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Bikham Healthcare - Laboratory Medical billing

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Outsourced Medical billing Services with Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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independent Laboratory Medical Billing Services for Profitable Results independent Laboratory Medical Billing Services for Profitable Results by Bikham. Bikham is one stop solution for DME medical...

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SlideWiki | Presentation information | Outsourced Laboratory Medical Billing Services for Profitable Results

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Outsourcing Laboratory Medical Billing Services for Profitable Results by Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Outsourced Lab Medical Billing Services for Profitable Results

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Outsourcing Laboratory Medical Billing Services for Profitable Results by Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Outsourcing Laboratory Medical Billing Services for Profitable Results

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Outsourcing Laboratory Medical Billing Services for Profitable Results by Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical b...

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Outsourcing Laboratory Medical Billing Services for Profitable Results

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Outsourcing Laboratory Medical Billing Services for Profitable Results by Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical b...

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Outsourcing Laboratory Medical Billing for Profitable Results | Visual.ly

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Outsourcing Laboratory Medical Billing Services for Profitable Results by Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab

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Laboratory Medical Billing Services for Profitable Results

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Outsourcing Laboratory Medical Billing Services for Profitable Results by Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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If you are planning to file online Secondary Claim Submission, make sure that the patient's secondary insurance is on file before submitting your primary claim electronically. In case, it is not recorded when the primary claim is filed, you won't allowed filing the secondary claim online. In simple terms, you can create Secondary Claim Submission only after the creation of the primary insurance claim.

So, first, you need to create the primary insurance claim.

Now, get ready to learn How to create a Secondary Claim Submission with following steps:

1) Always make sure that secondary insurance information of your client is recorded on the file. Don't forget to enter the primary insurance payment before creating the secondary claim. If you need any help while entering an insurance payment, contact our experts at Bikham information technology.

2) Now go through the primary CMS claim form that holds the sessions you need to submit for the reimbursement of secondary insurance. You can locate the primary claim form either by going to Billing > Insurance > Claims or directly from the client's billing details page.

3) Then tap the button, " Create Secondary Claim." This button will appear only if you have already downloaded the claim or the submitted claim electronically in the accepted state.

To make the Secondary Claim button appear, refresh the page just after downloading the claim.

4) In this way, a new secondary claim form will be generated carrying the secondary insurance information of the client.

5) Carefully review all of the pre-populated information on the secondary claim form including the session details and do any needful corrections if required. Make sure that box 29 reflects the amount paid according to the primary insurance EOB.

6) Once you've finished the editing, Save the claim form. Or if you are enabled with online claim filing, you can directly submit this claim form electronically to the secondary insurance payer.

7) Finally, download the claim form for offline filing. Or return back to the claim form to make edits. You can also access all these secondary claims directly from the client's Billing Details page or by visiting My Account > Insurance > Claims.

Conclusively, if your business organization is not yet submitting insurance claims electronically, it is certainly a service you should look in to. There may be chances in the future that all claims will be filed electronically. Meanwhile, this can provide a major convenience and financial savings to providers and organizations.

If you are looking for a safe, reliable, accurate, efficient, and cost-effective service provider, then you have come to the right place. Bikham Information Technology is one of the leading medical billing and coding service providing companies who have been serving dedicatedly to its global clients since more than 12 years. We not only provide our clients with cost-effective services but also offering them within a quick turnaround time.

So, get in touch with us today!

Our experienced technical support and customer service staff continuously discuss questions that our customers commonly ask including Secondary Claim Submission. We offer our valued clients all needful and timely support for various medical billing and coding issues.

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how to create a secondary claim submission

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If you are planning to file online Secondary Claim Submission, make sure that the patient's secondary insurance is on file before submitting your primary claim electronically. In case, it is not recorded when the primary claim is filed, you won't allowed filing the secondary claim online.

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A Laboratory Billing Process can become extremely labor intensive when it comes to billing federal and commercial insurance payers for timely claim payments.

In a laboratory medical billing Process, billing protocols need to be in place for obtaining timely payments. Efficient medical laboratory billing services providers always ensure that the eligibility is verified and any referrals or pre-authorizations are obtained prior to claim submission.

However, there are certain roadblocks that may slow down the submission process and delay the subsequent reimbursement.

False Information
Accurate patient demographics and insurance information is the key to ensure timely claim reimbursements. Misinterpretation of facts or even a minute error can result in rejections or denials.

These unintentional but careless clerical errors may result in the long follow up journey of verifying correct information and may further delay the laboratory billing process.
Inactive or Termed Insurance
Successful verification of the patient eligibility with the insurance is important as a failure in doing so may result in denials. There are cases when the insurance coverage has termed and claims are still billed. There are also cases when the patient has an active coverage but the services rendered to the patient are not covered by the plan under which the patient is enrolled with the insurance payer.

Therefore, wrong information regarding insurance is also one of the factors affecting timely reimbursements.
In or Out of Network Status
Claim billing and processing in cases of in-network vs. out-of-network services is very different. Patients unknowingly take services in an area or constituency which is not included in the policy. Where a majority of insurance policies do not cover out of network services.

Therefore, submission after proper identification of such services by the careful reading of medical documents can help in handling denials effectively. Adequate tracking of such areas is vital to successfully perform medical laboratory billing services.
Effective Denial Management
Identification of correct denial reasons is a process that affects claim reimbursements. Suppose if the claim is denied for incorrect COB (Coordination of Benefits), then this issue may be resolved by simply reaching out to the patient and requesting them to update the required insurance information.

Unnecessary delays in payment may rise if these kinds of denials are not addressed by a laboratory billing consultant in time. With the availability of adequate software, these types of denials can be easily controlled and worked on to ensure timely reimbursement.

Nowadays, many of the medical laboratories are unable to devote the kind of resources and attention required to efficiently manage their laboratory billing process.

Our expert team understands the challenges and complexities of modern and ever-changing billing environment. The dedicated focus enables Bikham Healthcare to make laboratory billing services as an outstanding core competency for its clients.

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Reasons for delayed reimbursements in a laboratory billing process

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A Laboratory Billing Process can become extremely labor intensive when it comes to billing federal and commercial insurance payers for timely claim payments. In a laboratory medical billing Process, billing protocols need to be in place for obtaining timely payments.

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Too often, we witness hospital and individual healthcare providers expecting outpatient laboratory facilities to use the same revenue cycle management (RCM) module that they use and that is part of the EHR software. While the providers may believe the conventional RCM system to be the most cost-effective, it fails to take into account the specific needs of the labs which help maximize revenue and manage compliance risks effectively.

Compliance and regulatory requirements have a great impact on hospital outpatient lab claims processing. They include 72-hour and 14-day rules and several other legislation. According to the 72-hour rule, all services, diagnostic or outpatient, rendered during the DRG (diagnosis related groups) payment window need to be bundled with the impatient ones while billing. Therefore, if an outpatient service is provided outside this window, it cannot be billed to Medicare. This rule applies to a hospital or a facility that provides preadmission services. The date of service requirements until 2018 mentioned that-

1. The date of service for a specimen stored for more than 30 days, is the date the specimen was recovered from storage.

2. The date of service for hospital outpatient specimens stored for 14 to 30 days post-discharge, is the date the test was performed.

However, some tests are exempt from these requirements now. A revised rule was introduced in early 2018, adding exclusions to OPPS (the hospital outpatient prospective payment system). These exclusions were mainly added for tier one and two of the molecular pathology and advanced diagnostic lab tests.

The fact of the matter- these rules are complex! In order to accurately automate the laboratory revenue cycle management, the RCM system must be able to make distinctions. The system must be capable of recognizing an outpatient service, determining the discharge date and calculating the timeframe between the discharge date and the hospital request date.

Additionally, an RCM system must be capable of determining whether if it needs to bill for the whole fee or split out the technical component or bundle the charges. Adding to the complexities, labs need to change the DOS on some claims because as per the new rule, the DOS is not the date of specimen collection, instead of the date on which the lab performs the test. Therefore, these kinds of complexities in laboratory medical billing cannot be handled by an enterprise EHR system.

An effective Laboratory revenue cycle management system goes a long way in making a laboratory a valuable and revenue generating business. Therefore, in order to thrive in the modern environment of revenue compression and complex regulations, it is best that you outsource laboratory medical billing to obtain purpose-built, effective solutions for your laboratory.

Bikham Healthcare offers the most discrete laboratory medical billing services and Laboratory Revenue Cycle Management to healthcare providers and groups. Visit bikham.com for more information about their services.

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Laboratory revenue cycle management to meet Compliance

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Too often, we witness hospital and individual healthcare providers expecting outpatient laboratory facilities to use the same revenue cycle management (RCM) module that they use and that is part of the EHR software.

