Legal Management Software Programs for Small Law Firms #billing #software #for #attorneys


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Legal Practice Management Software Programs for Small Law Firms

Bill4Time is a time and billing software for any company that bills based on hourly rates, although Bill4Time has an industry-specific legal edition for attorneys. Bill4Time’s legal billing software features include America Bar Association (ABA) Task Codes, conflict of interest checking, trust accounting, and trust reporting. More

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Clio is a practice management, time and billing and client management software for small law firms and practicing attorneys. Clio features legal calendaring, task management, time tracking, trust accounting and document management. Clio is a cloud-based law firm software so your data is stored on the company’s servers. More

HoudiniESQ is a legal practice management software targeted to law firms that seek a single integrated software solution to run both MAC and Windows operating systems. HoudiniESQ features include client management, email management, invoicing, trust accounting, and customizable workflow automation. You can choose between running the desktop version of HoudiniESQ or a cloud-based solution. More

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Legal Files is a case and matter management software that is used by law firms, insurance companies, governments, ​and universities. Legal Files features matter management, litigation management, file notes, response tracking, document text searching, automated task scheduling and phone messaging. More

MyCase is a web-based legal practice management software. MyCase offers a secure client portal, communications tools so you can send messages to clients or staff, activity streams and online payment processing. MyCase also has certified consultants who can assist clients with using the legal practice management software. More

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Needles is a legal case management software for attorneys and small law firms. Needles features include billing, contact management, case status and reporting. Needles also maintains a list of local hardware vendors and other legal service vendors on its website if you need help installing, implementing or using this software. More

PCLaw is a client, matter, billing and legal program from LexisNexis Practice Management solutions. PCLaw features contact and client management, case and matter management, billing, trust accounting, and law firms accounting modules, such as cash, accounts receivables, and accounts payable modules. You can add payroll processing and credit card processing for additional fees. More

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ProLaw is a legal practice management software from Thompson Reuters. ProLaw s program includes court docketing, legal calendaring, document assembly, time and expense tracking, budgeting, billing and contingency analysis and disposition. You can add on other legal modules such as electronic billing, Westlaw legal calendaring rules, Westlaw Litigator Integration and Westlaw QuickView to enhance the functionality. More

Rocket Matter is a law practice management software for small law offices. Rocket Matter features include the ability to work from iPads, Macs, PCs, and smartphones. Rocket Matter also works with Dropbox for file synchronization, Gmail for email, Skype for video conferencing, and QuickBooks for accounting. More

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Tabs3 Billing is a legal billing software for attorneys. Tabs3 Billing features include time tracking, customizable billing statements, client status reports and advanced compensation formulas to calculate what each law partner has earned. More

Timeslips is a legal time and billing software by Sage. Timeslips features include legal invoicing, billing and time-tracking. You can also add on electronic billing delivery, accounting integration, and enhanced timekeeping functionality for additional fees. More

Time Solve Legal is a web-based time, billing and project management software for law firms. Time Solve Legal features include multiple timers, conflicts management, trust accounts, Uniform Task-Based Management System (UTBMS) and performance monitoring reports. You can also outsource your legal billing processes with TimeSolve Legal. More

Total Attorneys is a practice management software for attorneys and law firms. Total Attorneys features bank-grade security, document storage and sharing, conflict interest checking time management, billing and payment processing. Total Attorneys also offers marketing and leads and an appointment engine for law firms to help you build your legal practice. More

TurbowLaw Time and Billing is a legal time and billing software. TurbowLaw Time and Billing features include a stopwatch, automatic time entry to client’s records, built-in PDF Creator and customizable bills and statements. TurbowLaw Time and Billing is specifically designed for small law firms. More


How Much Do Medical Billing Services Cost? #medical #billing #service #rates


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♦ Expand your practice.

♦ By new medical equipment.

♦ Increase your take home pay.

These are the types of returns you can expect from your investment in billing services that get you maximum reimbursements.

We ll make sure you collect ALL that s due to you on every claim.

How do we do this? By using our proven 9 step Rapid Revenue Recovery System that we developed to consistently keep our clients Accounts Receivable down and their revenue flowing.

This worked great with a large medical practice that came to us for help was having problems paying their bills, they had to take out loans to meet payroll and the doctors had not been paid in a while.

