Procure Medical Billing at 2.99%, 16192 coastal Highway, Lewes, DE (2025)

08/13/2021

• Maintain a kind and professional demeanor. Patients are not simply sick in these situations; they may also be uncomfortable, dissatisfied, and afraid, which manifests itself as rage aimed at personnel. Ascertain that your employees are aware of this and that they should not take negative responses personally. They must maintain their composure, politeness, and professionalism while telling the patient that they will do all possible to remedy the situation.

• Listen. When patients grow enraged, it's likely that they just need to let off steam before they can talk about things rationally. Train your employees to listen to patients first and never interrupt them while they are speaking, as this will only annoy the patient. Staff should only begin assuring the patient of a resolution and delivering the information that the patient requires once the patient has calmed down.

• If a patient refuses to pay, staff should explain calmly and clearly that the insurance company does not cover the entire cost of care, and that refusing to make co-payments would be a breach of their insurance contract. If they declare they can't pay, let them know about the other possibilities.

• If the patient receives money from the insurance company by mistake and keeps it, you must advise the patient of the error and explain why the amount must be returned to you. You might also bill them for services done and tell them they can pay the amount with the insurance payment. If they continue to refuse to pay, you may need to hire collection agencies or launch a lawsuit.

• If the patient is out-of-network and may be responsible for the majority of the bill, make sure your staff can clearly explain your regulations regarding out-of-network patient payments to the patient.

• Insurance payment issues can be simply fixed if you know how to approach them correctly. You can also make things easy for yourself and your employees by working with a reputable billing service.

Send us your queries at info@procurebilling.com
OR
Visit our website
www.procurebilling.com

08/13/2021

Patients with insurance payment issues will inevitably present themselves to practices at some point. Patients may be perplexed as to why they must pay a co-pay or do not understand their explanation of benefits statement, or they may be enraged and refuse to pay or withhold payment that was issued to them by mistake by their insurance provider. When these scenarios arise, it's critical for your employees to know how to respond appropriately, since their actions or inactivity can have a significant impact on how the rest of the practice is seen. They also have a direct impact on how well your practice is compensated and, as a result, your bottom line.

• Maintain a kind and professional demeanor. Patients are not simply sick in these situations; they may also be uncomfortable, dissatisfied, and afraid, which manifests itself as rage aimed at personnel. Ascertain that your employees are aware of this and that they should not take negative responses personally. They must maintain their composure, politeness, and professionalism while telling the patient that they will do all possible to remedy the situation.

• Listen. When patients grow enraged, it's likely that they just need to let off steam before they can talk about things rationally. Train your employees to listen to patients first and never interrupt them while they are speaking, as this will only annoy the patient. Staff should only begin assuring the patient of a resolution and delivering the information that the patient requires once the patient has calmed down.

• If a patient refuses to pay, staff should explain calmly and clearly that the insurance company does not cover the entire cost of care, and that refusing to make co-payments would be a breach of their insurance contract. If they declare they can't pay, let them know about the other possibilities.

• If the patient receives money from the insurance company by mistake and keeps it, you must advise the patient of the error and explain why the amount must be returned to you. You might also bill them for services done and tell them they can pay the amount with the insurance payment. If they continue to refuse to pay, you may need to hire collection agencies or launch a lawsuit.

• If the patient is out-of-network and may be responsible for the majority of the bill, make sure your staff can clearly explain your regulations regarding out-of-network patient payments to the patient.

• Insurance payment issues can be simply fixed if you know how to approach them correctly. You can also make things easy for yourself and your employees by working with a reputable billing service.

Send us your queries at info@procurebilling.com
OR
Visit our website
www.procurebilling.com

08/11/2021

Technology has become an integral aspect of medical billing and coding, from training through implementation. Online medical billing classes, virtual patient databases, and electronic patient communication and billing are all available. However, some practices are still wary of embracing technology when it comes to billing, and their fears are well-founded.