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Laboratories have seen a high influx of patients over the last few years. Toxicology and radiology laboratories particularly. With state of the art tools at hand providing accurate diagnosis you require someone equally adept to handle the various administrative duties and various back-end processes. For choosing to neglect those is choosing to incur revenue losses. Prioritizing Laboratory revenue cycle management is the call of the hour.

There are numerous options to choose from when looking for a laboratory billing service provider. But the trick is finding the one that suits your needs and fits the bill and handles your laboratory revenue cycle management in ways that ensure optimal end product. A customized solution should be the goal. Finding the right partner to manage your L aboratory revenue cycle management is key. Let's elaborate on a few points you need to keep an eye out for when looking for an adept laboratory billing service that ensures top revenue cycle management.

Your revenue cycle management team should possess the skills to streamline your documentation ensuring higher efficiency in your practice. Scheduling, billing, charting and lab incorporations are the key takeaway from a service provider also delivering round the clock assistance as delays hurt the practice's revenue stream and Bikham Healthcare understands that.

Protect your coding and paperwork by maintaining perfect coding patterns ensuring your defense is ready against potential audits and any losses of returns that might be incurred. A revenue cycle management practice should work in a way making sure these tasks are carried out efficiently including providing assistance to help configure any and all systems/software required.

A top-quality Laboratory revenue cycle management company offers a smoother cash flow where all the billing payments and collections from the services provided are processed in an efficient way. The billing processes should be scheduled as per the client's expectations to build a long-term business relationship.

With the right partner for your Laboratory revenue cycle management, you avail yourself of the benefits of smoother cash flow where all the billing and payment schedules from different services rendered are processed efficiently. The billing processes should be scheduled as per the client's expectations which always helps in building a long-term successful business relationship.

You can focus on your field of expertise, I.e providing medical care to the subject/patient. With Bikham healthcare alongside you, your entire laboratory's revenue cycle management is handled with supreme efficiency with a team of certified technicians and experts at hand, handling any and all problems while keeping the entire operation streamlined. More time simply means more money

Last but never the least, providing top notch customer support service whenever you require assistance. Ensuring all your queries and problems are answered in no time and correctly. Bikham Healthcare has 13 years of experience in offering top-quality revenue cycle management for laboratories across the nation, ensuring our status as a trusted brand name that consistently partners with industry moguls.

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Laboratory Revenue Cycle Management - Laboratory RCM Services

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Laboratories have seen a high influx of patients over the last few years. Toxicology and radiology laboratories particularly. With state of the art tools at hand providing accurate diagnosis you require someone equally adept to handle the various administrative duties and various back-end processes. For choosing to neglect those is choosing to incur revenue losses.

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Complete Patient Eligibility Verification - What You Need to Know?

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Complete patient eligibility verification, physicians verify patient eligibility and benefits to ensure they will receive payment for services rendered. Our focus remained in avoiding delayed payments, which will boost revenue at time of service, saves time on the back end and enhances patient's satisfaction.

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The ever-changing world of testing and laboratory billing has generated numerous questions in the minds of laboratory practice owners regarding the various aspects of testing. There may be some important questions for you to consider like-

* Should you outsource billing or coding, or both?
* Do you really want to deal with the hassles of laboratory billing and coding?
* Do you want to invest in a practice management system?
* How important is billing and coding to be done in-house?
* How much would it cost to hire a qualified laboratory biller and coder?

Finding answers to all these questions requires the help of a laboratory billing consultant. The services of a laboratory billing consultant can be beneficial for you throughout the business lifetime.

But the decision of selecting and hire laboratory billing consultant is itself difficult. To make it easier, we have compiled some tips.

Track Record

How long has the laboratory billing consultants been in business? Experience is an important factor. Select a consultant having a good track record. Because, the older the business is, the more likely it is going to deliver profitable business advice.

Positive Reviews

In the modern business environment where most of the reviews and testimonials are self-written to sound positive, look for the ones with substantial information. Reviews with a substance reflect a clear image of genuineness and tell the reader that it is not just marketing.

Knowledge of the field

Before striking the deal, make sure the consultant has sufficient experience in working with the latest standards like the ICD-10. He has the knowledge of the latest trends and practices so he can offer better help with the same. Obviously, a partner with a piece of outdated information is not going to do the job for you, he might for some aspects but that is just not enough when you are looking for overall profitability and improving business performance.

Size of the consultancy firm

Looking at their employee numbers is another important thing you should consider. A firm with a large number of employees will definitely offer expertise and knowledge for a wide variety of services and help in making decision making easier and faster. This will also help you to receive advice quickly during surge periods.

Fee

With the competition getting tougher each day, consultants often reduce their fee to attract more clients. But getting a provider at a low price can sometimes be negative for your business. Find a partner that has a fixed fee schedule and does not change its prices just for the sake of having a large client base.

There is a lot to consider while deciding to hire laboratory billing consultant. Make sure not to rush things up. Take the time because patience is the key.

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Looking to hire laboratory billing consultant? Here's what you should know.

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The ever-changing world of testing and laboratory billing has generated numerous questions in the minds of laboratory practice owners regarding the various aspects of testing. There may be some important questions for you to consider like- * Should you outsource billing or coding, or both?

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Presentation Description

Making profits with expert Chiropractic Medical Billing Services offer by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com/chiropractic-claims-medical-billing-services

Presentation Transcript

Slide1:

Chiropractic, a field of medicine where patients are treated for different body conditions . It helps regulate body movements and assists in complete mobility of the human body . Chiropractic procedures are plenty which gives rise to different billing requirements. Several chiropractic procedures like spinal and joint manipulations are present . This number of procedures make chiropractic medical billing complicated to execute.

Slide2:

Success of a chiropractic practice depends upon timely claim filing and profitable reimbursements . Billing for chiropractic billing services is complex due to intricate chiropractic care procedures . Good knowledge of chiropractic procedures and experience in medical billing is required . And to obtain payments, understanding of general chiropractic billing procedures is imperative . This the reason why chiropractic medical billing services demand expertise and knowledge.

Slide3:

One way to avoid the hassles of lab medical billing is to outsource them to an offshore billing partner . Providers of outsourced chiropractic medical billing offer initial evaluation to ease the onboarding process . They work side by side with the in-house staff to better understand practice requirements and fulfill them . They help identify key areas of growth and establish the best chiropractic medical billing procedures to obtain payments . With 100% HIPAA compliance and strong technological foundation they help streamline your chiropractic operations.

Slide4:

Patient Scheduling and Eligibility Verification Sales Order preparation and claims submission Claim AR follow up with insurance networks Credentialing, Maintenance and Re-credentialing 24*7 access to patient and financial practice information

Slide5:

Increased Savings and Improved Revenue Collections Quicker Payments with Reduced Stress and Workload Improved Business Performance and Productivity Regular and Consistent Progress Reports Reduced AR Days with Error Free Claim Submission

Slide6:

Outsourcing is an important decision to be carefully made by chiropractic practice owners . It is crucial for chiropractic billers to have the required expertise and knowledge of chiropractic procedures . Ever-changing billing and coding payer requirements pose a threat for chiropractic billers . Therefore, it is imperative that chiropractic billing may only be handled by the experts in chiropractic medical billing services . Bikham Healthcare has years of proven expertise in offering profitable healthcare billing services to chiropractic practices of all sizes.

Slide7:

Knowledge of complex lab billing procedures and codes Chiropractic medical billing related modifiers and diagnosis codes Code variations among different chiropractic specialties Accurate and error free claim submission process Expert negotiation skills on claim payments and denials.

Slide8:

The latest and most advanced billing software are put into practice . This makes claim submission, payment posting and charges entry process seamless . Advanced MD, Kareo , Web PT, Practice HER, Vericle are some of the billing software we use . Having the best technology incorporated with the best minds in industry, helps us make chiropractic practices grow . Visit our website www.bikham.com to know more about our profitable chiropractic medical billing services .

Slide9:

Bikham Healthcare is a leader in providing the most efficient chiropractic billing services at affordable costs . The team is comprised of industry's best medical billing experts that take care of every step in chiropractic medical billing process . We employ dual quality check process to ensure that even the smallest error gets eliminated and denials are prevented . With the 14+ years of unmatched expertise in medical billing we know the ins and outs of the chiropractic billing industry .