We started working and put systems in place to manage the billing process. Within a few months of taking over their billing the bills were starting to get paid, there was money for payroll and the doctors started to get paid. Today that practice is successful having expanded, bought new equipment, added Electronic Health Records and hired more doctors.

Hidden Costs Behind Low Fees

If you’ve talked to other billing companies, you know that fees can vary widely. Some charge as low as 3% of collections for their medical billing services.

How can they charge that low?

Typically its becasue they hire unqualified staff and don t follow up on claims. Claim follow up requires staff time and is costly. Cutting corners saves them money but costs you more in uncollected claims.

Then what s the real cost?

Once you factor in the money they don t collect, your REAL fee can be upwards of 15-20%.

If you still prefer a company with the absolute lowest fees, we’re probably not the right company for you.

But if you are seeking maximum reimbursement on claims for the hard work you have done, we can help.

Medical Billing Services

Medical Billing Specialties

From The Blog

Scanning medical records makes retrieval fast and easy for medical staff WASHINGTON, DC A major problem in the physicians’ office is storage of medical records. These medical records run the gambit from medical billing records such as EOBs, encounter forms, patient registration forms and insurance cards to full thick medical charts. Boxes and piles of Continue Reading

Do you have too many insurance claims over 120 days? Last month we asked the question, How is your medical billing department doing? Are they collecting the money due you? We showed you that the best way to determine this was by the use of accounts receivable reports from you practice management computer system. The Continue Reading

How Is Your In-House Medical Billing Department Doing? Do you know how your medical billing department is doing? Most physicians would say “ay.” But how can you be sure? The only way is to receive insurance aging reports on a monthly basis from your billing department. These reports will show you how long it’s taking Continue Reading

Medical Billing Services

Medical Billing Specialties

Capture Billing


Medical Billing Clerk Salaries by education, experience, location and more #medical #billing #and #coding #schools


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Medical Billing Clerk Salaries

Alternate Job Titles: Medical Biller, Medical Billing Clerk

  • What is the average annual salary for Medical Billing Clerk?

      How much does a Medical Billing Clerk make? The median annual Medical Billing Clerk salary is $36,255. as of June 28, 2017, with a range usually between $32,814 – $39,858. however this can vary widely depending on a variety of factors. Our team of Certified Compensation Professionals has analyzed survey data collected from thousands of HR departments at companies of all sizes and industries to present this range of annual salaries for people with the job title Medical Billing Clerk in the United States.

      This chart describes the expected percentage of people who perform the job of Medical Billing Clerk in the United States that make less than that annual salary. For example the median expected annual pay for a typical Medical Billing Clerk in the United States is $36,255, so 50% of the people who perform the job of Medical Billing Clerk in the United States are expected to make less than $36,255.

      Source: HR Reported data as of June 28, 2017

      • About this chart

          This chart describes the expected percentage of people who perform the job of Medical Billing Clerk that make less than that salary. For example 50% of the people who perform the job of Medical Billing Clerk are expected to make less than the median.
          Source: HR Reported data as of July 2017

          Responsible for reviewing, researching, coding, and generating third party billing for a medical facility. Completes and verifies ICD-10 coding. Inputs and maintains all payment records in database or systems. Performs basic customer service for routine patient or other inquiries. Requires a high school diploma. Typically reports to a supervisor or manager. Possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. View full job description


      MedReceivables Advisor, LLC is a full service outsourcing medical billing company #medical #billing, #accounts #receivable


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      Serving Hospital-based Physicians

      Hospital-based medical practices have unique billing needs requiring specialized knowledge, effective organization and the highest level of personal service for physician groups. MedReceivables Advisor, LLC is a full service outsourcing medical billing company for the hospital based physician. Our company provides complete accounts receivable management services for hospital-based physicians.

      The MedReceivables Difference

      MedReceivables Advisor, LLC distinguishes itself from other medical billing companies by specializing in serving only hospital-based medical practices, delivering professional service of the highest caliber that is focused on maximizing profitability for each of our clients. We have extensive experience working on behalf of pathologists, radiologists and emergency room physicians, as well as other medical specialties. Recommendations from existing hospital-based physician clients are our primary source of new business, which we believe speaks volumes. Our company is comprised of experienced CPAs and MBAs who assist in optimizing your revenue, managing your managed care agreements and effectively billing your services to third-party payers and private patients. With 40 years of combined experience in medical billing management for hospital based physicians, we provide the expertise, convenience and economy that sophisticated medical practices demand. The firm’s Director of Operations David Smith, MBA, and founder Donald Cohen, CPA, welcome one-on-one client meetings and the opportunity to know their clients personally.