Common Concerns with Technology

The most serious and widespread worry about the usage of medical billing software is security. We've heard of countless examples of hackers hacking into protected company databases in recent years, exposing hundreds of thousands of sensitive and extremely valuable client records to the public or falling into the wrong hands.

There's also the issue of redundancy to consider. The notion of technology completely taking over their jobs and leaving them jobless may make some medical billing professionals feel frightened.

While these are valid issues, there are features of health-care technology that address them directly.

Why Trust Medical Billing Technology?
While it is true that there are hackers out there who would like to break into your database, the subject of data security is also continually growing. Medical billing and coding software has been around since the 1990s and has never ceased improving. Software businesses are constantly developing new and improved methods of defending against malicious attacks. So, even if a hacker decides to target your medical practice (which isn't as prevalent as, example, giant international corporations or major shops), he'll have to put in a lot of effort before being successful.

In terms of redundancy, billing professionals will discover that technology complements rather than replaces their skills. It allows them to be more effective and productive, making them more valuable employees as a result. While technology advances, there will always be a place in medical billing for personalized care and knowledge.

One More Reason to Trust Technology
If you're still on the fence about using medical billing software, consider the following: In the health-care industry, Congress has long advocated for the migration to more efficient computerized record keeping and processing. The HITECH Act, passed by Congress in 2009, essentially rewarded health-care providers who adopted more efficient, computerized methods of operating. This means that the government not only supports but also encourages the use of technology in medical billing. The sooner you implement it, the better for your practice. And you can feel comfortable that, no matter how far this legislation advances, you'll be on the right route. The truth is that technology just improves the billing operations of practices. It allows you to be more productive and profitable by keeping you organized and efficient. It is, without a question, an essential component of the future of health care.

Send us your queries at info@pcmbs.com
OR
Visit our website
www.pcmbs.com

08/09/2021

Medical billing is an essential component of any health-care business.
It is regarded as one of the most crucial parts of running a prosperous practice. It is possible to boost revenue and profitability with the correct team and proper knowledge and process of medical billing.
However, if done incorrectly and without following best practices, it can put your facility and its personnel in a lot of financial trouble, as well as lower patient care standards and satisfaction.

So, here's a quick rundown of the finest medical billing procedures.

Researching Prior To Rendering Services:
It's a good idea to check the patient's eligibility for medical insurance coverage claims before providing assistance to them. If a patient is unable to pay for services or if the patient's insurance coverage does not cover the services delivered, failing to secure insurance information may place your business in a bind. This is vital for patient satisfaction since no one wants to walk up to the check-out counter and discover that they are responsible for charges they believed were covered.

Code Your Billing Documents Correctly:
Proper coding ensures that a patient pays for the treatments he or she has received, as well as that your clinic receives the appropriate payment for services given. Failure to properly code billing documentation can confuse and frustrate patients, as well as result in revenue loss for your practice.

Verify Everything:
If your medical billers make an error, such as a typo, you may face denials or delays in collecting payments from a claim. One of the most prevalent reasons for denials or delays is this. When it comes to claims denials, a single error, such as a misplaced letter, can be just as damaging as a complete and entire substitution of patient name data. Furthermore, careful document verification is critical prior to sending them out. Rejected or delayed claims not only harm your practice's cash flow, but they can also irritate your clients.

Send us your queries at info@pcmbs.com
OR
Visit our website
www.pcmbs.com

08/03/2021

In today’s modern health care, it is now seen as a corporate enterprise, where all forms of medical care are deemed such. However, maintaining afloat with the clinics, patients, and even processing data is not a simple feat. Bringing on more staff could result in more cash outflow, which is bad for any organization.

Here are five reasons why outsourcing is a better option:

Risk areas of fraud, waste and abuse are monitored:
The handling of sensitive information should be supervised, and outsourcing guarantees that all risks are monitored objectively. Keeping your invoicing in-house exposes your practice to a wide range of liability and catastrophic loss risks.