Slide10:

US Office 99 Wall Street #158, New York NY 10005 Finance & Accounting : +1 800-935-0865 General Queries: info@bikham.com Health Care: healthcare@bikham.com`

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Making Profits With Chiropractic Billing Solution

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Making profits with expert Chiropractic Medical Billing Services offer by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Making profits with expert Chiropractic Medical Billing Services offer by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com/chiropractic-claims-medical-billing-services

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Making profits with expert Chiropractic Billing Services

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Making profits with expert Chiropractic Medical Billing Services offer by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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The prime task that laboratories take care of is examining the chemical and other specimens collected from a human body. This examination helps in diagnosis, treatment and the prevention of health conditions. Last tests are usually ordered by physicians for apt determination and better diagnosis. The largest payer in the US that takes care of lab test expenses is Medicare. Claims containing information about the type of tests carried out, details of lab provider, ordering physician, and the beneficiary.

According to a study around 50% of beneficiaries registered under the Medicare program, availed lab services at least one time in a year.

With a large crowd availing lab services every year, it becomes crucial for labs to stay current with the compliance and Laboratory billing guidelines. There have not been many changes in billing rules except for the compliance guidance that was updated back in August 1998. And, to our surprise or we shall it bad luck for lab owners, the section listing risks associated with lab billing remains untouched. It has not been changed since 1998 - another reason to worry for lab owners. It is important to note that any mistakes in billing or non-compliance to guidelines will lead to denials or partial reimbursements. Worst case scenario- it can attract legal proceedings as well.

Some of the very common reasons for issues faced by lab owners while billing can be highlighted as:

* Insufficient documentation and failure to prove medical necessity.

* Lack of physician order for lab tests.

* No reviews before or after claims adjudication.

* Not providing lab test results to patients.

* Improper use of Modifiers.

* Inaccurate billing and coding for drug tests.

* Over-coding or Under-coding.

* Not keeping up with the claim submission deadlines.

* No awareness regarding changes to the fee schedule.

Issues faced while billing

A majority of lab billing issues arise due to non-compliance and committing billing errors. Some of these issues can be explained as:

* Incomplete Payment - When lab owners bill medically unnecessary services or are not able to prove the medical necessity for the billed services, insurance does not pay according to the contract resulting in incomplete payments. Make sure to include proper documentation to support the services billed.

* Missing Documentation - Claims can be denied if the insurance does not receive the RX form or the ordering form signed by the ordering doctor. In this case, the services may also be classified as "Not medically necessary".Therefore, it is important to include order and intent form while billing for laboratory services. Other documentation must also be complete and should mention complete details about the tests so as to allow verification.

* Billing Inter-Related Tests - Proper care should be taken while billing for inpatient claims. If you are billing inpatient services along with the surgical ones, make sure to include supporting documentation for inpatient services or, it may cause a dual denial situation. As an inpatient surgical claim denied for medical necessity could result in a denial of Medicare Part-B services.

Outsourcing makes handling out of network claims, and managing information much easier. Their knowledge in billing management and the laws applicable in each state, understanding of the complex payer policies and being able to stay current with the constantly changing rules is what really makes a difference.

Outsource Medical billing with Bikham.. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

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Issues faced while billing for laboratory services

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The prime task that laboratories take care of is examining the chemical and other specimens collected from a human body. This examination helps in diagnosis, treatment and the prevention of health conditions. Last tests are usually ordered by physicians for apt determination and better diagnosis.

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Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com View all posts by MedicalbillingExpert

Published

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Laboratory Billing Process By Bikham Healthcare

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Laboratory Billing Process with Bikham.. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Making profits with Chiropractic Medical Billing Services

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Making profits with expert Chiropractic Medical Billing Services offer by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Making Profits with Chiropractic Medical Billing Solution

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Making profits with expert Chiropractic Medical Billing Services offer by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Some Tips for Successful Chiropractic Medical Billing Services

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Knowledge of the specialty you are billing for is important to effectively execute the billing functions. And, when it comes to chiropractic billing it becomes even more important. Below is a brief overview of all the information that you might need to know before taking your hands on chiropractic medical billing process.

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Making profits with expert Chiropractic Medical Billing

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Making profits with expert Chiropractic Medical Billing Services offer by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical ...

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Making profits with expert Chiropractic Medical Billing | Visual.ly

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Making profits with expert Chiropractic Medical Billing Services offer by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab

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Have you ever thought of the factors that can affect your revenue levels while billing for laboratory services? With the medical lab billing guidelines getting increasingly complex, there are more number of "revenue hazards" than ever. New lab billing issues targeted by the RAC (Recovery Audit Contractors), denials due to the incorrect coding, and the reduced payments under PAMA (Protecting Access to Medicare Act), are a few of them.

Where having the right resources for reliable guidance through all the changes that come from uncertainties in advancing technologies is crucial; determining how to properly report new HCPCS and CPT codes is important too. And in order to do that, knowledge of complete medical lab billing guidelines is a must.

Laboratories were the first among other health care entities that were included under regulatory scrutiny by the OIG (Office of Inspector General) back in 1992. OIG set up a project named "Project Lab Scam", to investigate the fraudulent billing practices run by the then laboratory owners. Several settlements took place between laboratory corporations and the DOJ (Department of Justice) after having found guilty under the FCA (False Claim Act).

Laboratory Corporation of America aka LabCorp, was fined $187 M, whereas Damon Clinical Laboratories aka DCL, was fined $119 M. The largest settlement ever, amounting to $325 M, came from Smith Clime Beecham Clinical Laboratories for violations involving major federal programs such as Medicare, Medicaid, Railway Retirement Board, and CHAMP-US. In all, OIG recovered around $820 M from lab corporations across the nation under "Project Lab Scam."

However, the OIG compliance program guidance was not a requirement, rather it was a recommendation for running the best practices. OIG made it clear that every laboratory must have a compliance program in place and should follow medical lab billing guidelines. The compliance was all about paying the right amount to the right provider for the right service to the right patient. In 1998, OIG released a guidance document, emphasizing the fact that each and every laboratory should implement a compliance plan, not only to address the compliance obligations but the operational complexities as well. It also mentioned that each compliance plan must contain seven essential elements that were:

· A code of conduct and a standard operating procedure, providing direction and guidance to the workforce.
· Appointment of a Compliance Officer and a compliance committee with a well-defined charter, and roles & responsibilities.
· Regular staff training and education.
· Establishing effective line for communication with one being confidential, meant specifically for the employees.
· Processes in compliance and strict adherence to applicable rules and regulations.
· Regular auditing and process monitoring practices.
· Establishment of protocols for prevention, detection and remediation of violations.

Following the recommendations, a majority of laboratories adopted/ implemented compliance programs to address obligations and risk areas that were outlined in the 1998 guidance by the OIG.

Since the introduction of the program guidance, OIG and the CMS have scrutinized the lab industry in the wake of new rules and regulations, special investigations in some selected markets, focused audits and reviews of paid claims.

Another guidance was issued in 2004, by the OIG and the AHLA (American Health Lawyers Association) which defined and emphasized on the ethical obligations of the governing boards for healthcare organizations covering for-profit and not-for-profit organizations as well. With the industry and technology changing faster than most can adapt, risk areas can be derived from annual work plans, advisory bulletins and program newsletters issued by the OIG and the CMS since 2004.

Fast forward to 2007, when CMS added MUE (Medically Unlikely Edit) to the existing NCCI (National Correct Coding Initiative). MUE was designed to improve the accuracy of Medicare payments and reduce clerical errors and avoid incorrect coding. Most recently, both the OIG and AHLA collaborated again to reiterate the guidance document mentioning the responsibilities of governing boards.
Conclusion
While lab billing compliance programs have matured since 1998, there is still a need for its regular assessment and evaluation. Such evaluations are crucial in the new context of newly issued work plans advisory opinions from the OIG. Adherence to medical lab billing guidelines need to be assured so that compliance matters are not overlooked. Outsource Medical billing with Bikham.. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

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Changes to lab billing compliance matters over the recent years

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Have you ever thought of the factors that can affect your revenue levels while billing for laboratory services? With the medical lab billing guidelines getting increasingly complex, there are more number of "revenue hazards" than ever.

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Outsource Medical billing with Bikham. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Laboratory Billing Process - Bikham Healthcare Laboratory Billing Process by Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing,...

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Outsource Medical Billing Presented by - Bikham

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Streamlined Support for an Improved Genomics Lab Billing

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Bikham Healthcare has the perfect ability to work as a reliable operational extension. Our team extends competitive support in lab billing and delivers task specific support in benefits check,...