      Your Peace of Mind

      We invest in the latest technology, maintain redundant failsafe servers and off-site back-up. Our offices are located in our own building in the attractive Newport Commerce Center in Deerfield Beach, Florida, near the SW 10th Street exit of I-95. We are diligent about updating our emergency back-up plans. In regard to compliance issues, we engage an external auditor and compliance firm to conduct monthly audits of our coding and billing procedures. Updates are provided for Medicare/Medicaid billing, as well as for compliance management.

      ©2015. All Rights Reserved. MedReceivables Advisor, LLC is a full service outsourcing medical billing company – Privacy Policy & Disclaimer

      Securities & Advisory Services offered through World Equity Group, Inc. 800-765-5004 Member FINRA/SIPC

      MedReceivables Advisor Financial Management and World Equity Group Inc. are not affiliated by ownership. Tax advice provided by CPA’s affiliated with Medreceivables.


      Medical Billing Fees – Pricing for Physicians Billing Service #medical #billing #soft, #medical #billing #fees


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      Medical Billing Fees
      for your Physicians Billing Service

      Medical Billing Fees and Services. Don’t set your fee until you estimate your costs. Typical fees and pricing strategies for you medical billing business. We share a helpful pricing guide we have discovered in pricing your physicians billing service below.

      Here we discuss some of the options for setting fees, what to consider, the different options and pricing structures, and offering additional services.

      Before offering a price quote for your services, it’s very important to consider your costs, otherwise you could be locked into a business arrangement where you make little or no money. Believe me, I’ve made this mistake before and it can be extremely frustrating.

      For one of my early clients, I was so anxious and excited to have a client, I didn’t anticipate the time and costs of offering services in setting my medical billing fees. Because we did a good job, I was able to eventually convince the physician that we were deserving of a higher fee, but I was considering letting the client go if we couldn’t negotiate a better fee because we cleared so little on this practice.

      Medical Billing Services
      There’s typically two levels of service most billing services offer. Of course there are variations of these:

      • Patient eligibility and authorization
      • Entering patient demographics and claim information
      • Submitting claims and printing paper claims
      • Submitting secondary claims
      • Follow-up on unpaid claims and appeals
      • Monthly patient statements
      • Answering patient billing inquires
      • Monthly reporting
      • Posting insurance and patient payments
      • Soft collections

      Submitting claims either electronically or paper CMS-1500. A variation of this would involve follow-up of unpaid claims.

      There’s also additional services to be offered such as insurance aging projects from unpaid claims. You would be surprised how many practices have aging that is out of hand. Other services to offer are evaluation of superbills for current codes, office assessment for HIPAA compliance, credentialing, and sending out appointment, birthday, and thank you cards.

      If you are knowledgeable and experienced in coding or transcription, there are other services that can be offered for additional cost. Remember to price your services so you will be compensated fairly. These services may be better priced on an hourly or fixed price basis.

      Pricing Your Services
      Setting medical billing fees for services depend primarily on:

      • Type of practice – some specialties are more time consuming than others
      • Services provided
      • How much of your time is required
      • Competition
      • Specialty
      • Your desire to get a “Foot In The Door”

      When setting medical billing fees it’s important to determine how much time you will have to spend servicing the practice or, if you have employees, how much of their time (and your expense) is necessary. I’ve made the mistake of pricing too low before to where I didn’t really clear much after expenses. My biggest costs for a practice are labor, clearinghouse, patient statements, and software.

      Medical Billing Fees
      There’s three ways to charge your clients – by percentage, per claim, or hourly. This should be specified in the contract you sign with your client.

      Percentage
      Percentage involves charging a client based on the monthly revenue collected. The percentage charged depends on what services are performed, location, competition, and type of practice. A practice the sees fewer patients but averages a higher charge per visit may warrant a lower percentage than a family practice who sees several patients daily at a lower cost per visit.