Ensured protection for no duplicate billings:
Paperwork, policy, reporting, administering, and complying with regulations all sound like a lot of work! This means your employees will be working at a high hourly rate. We can make things simple, controllable, and quick by outsourcing!

Regular Process for Claims:
The submission of claims on a regular basis can help to assure a consistent flow of money. This also allows them to process claims in a far more efficient and effective manner.

Effective Handling of Denials:
All medical practices and health-care providers should devise an effective strategy for dealing with denials and filing speedy appeals for claims to be paid. Effective management of denials is a significant priority for third-party billing solutions.

Capable To Adapt Changing Regulations:
The laws and regulations governing medical billing are continually evolving. Keeping up with all of the changes, on the other hand, can be time-consuming and inconvenient. The modifications will be handled immediately, and you should make it a point to stay current with the most recent changes so that you can concentrate on what matters most, which is dealing with your patients.

Send us your queries at info@pcmbs.com
OR
Visit our website
www.pcmbs.com

08/02/2021

Credentialing refers to the process of verifying a specialist's qualifications and work history. Preparing, licensing, confirmations, and preceding instructions are all included in these inspections. Continue working on a diagram that illustrates the fundamentals of credentialing and why it is crucial in the restorative network.

Credentialing Follows:
Medical Credentialing requirements differ per state. A few states, such as correspondence controls, require directions. If you use credentialing as an asset, make sure you are agreeing to the requirements of your state.

Time Consuming Task:
Medicinal Credentialing typically takes three to five months to complete. Because credentialing is such a lengthy process, a faster start might be quite beneficial in terms of collecting the data as soon as feasible. Deferrals are common because key pieces of printed material are either overlooked or missing when information is submitted for approval. To avoid delays, it's critical to double-check archives for accuracy and completion.

Needs Correct Information:
To avoid a poorly organized credentialing deferral, it is vital to ensure that your data is documented precisely in your initial endeavor. Data is frequently misreported, expired, or precluded in and out. If specific pieces of information, such as sections of job history, are lost, the information may not be completely accurate for your use. Other precedents, such as missed start dates, may also have an impact on planning. Despite the fact that they appear insignificant, these missing data snippets are capable of delaying the credentialing procedure, making accuracy checking an important element of entries.

Process that should be monitored:
You will be able to moderate further deferrals to the credentialing procedure by watching the progress of the operation. As a result, the organization plays an important role in controlling this process by keeping track of where each medicinal expert is in the credentialing process. New experts should hold off on providing services until the credentialing printed material is completed and a letter of approval is received. Should any issues arise during the course, this will prevent costly issues later on.
Send us your queries at info@pcmbs.com
OR
visit our website
www.pcmbs.com

07/30/2021

Medical billing collections are an important aspect of the health-care industry. When it comes to collecting money from insurers and patients, everyday providers encounter obstacles. Here are some excellent ways for maximizing collections to make it easier for providers to maintain their earnings.
Strategies to maximize Medical Billing Collections:

Transparent Collection process should be established:
Patients are informed about the cost of therapy ahead of time thanks to a transparent collection method. It is critical to establish a clear collection mechanism and to educate patients about treatment charges in a step-by-step manner. To lower the claim denial rate, every visit should include a verification of the patient's eligibility. Collect co-pays ahead of time to avoid unnecessary and time-consuming paperwork.

Denial Management:
When it comes to denials, a thorough claim screening process will help you reduce claim errors and get paid in the shortest amount of time possible. If mistakes do arise, make sure you have a good denial management system in place to deal with them as fast as possible. The denial management team should call the payer's representative directly to determine the exact error in the initial claim so that the editing process takes less time and the number of resubmissions is reduced.

Error-Free Claims Submission:
Claim denials and late payments are frequently caused by coding and medical billing errors. Approximately 80% of medical claims contain errors, and because insurance companies adhere to a rigorous coding practice, such claims must be denied. You should have an effective charging system in place to address this issue.