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Bikham Healthcare, The Champion of Laboratory Medical billing Services

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Outsource Medical billing with Bikham.. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Outsource medical billing With Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

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Outsource medical billing With Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Presentation Description

Outsource medical billing With Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

Presentation Description

Outsource medical billing With Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

Presentation Transcript

Outsource Medical Billing:

Outsource Medical Billing Presented by - Bikham Healthcare

Outsource Medical billing:

Outsource Medical billing While outsourcing is not a new concept, it might be a tricky decision to outsource medical billing . This is because medical billing and coding go hand-in-hand, and unless your service provider is expert at identifying the correct codes, it can result in the bills coming out awry, thereby resulting in large-scale losses. On the other hand, when done correctly, outsourcing can be a pain-free process giving you ample amount of time to concentrate on your core business strategies. Some of the key reasons to outsource medical billing include

Outsource Medical billing:

Outsource Medical billing 1. Increased Control: It is a common misconception that by outsourcing your medical billing services you can lose control over your business processes. In fact many people feel that they have better control over their medical billing processes and the money involved due to a trained and dedicated outsourced billing staff. This increased control directly ties in with your operational benefits, which stand to benefit from outsourcing .

Outsource DME Medical billing:

Outsource DME Medical billing 2. Increased Revenues: By outsourcing medical billing , companies can save a lot of time and money in terms of salaries, office infrastructure, purchasing, upgrading, and maintaining billing software. With the reduction in overhead costs, timely submission of claims and increased reimbursements will result in increased revenues for the firm as well.

Outsource Laboratory Medical billing:

Outsource Laboratory Medical billing 3. Better Safety: Outsourcing your billing processes to a third-party service provider is completely safe. Well-established outsourcing companies provide a very transparent billing process. Most of the service providers have a HIPAA-compliant and 100% secure medical billing processes to safeguard against any hacking attempts. Companies need to have the assurance that their data is kept confidential at all times, and well-regarded outsourcing providers have the desired security and infrastructure to provide a safe haven for Laboratory medical billing outsourcing operations.

Outsource Cardiology Medical billing:

Outsource Cardiology Medical billing 4. Changing Regulations: The rules and regulations of the medical billing world are constantly changing. Keeping up with all the changes can be time consuming and cumbersome for any firm. By outsourcing Cardiology medical billing requirements, the changes in rules and regulations will be managed by the outsourcing partner, as they would make it a point to stay up-to-date with the latest changes. This frees up time for you to focus on other operational areas.

Outsource Dental Medical billing:

Outsource Dental Medical billing 5. Reduced Labor Costs: An average company spends about 30-40% of their collections on the Dental medical billing process . By outsourcing these medical billing tasks they can save a lot of unnecessary costs. The need for hiring a dedicated medical billing team is avoided by outsourcing, as well as the money spent on training them and keeping them up-to-date with the latest regulations.

Outsource Orthopedic Medical billing:

Outsource Orthopedic Medical billing 6. No Capital Investment: When a company outsources Ourthopedic medical billing it no longer has to buy the billing software or any of the latest equipment. The company has to no longer deal with costly software upgrade investments as well. As one does not have to own a complete billing system, the costs are greatly reduced, and in many cases, they can get started easily without any initial capital investments at all.

Outsource Physical Therapy Medical billing:

Outsource Physical Therapy Medical billing 7. More Time for Patients: When the Physical Therapy medical billing processes are outsourced to a third-party, health practitioners have more time to concentrate on the patients rather than spending time on their billing processes. It makes good business sense to invest your business time into your core competencies like quality patient care and outsource ancillary business functions to service providers.

Outsource Chiropractic Medical billing:

Outsource Chiropractic Medical billing 8. Access to Trained Specialists: Most offshore service providers have trained employees who are highly experienced individuals and are well-versed with all the business requirements of outsourced Chiropractic medical billing and coding. They review and follow-up all payments and make sure all the carriers are paying the right amount. Every outstanding claim is tracked until it is processed and the full amount is paid, thereby reducing overheads.

Outsource Radiology Medical billing:

Outsource Radiology Medical billing 9. Adherence to ICD 10: The latest version of the ICD, i.e. ICD 10 is a rising concern amongst the medical community. The new coding changes have had a massive impact on the time management and payment outcomes for health providers. Outsourcing Radiology medical billing will mean that all the coding changes brought in by ICD 10 will be handled by the outsourcing company , most of whom are already well-versed with the sweeping regulations involved.

Outsource Oncology Medical billing:

Outsource Oncology Medical billing 10. Happy Patients: For most patients, going to the hospital itself is a time-consuming, and in certain cases, a bad experience. Not only do they have to come to terms with the various medicines and care they need to adhere to, but also understand the costs involved. A knowledgeable and friendly staff can ensure that your patients remain happy throughout their stay, while all the financial problems are handled by an expert service provider. This means you won't have to harry patients with financial matters and they can deal directly with the professional medical billing staff of the service provider. This helps everyone to work more effectively and efficiently.

Outsource Medical billing:

Outsource Medical billing Work Hassle-free by Opting for Bikham Healthcare Medical Billing Outsourcing Services The medical billing department at Bikham Healthcare ensures that all the bills are submitted on time and with the correct information. We understand the importance of entering the right information so there are no delays or denials on behalf of the insurance provider. Our team is trained to perform medical and coding related to patient demographics, CPT and ICD codes with modifiers, etc.

Contact US:

Contact US 99 Wall Street #158, New York NY 10005 HealthCare + 1-800-940-4943 Email Us: healthcare@bikham.com Visit Us at: www.bikham.com Bikham is one stop solution for DME medical billing , Lab medical billing , Laboratory medical billing , Cardiology Medical Billing , D ental Medical Billing , ORTHOPAEDIC Medical billing , oncology Medical billing , Physical therapy Medical billing , Chiropractic Medical billing , Radiology Medical Billing , Emergency room billing . for More visit us on https://www.bikham.com

Have a question? Call us at
US 210-787-1860

Open Monday to Friday, 8 AM to 6 PM EST

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Outsource medical billing With Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Pin by Bikham Medical Billing on chiropractic medical billing services

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Outsource Chiropractic Medical billing with Bikham. Bikham is one stop solution for DME medical billing, Lab Medical billing , Laboratory Medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Outsource Medical billing with Bikham Healthcare - Bikham Medical Billing & Coding's

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Outsource Medical billing with Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Most Convincing 10 reasons to outsource medical billing

Written by Bikham Healthcare and from Overblog

Being a business owner, one must have heard of a common saying, "Do what you do the best and outsource the rest". Clearly, putting your hands into something that is out of your league will only bring stress and cost you time and money. When it comes to obtaining reimbursement for medical claims it is best to leverage medical billing outsourcing services.

With these points, we are sure you would have understood the importance and benefits of outsourcing. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, D ental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

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Most Convincing 10 reasons to outsource medical billing - Bikham Healthcare

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Being a business owner, one must have heard of a common saying, "Do what you do the best and outsource the rest". Clearly, putting your hands into something that is out of your league will only bring stress and cost you time and money. When it comes to...

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Outsource medical billing With Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Outsource medical billing With Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Laboratory Billing Expert Duties by Bikham Healthcare https://www.bikham.com

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Medical billing and practice management can be a very complicated task for a medical office to undertake. Some offices choose to hire trained medical billers to work full time in the office, and other medical offices choose to outsource their medical billing and practice management services. Other medical offices have done a little of both, and there is no right or wrong answer. However, there are 3 really great advantages to outsource medical billing and practice management services.

1 Reduce Labor Cost

Most small businesses are concerned with cost. Maintaining a medical billing department can be very costly. The rule of thumb is that for every 2 doctors in a practice, an office should have 1.5 workers. With the average salary for a trained and experienced medical billing professional at about $35,000 per year plus benefits, hiring 1.5 workers can cost over $50,000 yearly. Benefits would include health insurance, dental insurance, life insurance, 401K, unemployment insurance, and various other taxes that an employer must pay when they choose to undertake a new employee. In addition to those cost, there are miscellaneous cost that is associated with providing those medical billers the equipment and supplies that they will require to adequately complete their job tasks. These expenses will include software, worker's compensation insurance, postage, clearinghouse fees, HCFA/CMS-1500 forms, paper, printers, additional computers, envelopes, and office furniture. Outsourcing medical billing to a reputable company such as Bikham, can save you 30% - 40% of your annual cost. Maintaining a medical billing department in house, can be very costly, so if you can find a reputable company to outsource your billing to, it is in the best interest of your business to at least listen to how they may be able to help you reduce your overall cost.

2 Focus on Patient Care

Physicians spend years and years in undergraduate school and medical school. During those years of being inundated with information that can help save human lives, physicians do not learn much about billing and fighting with insurance companies. In fact, most doctors know very little about Insurance. However, it is not an expectation that they should be efficient at medical billing. In fact, Physicians cannot be efficient at their job, if they are always stressed about the finances of their practice. This is a specific advantage to small practices because a doctor can focus on providing excellent care to their patients, while a medical billing team handles all of their medical billing and practice management services. Outsourcing Physical Therapy medical billing and practice management services are particularly advantageous for smaller practices because they may not have the money to afford a large medical staff. Therefore, by outsourcing these services they will have access to a team of experienced medical coders, medical billers, and A/R representatives.