      I’ve typically seen medical billing fees from 6 to 10% depending on the area and $3.50 to $5 per claim for claim filing only. Also make sure percentage based billing is legal in your state. For special projects like aging a higher percentage is justified due to the additional time and effort required. I’ve seen fees in the 15% and higher range for working aging.

      Per Claim
      Per claim charges are more suitable when a biller is only submitting claims with no other services. Some clients who don’t have the time or ability to file claims may request this service.

      Per Hour
      Charging per hour may be more appropriate when percentage or per claim charges are not feasible. This is usually a better option for clients who don’t see a lot of patients and charging per claim or percentage would not be worth your effort.

      I have charged per for special projects when charging per claim was just not worth it or performing more of a consulting role. I started out charging hourly for what is now one of my largest clients so you may consider this a way to get your foot in the door.

      A Great Resource

      Alice and Michele of Solutions Medical Billing have written a great eBook titled Pricing Your Medical Billing Service about setting your medical billing fees. Whether you’re just starting a medical billing service or are an established billing service, this book will help you consider the pros and cons of the four different methods of charging for your services. They make a compelling case for fixed monthly fee pricing verses the more common percentage based pricing.

      Whether you’re just starting a medical billing service or are an established billing service, this book will help you consider the pros and cons of the four different methods of charging for your services.

      They make a compelling case for fixed monthly fee pricing verses the more common percentage based pricing.

      Ask Questions
      Before signing a contract, ask a lot of questions of the provider to get a feel for how many patients are seen daily and typical procedures (and charges) per visit. It’s important to know if they have a lot of Medicare or Medicaid patients – they typically don’t pay as much as commercial carriers.

      I had a specialty practice with a lot of Medicare patients. It was very high maintenance but didn’t pay much because the insurance write-off were so high. I wish I would have know that when estimating the job!

      I was advised by accountant that you should price your services at least 3 times your cost. This covers your time and overhead and allows you to make a profit. This means that if you estimate it costs you $500 per month to serve a client, you would want to set your percentage so you would make at least $1500 per month or more.

      This may sound like a lot but when you factor in the cost of doing business, your overhead, this is very reasonable. I keep this in mind when determining what my minimum percentage will be.

      A provider who has only 50 claims a month and uses a handful of procedures and diagnosis codes wouldn’t require much time. You want to know up front what your costs and time are going to be. If it cost you $800 a month and 20 hours a week to serve a practice, and you only get paid $1000, it’s hardly worth it.

      On the other hand a health general practice can generate $50,000 a month or more. At 8% that’s $4000 a month. If your cost is $1000, you clear $3000 for your labor. For a service with multiple practices you can see how the income potential adds up.

      It’s important to remember when establishing your medical billing fees that a good medical billing service is very valuable and can significantly affect the financial health of a practice. For one of my clients we increased revenue over 32% by dedicating the time and effort to billing correctly and following up on claims.


      Online Medical Billing and Coding Schools #top #accredited #online #medical #billing #and #coding #schools


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      Online Medical Billing and Coding Schools

      Online Medical Billing and Coding Schools

      Obtaining formal education regarding medical billing and coding procedures is one of the more popular certifications pursued by students who want to work in the medical field but do not want to spend several years in school. A medical biller and coder handles administrative tasks for a healthcare provider or medical facility that involve submitting accurately coded insurance claims to health insurance companies in order to receive payment from the insurance company.

      Medical billing and coding specialists also answer questions about claims, posts payments and remain in contact with patients and insurance companies concerning claims that have been rejected or are pending following a review of the services listed on the claim. In addition, they may also be in charge of turning unpaid accounts over to collection agencies after a certain amount of time has elapsed between the patient receiving the bill and the last payment received, if any.

      Coding a health insurance claim involves attention to accuracy, detail and the ability to determine the correct code number for the patient s injury, illness, disease and treatment rendered by the physician. Also referred to as medical classification , medical coding uses alphanumeric or numeric strings that indicate the implementation of various items by a physician that are necessary to process an insurance claim. For example, a code that reads XX990 may be the code for acute bronchitis . If the bronchitis was accompanied by a fever, the code may have an additional number or letter, such as XX99044 , meaning bronchitis with fever .