Identify Problem Accounts:
Create a system to track problematic accounts based on a variety of factors, such as late payments, payment declined on a regular basis, or frequent changes in contact information. Sort these accounts so that you can send more reminders to them. If there are any lingering problematic accounts on the list, you could forward them to a clearinghouse so that you can get what is missing or overdue.

Stay Up-to-Date:
Medical billing standards are continuously changing, and you should provide and support ongoing education and training for your personnel in order to stay up with these changes. It's also a good idea to keep up with contemporary technology advances that can help you streamline your billing procedures. When compared to dealing with claim resubmissions on a regular basis, all of these efforts are less expensive in the long term.

Send us your queries at info@pcmbs.com
OR
visit our website
www.pcmbs.com

07/29/2021

Billing and revenue cycle management are the most important operations in your organization, aside from practicing medicine. While in-house billing offers advantages, it also has disadvantages that outsource billing does not have. What are the advantages and disadvantages of in-house billing versus outsourced medical billing when balancing the two:

In-House Medical Billing
Pros
Control:
Trusted staff performing medical coding and billing tasks are reliable since then. Many doctors and administrators prefer to keep financial operations under their control and supervision.
Location:
It is incredibly advantageous to have immediate access to your medical invoices, especially if any concerns emerge. Because of the near proximity, providers are able to keep an eye on the invoicing process and address any issues as they arise.
ROI:
When a practice has spent time and money on billing technology and training, outsourcing the process risks losing a significant amount of money that will never be recovered. It may be advisable to refine existing methods to get the most out of your investment if an effective system is already in place.
Cons:
Increasing expenses:
The cost of maintaining billing systems, resulting in expenses that are significantly more than expected. These costs can be more than the cost of using a third-party billing provider for a practice.
Risk:
There is a danger associated with everything. If financial operations are not thoroughly reviewed on a regular basis, forgotten encounter forms, abandoned super bills, and unappealed claim denials might cause problems.
Staffing Issue:
If your billing department is simply two or three people, or even worse, if you only have one biller, your business – and your money – might come to a halt if one came up with certain problem.

Outsourced Medical Billing
Pros
Cost Effective:
Outsourced medical billing is advantageous because of its cost effectiveness. Your financial condition will undoubtedly improve now that you are not responsible for the costs of medical billing technology, software, and other related fees.
Practice Visibility:
At any one time, a good medical billing company should be able to create a variety of comprehensive reports. This simplicity allows providers to get a detailed picture of their financial status without having to rely on personnel micromanagement.
Consistent Results:
When you outsource your billing, the firm you engage is required to deliver the agreed-upon services at a specific level of success. An extra benefit is that most contracts include support, so you'll never have to hire somebody.

Cons:
Giving Up control:
Handing over those procedures and obligations to someone else might be challenging for some. Nonetheless, the beneficial outcomes are well worth the effort.
Fluctuating prices:
The most of billing businesses take a portion of the revenue they collect, so the more money your clinic produces, the more you'll have to pay. This makes budgeting billing costs challenging, especially given the large variances between slow and busy months.
Fine Print:
When outsourcing your billing, make sure to read any contracts thoroughly. Frequently, there will be additional beginning fees for printing statements, preparing reports, and other services.