3 Reduce Billing Errors and Turn Around Time

Most doctors would like to get paid for services they render to their patients, within weeks of providing those services, instead of months. Well, when there are errors in your billing methods, it can take months to receive payment. However, when you send out clean claims, those claims will get paid within weeks. That is why one of the mantra's we have at Bikham Medical Billing and Consulting is get the claim out the door cleans the first time. When you consider outsourcing you allow professionals and experts to take over tasks where mistakes can be very timely and costly. We have been educated and re-educated about the constant changes in the industry, in regards to new codes, out of date codes, modifiers and more. All of these things must be taken into consideration when claims go out to each and every insurance company for services. Medical billing and practice management services are one of the most important aspects of a medical office because a great percentage of your income can come as a direct benefit of having a great medical billing and practice management company in your corner.

As you can see, outsourcing medical billing and practice management services can be a great advantage to physician's practice's, large and small. The greatest thing that will determine your success is the efficiency of your medical billing department. Outsourcing medical billing can increase your revenue from 5% - 30%.

If you would like to know if outsourcing medical billing and practice management services can benefit your practice, contact us on Bikham.com, and we will tell you how you can get a Free Practice Cost Analysis. This way you can see in real numbers, just how advantageous outsource medical billing and practice management services can be. Outsource Medical billing with Bikham.. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, D ental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

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Building Profits with Outsourced Medical Billing Services

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Medical billing and practice management can be a very complicated task for a medical office to undertake. Some offices choose to hire trained medical billers to work full time in the office, and other medical offices choose to outsource their medical billing and practice management services.

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Outsource medical billing With Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiol...

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Outsource medical billing With Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing

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Duties of a Laboratory Billing Expert by Bikham Outsource Medical billing with Bikham Bikham is one stop solution for DME medical billing...

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SlideWiki | Laboratory Billing Process - Bikham Healthcare

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Laboratory Billing Process by Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Laboratory Billing Process - Bikham Health care

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Laboratory Billing process by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Laboratory Medical Billing process by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

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lab billing process laboratory billing process

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Laboratory Medical Billing process by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Presentation Description

Laboratory Medical Billing process by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

Presentation Description

Laboratory Medical Billing process by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

Presentation Transcript

Expert Laboratory Billing Process for Maximum Profitability.:

Expert Laboratory Billing Process for Maximum Profitability. Presented by - Bikham Healthcare

Laboratory Billing Process:

Laboratory Billing Process Outsourcing has been into practice a lot lately. It acts as a savior for some, while for others it's no more than evil. Grants the ability to focus on core business aspects and a lot more benefits. Among many business functions that are outsourced, below are some frequent ones: IT Network and Telecom Finance Security and, Medical Billing Services

Outsourced Laboratory Billing Process:

Outsourced Laboratory Billing Process

Outsourcing Laboratory Billing Process:

Outsourcing Laboratory Billing Process Laboratory owners are always skeptical of their decision to outsource. The convincing factor is the range of benefits that this strategy offers. Some benefits include: Reduced costs and business expenditure. Increased efficiency and business performance. Scalability in business operations. Compliance with HIPAA standards and IS laws.

Benefits of Laboratory Billing Process:

Benefits of Laboratory Billing Process Numerous Resources With outsourced laboratory billing services , you get a team of expert billers and coders. Increased Focus on Core Business You get a chance to focus on the core aspects of your cardiology practice. Reduced Overhead Costs The expenditure of setting up a practice is eliminated. Increased Productivity Outsourcing reduces the workload on staff, meaning they can work to increase productivity.

Providers of Outsourced Laboratory Billing Process:

Providers of Outsourced Laboratory Billing Process

Cost of outsourced Laboratory Billing Process:

Cost of outsourced Laboratory Billing Process

Bikham Healthcare Laboratory billing Services:

Bikham Healthcare Laboratory billing Services

Contact US:

Contact US 99 Wall Street #158, New York NY 10005 HealthCare + 1-800-940-4943 Email Us: healthcare@bikham.com Visit Us at: www.bikham.com Bikham is one stop solution for DME medical billing , Lab medical billing , Laboratory medical billing , Cardiology Medical Billing , D ental Medical Billing , ORTHOPAEDIC Medical billing , oncology Medical billing , Physical therapy Medical billing , Chiropractic Medical billing , Radiology Medical Billing , Emergency room billing . for More visit us on https://www.bikham.com

Have a question? Call us at
US 210-787-1860

Open Monday to Friday, 8 AM to 6 PM EST

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How to Choose Questions Before Hiring Billing Company

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Duties of a Laboratory Billing Expert by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing...

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Medical Billing and Coding - Tips on How to Select a Provider to Increase Collection and Lower Cost

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Medical Billing and Coding - Tips on How to Select a Provider to Increase Collection and Lower Cost

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Healthcare providers are often deprived of their hard-earned income because of rejected claims and inadequate follow-ups. Almost 20% of medical bills go unpaid because insurance co

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Laboratory Billing Solutions - Lab Medical Billing

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Laboratory Billing Process - Bikham Healthcare

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Laboratory Billing Process by Bikham healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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10 Simple Rules for Physical Therapy Billing

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As a practicing physical therapist, you have a lot going on - everything from treating patients and tracking outcomes datato running a profitable business and collecting payment for your services. So, it's no wonder you have less time than you'd like to keep up on all the ins and outs of Physical Therapy Medical billing.

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Lab medical Billing and Laboratory revenue cycle management

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Increase your revenue with our Laboratory billing services. At Bikham, We know as a best Laboratory Billing Company in USA. we offer Lab medical Billing and Laboratory revenue cycle management

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Besides providing their patients with the highest quality of care, the main thing all physicians want to do is maximize their revenue cycle management (RCM) and generate the largest amount of net revenue possible. Unfortunately, things like coding compliance, claims denials, and increasing technology expenses make this goal challenging.

However, with solid strategies, smaller providers can maximize their RCM and increase their bottom line. Here are seven ways to do just that:
1) Treat RCM Compliance Seriously
As more providers and health systems are hit with audits, it becomes even more import to treat compliance seriously. Accurate billing has taken precedence since the transition to ICD-10 and it's more important than ever to ensure your billing team has realistic expectations.
2) Always Look for Ways to Improve
It's easy to become complacent in anything we do. Just as weightlifters have to continue to add weight if they want to see any gains, providers also have to keep looking for ways to improve their RCM to see gains.

Providers should ask themselves on a monthly basis: How can our processes become more efficient? How can we reduce cycle time? How can we reduce waste? How can we improve our current performance levels? How can we maximize cash flow? How can we reduce bad debt while improving on denials and underpayments?
3) Integrate EHR and practice management software
Many practices currently use electronic PM systems to manage their billing and accounts receivable. Those that have adopted EHRs may also still use paper superbills that require separate data entry. This setup is inefficient and prevents practices from optimizing their revenue cycle.

When providers integrate their EHR and PM systems, they are able to capture charges at the point of service. That data can then be sent directly into the PM system where billing staff can review charges and submit claims.

Integration of IT solutions can also help small practices reduce the risk of data entry errors and decrease time to claim submittal. The end result is faster reimbursements and better quality reporting, which will help practices participate fully in future quality-based reimbursement models.
4) Manage Denials
A big part of maximizing revenue is managing claims denials effectively. To do this your staff must be proactive and diligent. For instance, an important front-end strategy to reduce denials is training your staff to verify insurance eligibility at check-in. On the back-end, it's important you develop processes to monitor denials as they come in.

While it may not always seem worth the effort to resubmit denied claims if the claim return is small, all of those small amounts can add up to thousands of dollars in lost revenue.

A quality PM system can come in particularly handy here because it can scrub claims, manage denials, and even highlight any patient eligibility problems, thus speeding up reimbursements.
5) Training
Physicians don't go to medical school to learn about coding and billing and collections. Because their particular expertise does not always align with their revenue cycle goals, it's important that they find the time to get trained.

The more physicians and their staff can get educated about the different facets of RCM, the more they will be able to create workflows that increase their bottom line.
6) Analytics
Too few practices are using analytics and this is one of the best ways physicians can maximize their RCM.