      Thousands of such codes exist to describe an extensive list of medical conditions, procedures and treatment plans. However, because it would be nearly impossible to remember them all, people working as medical billing and coding specialists have access to the CPT 2012 book (Current Procedural Terminology) published by the American Medical Association. This book contains up-to-date information such as billing guidelines for various health insurance companies, hundreds of defined codes and Medicare/Medicaid rules.

      Interested in Medical Billing and Coding?

      Health Insurance Portability and Accountability Act

      All online medical billing and coding schools will include classes about HIPAA, or the Health Insurance Portability and Accountability Act enacted in 1996. This act affects anyone who is employed in some way with the healthcare industry because it is meant to protect a patient s privacy. Contact information, medical records, birth date and even benefit entitlements are all guarded by this act. whether it is an electronic, spoken or written record of the patient s interaction with a medical facility. It is especially important to medical coders and billers because they have immediate access to such personal information and are primarily responsible for not divulging this information to anyone but the insurance company and individuals specified by the patient. Click here to learn more about HIPPA .

      HIPPA Video

      This video provides a complete overview on HIPPA.

      Additional Courses

      According to a recent survey conducted by the AAPC (American Academy of Professional Coders). respondents holding medical billing and coding positions reported that nearly 85 to 95 percent of their job consisted of coding insurance document. The remainder of their time involved billing and administrative duties. For this reason, some schools suggest that students consider enrolling in at least one or two business courses while also participating in their regular billing/coding program. Learning digital record keeping procedures using software programs such as Access, Excel and different medical office software will enhance your chances with employers searching for the most skilled and knowledgeable medical billing and coding specialists. Click here visit the AAPC website .

      Online Medical Billing/Coding Programs

      Penn Foster Career Schools offers a certification in medical billing and codingthat takes only six months to complete. with low tuition rates, customized payment plans or 0 percent APR financing for students on a budget. Cost of the program is $730 when paid in full and $800 to $890 when choosing a payment plan. In addition, flexible class scheduling also allows busy students the ability to extend the six month program for as long as they need to complete assignments and exams.

      Penn Foster is accredited by the Commission on Secondary Schools of the Middle States Association of Colleges and Schools and the Accrediting Commission of the Distance Education and Training Council, which is a member of the Council for Higher Education Accreditation.

      To be eligible for participation in an online medical billing and coding course. students need to have a high school diploma or GED (general equivalency/education diploma) and either scan or fax a copy of the document to the school s administrative office.

      Certified Coding Specialist Exam

      All students graduating from the Penn Foster medical billing and coding program (as well as other accredited online schools offering the program) are eligible to take the Certified Coding Specialist exam (given by the American Health Information Management Association) and the Certified Professional Coder exam (given by the American Academy of Professional Coders). Although graduates are not required to take these examinations following certification, successfully completing one or both of these tests demonstrates a person s excellent coding skills along with other administrative qualities that are attractive to potential employers.

      Meditec Medical and Billing Training

      With more than 40 years experience in medical billing and coding training, Meditec provides students with classes that involve coding nearly 650 real inpatient/outpatient charts as well as instruction in medical terminology and health insurance documentation practices. The school is state regulated and the price of tuition includes everything a student will need to successfully obtain certification in medical billing and coding procedure.

      Other popular and accredited online schools offering certification in medical billing and coding include Colorado Technical University Online, Everest University Online and Kaplan Continuing Education programs.

      Financial Assistance

      To determine whether a student is eligible for federal financial assistance, schools recommend you fill out and submit a FAFSA (Free Application for Federal Student Aid). For those with incomes below a certain level, the federal government may provide students with Pell Grants that will pay for the cost of attending an online medical coding and billing school. Pell Grants do not need repaid and any amount left over after tuition has been paid can be used by the student to purchase books and supplies.

      To successfully submit a FAFSA online, students will need to access and transmit the following information to the Department of Education:

      1. Driver s license or other picture ID card
      2. Social Security card
      3. Previous year s income tax forms (if applicable)
      4. Child support documentation
      5. Proof of any income obtained from scholarships, fellowship aid or grants

      The school listed on the FAFSA in which a student plans to enroll is usually notified within six weeks of a student sending the form regarding his or her eligibility. That school will then contact the student to complete financial aid forms or discuss payment options if the student is ineligible for financial aid.

