Medical Office.

Medical Office Survey Toolkit
Safety culture surveys are great tools to open awareness about any issues within a medical office that can lead to situations that can harm a patient.

Telehealth Technology
Telehealth services allow providers to take part in a nationwide effort to improve the quality healthcare, prevent medical errors, reduce cost and increase access to health care for many Americans.

Medical Billing Course - Lesson 6: Take the Quiz
Medical Billing Quiz

The Switch to Electronic Medical Records
Paper to Electronic in 1-2-3 Steps

Selecting an EMR Vendor
Paper to Electronic in 1-2-3 Steps

EMR Implementation
Paper to Electronic in 1-2-3 Steps

Advice for the Novice Diagnosis Coder
A brief overview of diagnosis coding

Process Improvement
Process Improvement. Medical Office.

Take Action Quickly
Take Action Quickly. Medical Office.

Monitoring Activities
Monitoring Activities. Medical Office.

Potential Impacts
Potential Impacts. Medical Office.

Tips for Getting Your Aged Accounts Paid
Getting aged accounts paid can be done but there are still some time restrictions so time is of the essence.

Using Social Media in Healthcare Marketing
Advances in electronic communication technology have provided additional outlets for healthcare providers to market to potential customers.

The Role of Telehealth in the E-Health Movement
Telehealth has the potential to transform the health care industry in many ways

5 Ways of Securing Patient Data
Here are some tips and products that can help to secure patient data in the medical office.

Where are We Now? Health Care Reform
Where are We Now? Health Care Reform

There's An App For That
3 Easy to Use Medical Office Apps

Third Party Negotiation: An Alternative to Debt Collection Agencies
an alternative to sending medical bills to a collection agency - third party negotiation

How to Fire an Employee the Right Way
Here are 5 guidelines you need in order to fire your employees the right way.

The Basics of Resolving Medical Office Conflict
The medical office is not exempt from conflict situations. Part of a medical office managers job is being able to recognize and resolve conflict situations.

Don't Let Dysfunctional Conflict Cycles Ruin Your Practice
People handle conflict in many different way. Without proper guidance, many people resort to knee jerk reactions in conflict situations which can escalate the problem.

Radiation Therapists
Career Guide

Medical Office Tips - Medical Office Software - Health Information Management - Medical Office
The time has come to upgrade your old paper-based medical record system to the electronic health record (EHR). Learn how you can make the best choice for your organization.