No matter what the next compensation model might be, practices who track their cost containment efforts and improvements to patient outcomes will always come out ahead.
7) Consider Outsourcing
Running a small practice generally means forming close relationships with your patients and their family. The result is often past-due balances and collections that never happen. Letting payments slide is simply bad for your practice's bottom line.

Outsourcing your Medical billing needs will allow you to keep a close relationship with patients and get paid at the same time. Plus, outsourcing frees up time that staff could be using in other areas of your practice.

Though it may not always feel like it, maximizing your practice's revenue cycle is in your control, regardless of changes that may take place in the healthcare industry. While it is essential you leverage tools such as EHR and PM systems, it is equally important that you and your staff become more educated on effective billing and coding strategies and automate as many tasks as possible to free up precious time.

Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, D ental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

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7 Ways Small Practices Can Maximize Their RCM

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Besides providing their patients with the highest quality of care, the main thing all physicians want to do is maximize their revenue cycle management (RCM) and generate the largest amount of net revenue possible. Unfortunately, things like coding compliance, claims denials, and increasing techno...

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Bikham Health Care has been providing chiropractic billing services since past more than 12 years to our clients.

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SlideWiki | Chiropractic billing service

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Bikham Health Care has been providing chiropractic billing services since past more than 12 years to our clients.

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Medical Billing Process Flow Chart by Bikham Healthcare. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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In these uncertain times, with all the changing regulations of how claims are submitted, received and processed by Insurance Carriers, it can be quite overwhelming financially. The most common questions asked are... Am I collecting the maximum amount possible? How do I know I am collecting as much as possible? How can I increase my revenue? Perhaps a Medical Billing Service could answer all of these questions and calm the angst that is associated with them. There are many benefits to a Medical Billing Service. Below are six benefits that are explored in more detail.
Increase Collection Rates with a Medical Billing Service
Many people are under the impression that Medical Billing is merely data entry; however, it is much more than that. In order to bring in the maximum amount of money on the claims being submitted there needs to be follow-up on the claims. This often times is where in-house billing falls short, depending on the amount of staff that is part of the department, claim submission and payment posting become the priorities. For instance if you have one biller in a two physician practice that sees a decent amount of patients per day, the biller's time is mainly going to be spent on creating, submitting and posting payments for claims. Entering in the claims, and reviewing each claim before it gets sent to the insurance carrier is time consuming. This is also true with payment posting; it is time consuming to post the money received to each CPT code, yet extremely important. With just those two responsibilities, there is little time left for the claims that require more action. Most often the claims that are denied require little action in order to become paid claims. However, it does take time to follow-up with the insurance company to see what is required to get the claim paid. Follow-up alone is a full time position. With a Medical Billing Service there are multiple personnel working for your practice. Often times there is one full time dedicated person following up on all claims that require further action. Instead of paying for two full time employees most Medical Billing Services have follow-up on claims as a standard service of Claim Processing.
Increase Profitability with a Medical Billing Service
There are multiple ways that a Medical Billing Service can increase the profitability of a Medical Practice, including, but not limited to staff availability, eligibility services, and CPT trending. When you hire a Medical Billing Service you are getting multiple billers working on your account. There is constant activity with claims submissions, payment posting, follow-up, patient billing and account inquiries. If one of those billers happens to be out, there are multiple billers there to fill in, ensuring that no work is left until that biller is back in the office. This means there is no disruption in the Billing Process and no hiccup in the revenue received. Patient Eligibility is one of the easiest ways to ensure proper payment of claims. Before the patient even walks through the door, the patient has had their eligibility verified. This in turn ensures the practice that the patient is currently covered under the insurance carrier on their file, and any referral that is needed has been obtained. It also allows for any Insurance Carrier discrepancies (such as a change of insurance, mistyped ID number, etc) to be fixed prior to the visit, leading to an increase in "clean" claims, which in turn leads to an increase in profit for the practice. Another way to increase profitability with a Medical Billing Service is through CPT trending. When payments are getting posted to CPT codes, the billers often see a trend to what codes are being paid and how much is being received per code. This can often lead to two different scenarios. One being that certain codes are not being paid on, which in turn allows the practice to decide whether or not to continue to offer that service to their patients, or find an alternative or comparable service that they can provide and which will be paid. The second scenario is that the practice is performing a procedure often, therefore allowing a renegotiation with the Insurance Carrier of how much to be compensated. The above are only three out of many ways a Medical Billing Service can help Increase Profitability for a Practice.
Increase Physician Productivity with a Medical Billing Service
When a physician is confident that the financial aspect of their business is in good hands, and is not worried about whether or not claims are being submitted and money is being collected, they can focus on what is the most important aspects of a physician's job - patient care. With a Medical Billing Service if there is a CPT code in question or a diagnosis code that cannot be found, the Medical Billing Service will be able to assist in finding that code. This in turn allows the physician to keep on seeing patients and charting without skipping a beat, instead of sitting and trying to figure out what the code is. Similar to CPT trending, which helps increase profitability, a similar trend happens when the billers are reviewing claims prior to them being submitted to the insurance carrier. The billers will assist the physicians when there is a conflict in the codes being billed or if they see something that is being repeated that will help the physician and save them time when doing their chart notes. Many Medical Billing Services offer the services of a Business Analyst who will work with the physician and their office staff and provide suggestions on how to maximize the usage of tools on hand (i.e. EMR, MAs, office flow, etc). This will increase efficiency and productivity.
Increase Staff Productivity with a Medical Billing Service
As well as offering the services of a Business Analyst, some Medical Billing Services will also offer training on how to properly register a patient, collect co-payments, and create an optimal office flow that will increase productivity throughout the office. Many office staff members do not realize the importance of their job; not realizing that they are projecting the first impression on patients that walk through the door. Properly trained office staff will give more of their attention to the patients, which in turn will be appreciated by those patients who are also more likely to recommend the physician to their friends and relatives. Along with increasing the efficiency of the office a Medical Billing Service also eliminates many patient calls regarding their accounts. When a patient has a question regarding a statement, or a bill that they have received either from the office or an insurance carrier, the call is handled by the Medical Billing Service. They are able to assist your patient in a professional manner, without the pressure of having to check in patients, answer the phone, etc. The attention and professional manner in which the Medical Billing Service personnel conduct their business will assure the patients that their questions and concerns are being dealt with properly.
Decrease Claim Denials with a Medical Billing Service
With a Medical Billing Service, the staff that is dedicated to your practice goes through each claim before it is submitted to make sure that it is a "clean" claim. A "clean" claim is what it sounds like; a claim that has the correct CPT codes associated with the diagnosis codes, complete patient information, and complete insurance information. This decreases the chance of denial by the insurance company. Medical Billing Services ensure that the highest percentage of "clean" claims possible are being submitted to the insurance carrier. This increases the revenue coming back to the practice as well as decreases the amount of labor needed to follow-up on claims. Medical Billing Services know that the time spent reviewing claims to make sure they meet the insurance carrier standards is well worth the time.
Gain insight into your practice financials with a Medical Billing Service
A Medical Billing Service knows which reports to run to give physicians complete insight to the financial side of their practice. Medical Billing Services know what money is being billed out to the insurance carriers, as well as what is being received from insurance carriers and patient payments. This is turn allows the Medical Billing Service to run the appropriate reports that show the physicians what they want to know, instead of giving reports that show miscellaneous data that does not pertain to the main financial insight of the practice. Many Billing Services are also able to provide physician requested financial reports very easily. For instance, if a physician needs to know how many specific procedures were done in a date span for Credentialing, the Medical Billing Service can easily obtain this information. Another way to gain insight into the financial side of the practice is to trend how the insurance carriers are paying. If an Insurance carrier increases or decreases the amount received, it will be seen right away by the Medical Billing Service, thereby allowing the correction or renegotiation of any discrepancy in payments.

Revenue is generated by the clinical side of the practice, meaning that physicians gain revenue by seeing patients, not by doing administrative work. Increasing time spent on the clinical side, means increasing the amount of revenue. Outsource Medical billing with Bikham.. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, D ental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

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In these uncertain times, with all the changing regulations of how claims are submitted, received and processed by Insurance Carriers, it can be quite overwhelming financially. The most common questions asked are... Am I collecting the maximum amount possible? How do I know I am collecting as much...

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Generating revenue is a basic need for businesses to run smoothly. This stands especially true of running successful healthcare facilities. However, the noble cause of treating patients is put to financial risk by the constantly changing healthcare reforms.

The main source of earning revenue for medical practices in the US is the reimbursement from payers. Medicare and Medicaid plans of the Affordable Care Act (ACA) make up the maximum percentage of insurance coverage followed by private insurances.