      Employment Outlook for Medical Billing and Coding Opportunities

      The most recent edition of the Occupational Outlook Handbook reports that as with all professions dealing with the healthcare industry, medical billing and coding jobs are expected to increase as much as 20 percent by 2018. Experienced medical records specialists have the potential to earn $50,000 annually. depending on where the position is geographically located and type of medical facility.

      Busy urban area hospitals and clinics will pay more for expert medical billers and coders than smaller emergency care establishments located in rural areas. However, the Bureau of Labor Statistics indicates that this type of employment is one of the more stable occupations available and has continued to project a high demand for certified billers and coders over the past decade.


      Torrent Technologies -Torrent Technologies #insurance #billing #systems


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      Customer Focused.

      Technology Driven.

      Industry Leadership.

      Revolutionary Impact.

      Pioneering Solutions.

      Proven Results.

      Celebrating 10 years of

      Industry Leading Innovation.

      Welcome to the Revolution. In just a decade, Torrent Technologies, Inc. has emerged as the future in flood insurance. With powerful technology, innovative solutions, and a leadership team of visionaries and industry experts, Torrent and its business service platforms have revolutionized the flood insurance landscape, enabling insurance companies and agents to participate in FEMA’s National Flood Insurance Program (NFIP) with ever-increasing ease, success, and profit.

      Simply the Best Flood
      Platform in the Industry.

      Torrent Insurance Solutions’ flagship product, TorrentFlood . revolutionizes FEMA’s National Flood Insurance Program (NFIP) and dramatically improves the way in which insurance companies participate in the Write-Your-Own (WYO) Program. Utilizing the latest technology supported by deep industry expertise, TorrentFlood delivers advantages unparalleled in the industry.

      When it Comes to Compliance,
      We’ve Got it Covered.

      FloodAssure is Torrent’s comprehensive solution for helping lending institutions efficiently assess and monitor flood insurance compliance requirements for their current loan portfolios. New legislation, an overall increase in regulatory oversight, and heavy penalties for non-compliant loans present significant challenges for lending institutions. FloodAssure is the answer.

      Torrent Technologies.


      Canyon Medical Billing Las Vegas – The Medical Coding Schools #canyon #medical #billing


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      Medical Billing and Coding Schools In NYC: Finding The BestIn order for students to obtain certification and ensure employment, medical billing and coding schools in NYC Read More

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      Medical Billing And Coding Online Course Ashworth CollegeMedical Billing and Coding; Medical Office Assistant; Pharmacy Technician; Tax Ashworth College s Medical Billing and Coding online Read More

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      Medical Billing And Coding Ashworth CollegeEnroll in Ashworth College medical billing online courses, get trained and prepare for and industry leading Medical Billing and Coding Read More

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      Medical Billing And Code Certificate Program Online | DeVryDeVry s Medical Billing Coding Certificate program offers students the necessary skills for a career in medical billing. Read More

    • 2:08 am By madisongibney

      Medical Coding Billing Careers USCIHome Certificates Healthcare Certificate Programs Online Medical Billing and Coding School Medical Coding Billing Careers Read More


    • Examples of medical billing and coding #examples #of #medical #billing #and #coding


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      Examples Medical Coding

      Medical Classification Wikipedia, The Free Encyclopedia
      Medical classification, or medical coding. is the process of transforming descriptions of medical diagnoses and procedures into universal medical code numbers.

      Medical Coder Sample Resume CVTips.com
      Medical Coder: Dec. 2003 Present, Family Health Hospital, Fairless Hills, PA. Perform outpatient coding for medical centers located in Mid South Healthcare Network including: Huntington, WV; Lexington, KY; Louisville, KY; Memphis, TN;

      Medical Billing And Coding Resume Sample Resumes, Example
      Use the following medical billing and coding resume sample as a guide to create your own professional resume. This example medical billing and coding resume should be personalized to reflect your own career history, job experience, qualifications, skills and education.

      Medical Billing And Coding Career StudyMode
      MEDICAL BILLING AND CODING CAREER Medical Billing and Coding Wanda F. Pervish Instructor: Elbert Trone Learning Framework 12 December 2012 MEDICAL BILLING AND CODING CAREER

      Examples Of Medical Coding And Billing Resumes | Career
      Career training available right now Examples Of Medical Coding And Billing Resumes Advance your career and employment opportunities with the train

      Medical Coding Career Guide What Does A Medical Coder Do?
      Learn about starting your own career as a medical coding specialist. In this chapter, we discuss what a medical is and what they do.