Send us your queries at info@pcmbs.com
OR
visit our website
www.pcmbs.com

07/28/2021

With the emergency use authorization (EUA) for Johnson and Johnson's coronavirus vaccine, many more doses will be delivered in the United States. Unlike Pfizer and Moderna's vaccines, which require two doses, the new one only takes one shot and will be considerably easier to distribute due to the fact that it can be stored at room temperature.
The mRNA vaccination is a modern technology that does not require you to be exposed to the virus, therefore it cannot infect you. mRNA is a substance found in our cells that instructs the cell on how to produce a specific protein. In the novel vaccinations, mRNA that guides the production of the spike protein on the SARS-CoV-2 virus is delivered into the cell and instructs it to produce the spike protein.
Adenovirus vector vaccines use a full virus, just like standard immunizations, with the exception that the “viral vector” is a harmless adenovirus. Genes encoding the SARS-CoV-2 spike protein are substituted for a minor portion of the adenovirus' genetic instructions. The cells interpret the instructions and make spike proteins that cling to the cells' outer surfaces. The immune system responds in the same way that mRNA vaccines do. On February, Johnson & Johnson's pharmaceutical company, Janssen Biotech Inc., received FDA permission for the distribution of their COVID-19 adenovirus vector vaccine. They employed a similar strategy for their Ebola vaccine.
The Pfizer and Moderna vaccines were 95 percent successful in avoiding serious disease .The vaccine developed by Johnson & Johnson/Janssen was found to be 67 percent effective in preventing moderate to severe/critical COVID-19 disease in clinical studies.
The latter appears to be much less effective, although it's worth noting that the study was conducted much later, after the virus's mutations became a problem, and that the testing was primarily conducted in South Africa, where one of the variants is widespread.

Send us your queries at info@pcmbs.com
OR
visit our website
www.pcmbs.com

07/27/2021

The financial stability of any medical practice is inextricably linked to effective medical billing collection, compliance, and follow-ups throughout the claims process. It's a fact that a medical practice can't function without competent medical billing employees. The healthcare market is getting increasingly complex and competitive as large-scale medical billing corporations arise. Choosing the right medical billing company for your practice is crucial as it may lead to your practice’ success.

Price and Services Analysis:
It's possible that the lack of pricing is a sign of poor service quality. While this isn't always the case, it's worth considering because the capabilities may not match your requirements. To put it another way, it might just be too good to be true. Low costs are, at the end of the day, a gimmick utilized by low-profile enterprises to get users quickly. To avoid these disappointments for your clinic, we propose researching the prices and services supplied by each vendor worth considering so you can get the best medical billing service provider at a reasonable price.

Transparency is Crucial:
Delays in generating claims. When working with outsourced medical billing organizations, doctors commonly encounter irregular follow-ups, hollow promises, and work that is full of errors. Once you've chosen a medical billing service provider, you can count on them to keep your practice's finances in good shape. We recommend that you look deeply into their history as well as their transparency practices so you know you can have full trust in their commitment to your success.

Convenient On-Boarding Process:
When picking a medical billing business, find out how soon they can onboard you and whether your clinic will need any technical skills to pass over billing operations to them. You should also inquire about the setup time and requirements so that you may double-check your own feasibility. When they decide to continue forward with their project, this will make the process easier.

Data Security:
Security is crucial, especially when dealing with sensitive information like yours. It's best to enquire or question about their security system and practices for protecting your data. Check to see if the medical billing firm can protect your data both in transit (as it travels across networks) and at rest (stored). Before choosing the ideal medical billing business for you, you should conduct extensive research. It's important to attend a live demonstration so you can have a full understanding of how they conduct their business.

Send us your queries at info@pcmbs.com
OR
visit our website
www.pcmbs.com

07/26/2021

According to an unpublished internal Centers for Disease Control and Prevention document, with more than 156 million Americans fully vaccinated, about 153,000 symptomatic breakthrough cases were estimated to have occurred as of last week, representing approximately 0.098 percent of those fully vaccinated. These figures only apply to adults and do not include asymptomatic breakthrough infections.

However, after the July Fourth weekend in Provincetown, Massachusetts' Cape Cod, at least 551 COVID-19 infections, many of them breakthroughs, were verified. According to local officials, 69 percent of Massachusetts citizens who tested positive as a result of the Provincetown cluster reported being completely vaccinated.
The majority of the participants had symptoms. Aside from three hospitalizations, the symptoms linked with this cluster were moderate and without complications.

Send us your queries at info@pcmbs.com
OR
visit our website
www.pcmbs.com

Procure Medical Billing at 2.99%

08/13/2021

08/13/2021

08/11/2021

08/09/2021

08/03/2021

08/02/2021

07/30/2021

07/29/2021

07/28/2021

07/27/2021

07/26/2021

Address

Telephone

Website

Alerts

Shortcuts

Share

Category