Importance of Medical Billing

The Medical billing process is a very crucial procedure for medical practices to get their reimbursement on time. This process involves in-house staff members who have to look after everything from appointment scheduling, transcribing, filling the CMS-1500 claims form, submitting them to respective insurers, working on denials to following up with the payers until the payment is made. It is a long and time taking procedure.

* Erroneous Submissions Lower Revenue

The statistics reveal that the most common reason for delayed payments is erroneous form submission. It constitutes a major 30% of the reason why physicians have to wait for long duration to receive their due.

* Follow up is Part of Billing Process

Many a times the physicians have to completely forego their payment because of lack of following up with the payers. The staff is so burdened with administrative and other tasks like coding and compliance that spending at least 15 minutes for every phone call to the payer is next to impossible. Besides that, if the accounts receivable (AR) falls into the next level of the 30 / 60 / 90 bucket the chances of collection lowers significantly.

* Payment Posting and Reports

An important part of the medical billing process is posting the status of payments, checking whether the practice has been reimbursed as expected and for properly for every respective patient. However, the main aim of this process should be to generate reports after analyzing the trend of reimbursement by per insurance payer. This proves to be helpful in strategizing and planning the submissions for different medical specialties.

Thus, if your medical billing cycle is interconnected in a smooth way and functions without glitches, you can be sure of collecting maximum revenue for your practice. Nevertheless, it is also noted that practices of different sizes fail to streamline their billing cycle due to the many systematic steps involved along with compliance issues due to which many practices are losing more revenue than before. In such situation the only feasible option to save costs and comply with the healthcare changes is outsourcing the billing process to a vendor. Outsource Medical billing with Bikham.. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, D ental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

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How Medical Billing Helps You Generate More Revenue

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Generating revenue is a basic need for businesses to run smoothly. This stands especially true of running successful healthcare facilities. However, the noble cause of treating patients is put to financial risk by the constantly changing healthcare reforms. The main source of earning revenue for medical practices in the US is the reimbursement from payers.

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Duties of a Laboratory Billing Expert | Visual.ly

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Duties of a Laboratory Billing Expert by Bikham Healthcare, Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medic

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Pin by Bikham Medical Billing on Laboratory Billing SOlutions

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This Pin was discovered by Bikham Medical Billing. Discover (and save!) your own Pins on Pinterest.

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Maximizing revenue with our physical therapy

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Outsourcing can give your business ample time to focus on its strengths, allowing your staff to concentrate on their main tasks and on future strategies. Choosing an outsourcing company that specializes in the process or service you want them to carry out for you can help you achieve a more productive, efficient service, often of greater quality.

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Bikham Health Care has been providing chiropractic billing services since past more than 12 years to our clients.

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chiropractic billing services Episodes In todays Chiropractic practice doctor are leaning more and more towards outsourcing the billing. We have years of experience providingChiropractic billing services. Hiring a quality billing service is one of the most imp

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Chiropractic billing is getting tougher and tougher each day. Working with insurance companies, patients, collection services, attorneys, the list goes on. Many doctors are now spending more of their own time and resources on getting paid than actually practicing care for their patients.

Have you ever considered looking into outsourcing chiropractic billing to a chiropractic billing company? There are many reputable companies that will save you time, money, and headaches. Many chiropractors' choose to outsource their billing because of the time it takes them to actually get paid. Other chiropractor's' outsource their billing because they are paying a salary with benefits to one or two people in the office who just handle the billing. Either way, chiropractors' spend hours upon hours trying to get paid with many not succeeding.

Here are some things to consider when researching a chiropractic billing service:

What do they actually charge you for the services they perform?

How many people do they have working for you?

Are they well-known?

Do they have a list of referrals for you to contact?

Are they looking for a long-term professional relationship with you?

Are they experts?

Will they save you money and actually collect more money for you?

With these things to consider, many doctors shy away from the process of beginning to research for a chiropractic billing company. It would be better to consider your long-term gain than your short-term loss. Many billing companies will be willing to work with you and set up an initial consultation to see where they could help in your day-to-day operations of billing.

When you do make a decision to go with a chiropractic medical billing services, make sure they give you all the details up front and ask lots of questions until you feel comfortable to actually sign a contract they propose to you.

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Increase your revenue with Chiropractic medical billing Services. Bikham Chiropractic billing Services for flawless Chiropractic Medical billing and coding Chiropractic billing is getting tougher and tougher each day. Working with insurance companies, patients, collection services, attorneys, the list goes on. Many doctors are now spending more of their own time and resources on getting paid...

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Increase your revenue with Chiropractic medical billing Services. Bikham Chiropractic billing Services for flawless Chiropractic Medical billing and coding https://www.bikham.com

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Image discovered by @bikhammedicalbilling. Find images and videos about health, medical billing and bikham on We Heart It - the app to get lost in what you love.

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Laboratory Medical billing Bikh - medicalbillingexperts | ello

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Laboratory Medical billing with Bikham.. Bikham is one stop solution for DME medical billing, Lab Medical billing , Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Laboratory Medical billing with Bikham.. Bikham is one stop solution for DME medical billing, Lab Medical billing , Laboratory medical...

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Medical Billing Process Flow Chart by Bikham Healthcare, Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Bikham HealthCare has been providing chiropractic billing services since past more than 12 years to our clients.

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Having a successful chiropractic medical billing practice requires a complete understanding of the billing part. This is important when billing for Medicare or other insurances.

Improper billing can result in unnecessary claim denials. In order to receive complete payment for chiropractic services, it is required that billing must be done with correct insurance payers.

There are cases when some amount of balance is due and needs to be adjusted. Therefore, the knowledge of how to bill patients for due balance becomes important. But that is the latter part. Primarily, one needs to have the knowledge of proper billing and diagnosis codes so that the payment is obtained in the first place.
Starting with the journey!
One can start receiving payments by learning various diagnosis codes related to chiropractic services. Successful chiropractic medical billing services require that you present accurate diagnosis codes and charges before the insurance payers for them to start claims processing.

Diagnosis codes related to chiropractic medical billing services can be found with chiropractic resource organization. Or the other method can be purchasing medical billing software with embedded updated codes in its database. This would further help simplify the entire chiropractic medical billing process. Moreover, when you choose such a system, expenses related to paper claim forms, cover letters, envelopes, and stamps are automatically eliminated.

Selecting the medically necessary diagnosis codes is also important. Or if in case, when a service is required to be provided in an emergency, a pre-authorization can be obtained, telling the insurance that the service was not covered but still it has been offered due to medical necessity and emergency condition.

However, the important thing is to the only bill for the services that associate with chiropractic services. There is no point billing such a service that does not at all correspond with the core domain. One might find a hot/cold pack to be medically necessary where the insurance may not. However, a majority of payers covering chiropractic medical billing services will release payments for manual manipulation therapy, as it is medically necessary.
Get Recognized!
Most chiropractic providers miss out on this part of the chiropractic medical billing services business. Working with insurance payers as an in-network provider is important. This gives you a recognition plus first preference while your claims are being processed.

Patients also prefer the chiropractic practices that have a valid license and are enrolled with some major insurance payers. This is also about trust and reliability.
Keeping track of the cash flow!
As important it is to work on ways to collect payments, is to keep a track of them. It is important to keep a track of the Accounts Receivables and Payables part of a chiropractic medical billing business.

Being well informed about this finance part helps in forming sound business decisions and work on new methods and opportunities to grow your bottom line.
Outsource!
Some chiropractic practices may find it difficult to handle the billing part along with other responsibilities. Of course, the ever-changing medical billing guidelines, declining Medicare fee for service and payer standards are there to increase the headache.

Bikham Healthcare is a trusted provider of chiropractic medical billing services that takes care of the numerous challenges faced by chiropractors. With over 14 years of unmatched experience and expertise, we are dedicated to seeing your bottom line grow.

Visit our website www.bikham.com to know more.

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Some Tips for Successful Chiropractic Medical Billing Services

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Having a successful chiropractic medical billing practice requires a complete understanding of the billing part. This is important when billing for Medicare or other insurances. Improper billing can result in unnecessary claim denials. In order to receive complete payment for chiropractic services, it is required that billing must be done with correct insurance payers.

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Medical Billing Process Flow Chart from Bikham Medical Billing & Coding

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Bikham Healthcare - Medical billing and Coding

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Bikham Outsource Medical Billing is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

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Medical Billing Services - Choose Wisely | pen

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It's not news nowadays that healthcare providers are heavily outsourcing their medical billing services to professional companies to look after their medical billing and collections. A number of physicians, hospitals, nursing homes, urgent care centres, laboratories, DME companies, and other entities associated with the healthcare industry have realized the need for professional handling to regain focus on revenue recovery mainly through the reduction in operational costs.