      Certified Medical Coder Example Resume
      Free resume example for an experienced Medical Coder 10+ years in the medical coding profession. The sample resume is in chronological format and tracks her career progression from a medical records clerk, medical biller, remote coder and now a Certified Professional Coder CPC medical coder.

      Medical Coding: Sample Coding Questions With Answers
      Emergency Department and Outpatient Surgery Coding Quiz True or False: 1.) If a patient is treated for a fracture in the ED with reduction and splint application both the splint application and fracture reduction should be assigned CPT codes.

      Medical Coding Resume Best Sample Resume
      The Medical Coding Resume is mainly significant if you are looking forward to work as a Medical Coder in health care sector. In order to make your Medical Coding Resume effective, you need to include some essential points to increase your chances for entering into this field.

      Modifier-25 Best Practices And Examples Of Modifier 25
      Modifier-25 Best Practice: Know Modifier 25 to avoid compliance faux pas from Elin Baklid-Kunz, MBA, CHC, CPC, CCS

      What Is Medical Billing And Coding? Frequently Asked Questions
      Medical insurance billing and coding for students seeking a hospital billing career can find medical billing and coding info from MedicalBillingCareer.org.

      E/M coding examples AAPC Forum
      Hi, Please help me where I can get more E/M coding exapmles along with their answers. Actually I am new to this coding, and I get confused in determining the level specifically in medical decision making.

      Medical Coding Example For Ulcer In ICD-9 And CPT
      CPT Coding; ICD-9-CM; HCPCS Code Books, Fast Finders, and Software; ICD-10 Coding Books Training Resources; Medical Billing Software Books; Specialty Reference

      All About Medical Coding YouTube
      Http://www.HomeMedicalCareers.info/ Medical coding is basically the process of applying formal, standardized medical codes to the records of medical patients. Procedural and diagnostic information is translated by medical coders into simplified numerical codes that can be

      Examples Of Medical Coding Best College Rankings, Best
      Examples of medical coding. Examples of medical coding Below are the top colleges based on convenience, program availability, and accreditation.

      Examples Of Medical Billing And Coding Work
      Medical Billing and Coding Resume, Sample Medical Billing And Use the following medical billing and coding resume sample as a guide to create your own professional resume.


      Medical Billing – Coding For Dummies Cheat Sheet #look #up #medical #billing #codes


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      Medical Billing Coding For Dummies Cheat Sheet

      Working as a medical biller and coder is a challenging and rewarding job that takes you into the heart of the medical industry. To succeed, you ll need to know how to file an error-free claim, important acronyms, what to expect as the U.S. prepares for ICD-10, and what to look for in a payer contract.

      Medical Billing: Filing a Clean, Error-Free Claim

      A clean medical claim is one that has no mistakes and can be processed without additional information from the provider or a third party. It s correct from top to bottom. A clean medical claim meets the following criteria:

      The healthcare provider is licensed to practice on the date of service and is not under investigation for fraud.

      Every procedure code has a supporting diagnosis code, which eliminates any questions about medical necessity. In addition, the form includes no expired or deleted codes.

      The patient s coverage was in effect on the date of service, and the patient s insurance covers the service provided.

      The claim form includes all the required information (patient name, address, date of birth, identification number, and group number) in the correct fields.

      The form correctly identifies the payer and includes the right payer identification number and payer mailing address.

      The claim is submitted on time.

      10 Must-Know Medical Billing and Coding Acronyms

      The world of medical billing and coding is like one big bowl of alphabet soup because using abbreviations and acronyms in medical records saves time. Each medical office will have its own most frequently used acronyms based on its area of expertise; but here are some of the most common abbreviations and acronyms used in all medical offices:

      CMS (Centers for Medicare Medicaid Services): The division of the United States Department of Health and Human Services that administers Medicare, Medicaid, and the Children s Health Insurance Program.

      EDI (Electronic Data Interchange): The electronic systems that carry claims to a central clearinghouse for distribution to individual carriers.

      EOB (Explanation of Benefits). A document, issued by the insurance company in response to a claim submission, that outlines what services are covered (or not) and at what level of reimbursement. Each payer has its own EOB form.

      HIPAA (Health Insurance Portability and Accountability Act): The law, sometimes called the Privacy rule, outlining how certain entities like health plans or clearinghouses can use or disclose personal health information. Under HIPAA, patients must be allowed access to their medical records.

      HMO (Health Maintenance Organization): A health management plan that requires the patient use a primary care physician who acts as a gatekeeper. In HMOs, patients much seek treatment from the primary physician first, who, if she feels the situation warrants it, can refer the patient to a specialist within the network.

      INN (in-network): A provider who has a contract with either the insurance company or the network with whom the payer participates.

      OON (out-of-network): An out-of-network provider is one who does not have a contract with the patient s insurance company.

      POS (Point of Service): A health insurance plan that offers the low cost of HMOs if the patient sees only network providers.

      PPO (Preferred Provider Organization): A health management plan that allows patients to visit any providers contracted with their insurance companies. If the patient visits a non-contracted provider, the claim is considered out-of-network.

      WC (Workers Compensation): U.S. Department of Labor program that insures employees who are injured at work.

      Medical Coding: Switching from ICD-9 to ICD-10

      The International Classification of Diseases (ICD) is a list of medical classifications used in medical coding. ICD-9 has been used in the United States since 1979, but ICD-10 is coming, ready or not. ICD-10 will result in more specific data, which in turn will assist the World Health Organization (WHO) in its efforts to identify viral mutations and other health threats. Currently, healthcare providers worldwide are obligated to be ICD-10 ready by October 2014. This gargantuan task is being implemented in phases:

      Phase 1: Develop an implementation plan and identify potential impact on various office operations

      Phase 2: Implement preparation, working with software vendors and clearinghouses to ensure compatibility

      Phase 3: Go live with the 5010 platform in preparation for ICD-10 file transfer

      Phase 4: Address and correct deficiencies identified in Phase 3

      Educators and companies that publish coding materials have been working for several years to prepare coders for the transition. The AAPC and AHIMA, the two main credentialing organizations for billers and coders, have sponsored and will continue to sponsor workshops to assist coders in this process. Be sure to check these workshops out. Both organizations will also implement an ICD-10 certification testing process.

      Following are some steps you (or your office) can take to prepare for the big switch:

      Prepare a report that lists, in order of frequency, currently used ICD-9 codes; then find the ICD-10 codes slated to replace them.

      Several online tools, or cross coding translators, map ICD-9 codes to ICD-10 codes. (The AAPC has an ICD-10 code translator and so does Medicare.) This task can help you identifying the ICD-10 codes that your provider will use the most.

      After you identify the ICD-10 codes that will soon be part of the daily routine, make the practitioner aware of the specific documentation that is missing from current patient records.

      If your office will continue to use super-bills, this process helps identify which codes should be listed on the form.

      Work with the billing software vendor to make sure that the ICD-10 codes that are likely to be used immediately upon transition are programmed into the software.

      If not, you can make them aware of the codes your billing software will need to accommodate. Doing so ahead of time will help you minimize delays during the early days (or weeks or months) of the actual transition to ICD-10.

      Reading Payer Contracts for Key Medical Billing and Coding Details

      Insurance companies (payers) offer various levels of coverage to their members, and as the medical biller/coder, you must be able to navigate payer contracts to gather the information you need to prepare and follow-up on claims. Many payers or networks have standardized contracts that they offer to healthcare providers. A well-defined contract does the following:

      Defines the number of days after the encounter that the provider has to submit the claim. This is called timely filing.

      Specifies how many days after receipt of the claim the payer has to make payment.

      Specifies which of the payer plans are included, the frequency of services that it will cover (for certain procedures), and the type of claim that providers must submit.

      Identifies special circumstances, such as how unlisted procedures will be reimbursed, which procedures are carved out of the fee schedule, the number of procedures that the payer will pay per encounter, and how to apply the multiple procedure discount.

      Identifies the appeals process.

      Identifies cost-intensive supplies or procedures (such as implants, screws, anchors, plates, rods, and so on) that may need to be paid.

      As a biller/coder, make sure you re familiar with the contract specifics, and if you have any questions, talk to more experienced billers and coders in your office or call the payer directly for clarification.