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5 Steps of Healthcare Revenue Cycle Flowchart

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5 Steps of Healthcare Revenue Cycle Flowchart by Bikham - Outsource Medical billing with us to increase your revenue with speedy claims for more visit us on https://www.bikham.com Slideshow 8272145 by MedicalBillingexpert

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5 Steps of Healthcare Revenue Cycle Flowchart

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5 Steps of Healthcare Revenue Cycle Flowchart by Bikham . Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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Healthcare Revenue Cycle Flowchart in 5 Steps:

Healthcare Revenue Cycle Flowchart in 5 Steps Powered by - Bikham - Healthcare Revenue Cycle flowchart Services https://www.Bikham.com

Medical Billing RCM Flow Chart:

Medical Billing RCM Flow Chart Healthcare revenue cycle management is a complex and complicated process that can drain resources when not properly managed. It takes considerable time and expertise to create and manage a well-maintained system that runs efficiently. An effective healthcare revenue cycle process maximizes organizational profits and keeps revenues pouring in. Medical professionals currently spend more valuable time and resources on the revenue cycle than any other industry. A healthy medical revenue cycle process works in tandem with other software and automates the revenue cycle management . It also aides in the migration to value based reimbursement, and it maximizes organizational performance and regulatory compliance while minimizing the cost per claim. The best way to examine the process is with a healthcare revenue cycle flowchart.

Healthcare Revenue Cycle Flowchart :

Healthcare Revenue Cycle Flowchart The revenue cycle starts when a patient makes an appointment for services, and it continues until full payment has been remitted. While the healthcare revenue cycle flowchart is unique to each organization, some fundamental characteristics remain unchanged. For instance, every healthcare revenue cycle flowchart has five sections. Of course, the names will vary between organizations, but the general contents of each section remain the same. Some flowcharts are, however, more detailed than others. The five main sections of the healthcare revenue cycle flowchart include pre-claim, front-end, transactional and back-end.

1. Pre-Claim:

1. Pre-Claim The pre-claim section of the healthcare revenue cycle is the smallest section. However, it is still inherently important to the rest of the process. This section includes things such as provider credentialing and contract negotiations. EDI and ERA enrollment fits into this section along with the pricing and fee schedule for the organization. EDI is an acronym for Electronic Data Interchange, and ERA stands for Electronic Remittance Advice. These are both critical for regulatory compliance and claims processing.

2. Front End:

2 . Front End The front-end section of the healthcare revenue cycle flowchart begins with the patient appointment and continues until the end of the patient visit. It includes everything from patient registration to deductibles, coding and charge capture. This part of the process is crucial to the rest of the healthcare revenue cycle. This is where a patient's contact information is documented, and current insurance coverage is verified. Co-pays and deductibles are also collected at this point. A best practices revenue cycle process also includes payment arrangements for any outstanding balance that may not be covered by insurance .

3. Transactional:

3. Transactional The transactional section of the healthcare revenue cycle flowchart includes everything from charge entry to cash reconciliation. This also includes posting payments, claim scrubbing and EFT processing, among other things. This is where charges are entered into the system, claims are submitted, and payments are posted for services rendered. It is the largest and most crucial part of the healthcare revenue cycle flowchart. A mistake in this section of the revenue cycle can cost the organization dearly, resulting in slow payments or the denial of claims. Regulatory compliance is also crucial in the transactional section of the flowchart.

4. Back End:

4. Back End The back end of the revenue cycle management process flow chart includes things such as checking the status of claims, patient statements and analyzing claim denials. Claims may be resubmitted for payment and patients need to be contacted to make payments on an outstanding balance. This is where appeals are submitted when necessary, and patients who refuse to pay may be sent to collections. The back-end section of the rcm cycle flow chart is where additional revenue is captured beyond the transactional section .

5. Efficiency:

5. Efficiency A healthy revenue cycle is efficient. It helps streamline the revenue collection process while promoting regulatory compliance and minimizing costs. It also ensures an organization is collecting the maximum amount of revenue available for their services. Utilizing a healthcare revenue cycle flowchart helps organizations isolate inefficiencies in the process. It allows them to target specific elements of the revenue cycle that need improvement. The reference to key indicators and benchmarks of best practices are essential! As healthcare revenue cycles become more complex, they present core challenges that require an innovative approach. Your best next step may be a medical billing , to identify the gaps in completing the revenue cycle flowchart.

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5 Steps of Healthcare Revenue Cycle Flowchart

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Healthcare Revenue Cycle Flowchart in 5 Steps Powered by - Bikham - Healthcare Revenue Cycle flowchart Services https://www.Bikham.com Medical Billing RCM Flow Chart Healthcare revenue cycle management is a complex and complicated process that can drain resources when not properly managed. It takes considerable time and expertise to create and manage a well-maintained system that runs efficiently.

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5 Steps of Healthcare Revenue Cycle Flowchart

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5 Steps of Healthcare Revenue Cycle Flowchart by Bikham - Outsource Medical billing with us to increase your revenue with speedy claims for more visit us on https://www.bikham.com - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 8d4629-ZjlmZ

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Medical billing and practice management can be a very complicated task for a medical office to undertake. Some offices choose to hire trained medical billers to work full time in the office, and other medical offices choose to outsource their medical billing and practice management services. Other medical offices have done a little of both, and there is no right or wrong answer. However, there are 3 really great advantages to outsource medical billing and practice management services.

1 Reduce Labor Cost

Most small businesses are concerned with cost. Maintaining a medical billing department can be very costly. The rule of thumb is that for every 2 doctors in a practice, an office should have 1.5 workers. With the average salary for a trained and experienced medical billing professional at about $35,000 per year plus benefits, hiring 1.5 workers can cost over $50,000 yearly. Benefits would include health insurance, dental insurance, life insurance, 401K, unemployment insurance, and various other taxes that an employer must pay when they choose to undertake a new employee. In addition to those cost, there are miscellaneous cost that is associated with providing those medical billers the equipment and supplies that they will require to adequately complete their job tasks. These expenses will include software, worker's compensation insurance, postage, clearinghouse fees, HCFA/CMS-1500 forms, paper, printers, additional computers, envelopes, and office furniture. Outsourcing medical billing to a reputable company such as Bikham, can save you 30% - 40% of your annual cost. Maintaining a medical billing department in house, can be very costly, so if you can find a reputable company to outsource your billing to, it is in the best interest of your business to at least listen to how they may be able to help you reduce your overall cost.

2 Focus on Patient Care

Physicians spend years and years in undergraduate school and medical school. During those years of being inundated with information that can help save human lives, physicians do not learn much about billing and fighting with insurance companies. In fact, most doctors know very little about Insurance. However, it is not an expectation that they should be efficient at medical billing. In fact, Physicians cannot be efficient at their job, if they are always stressed about the finances of their practice. This is a specific advantage to small practices because a doctor can focus on providing excellent care to their patients, while a medical billing team handles all of their medical billing and practice management services. Outsourcing Physical Therapy medical billing and practice management services are particularly advantageous for smaller practices because they may not have the money to afford a large medical staff. Therefore, by outsourcing these services they will have access to a team of experienced medical coders, medical billers, and A/R representatives.

3 Reduce Billing Errors and Turn Around Time

Most doctors would like to get paid for services they render to their patients, within weeks of providing those services, instead of months. Well, when there are errors in your billing methods, it can take months to receive payment. However, when you send out clean claims, those claims will get paid within weeks. That is why one of the mantra's we have at Bikham Medical Billing and Consulting is get the claim out the door cleans the first time. When you consider outsourcing you allow professionals and experts to take over tasks where mistakes can be very timely and costly. We have been educated and re-educated about the constant changes in the industry, in regards to new codes, out of date codes, modifiers and more. All of these things must be taken into consideration when claims go out to each and every insurance company for services. Medical billing and practice management services are one of the most important aspects of a medical office because a great percentage of your income can come as a direct benefit of having a great medical billing and practice management company in your corner.

As you can see, outsourcing medical billing and practice management services can be a great advantage to physician's practice's, large and small. The greatest thing that will determine your success is the efficiency of your medical billing department. Outsourcing medical billing can increase your revenue from 5% - 30%.

If you would like to know if outsourcing medical billing and practice management services can benefit your practice, contact us on Bikham.com, and we will tell you how you can get a Free Practice Cost Analysis. This way you can see in real numbers, just how advantageous outsource medical billing and practice management services can be. Outsource Medical billing with Bikham.. Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, D ental Medical Billing, ORTHOPAEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing. for More visit us on https://www.bikham.com

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3 Advantages to Outsourcing Your Medical Billing and Practice Management

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Medical billing and practice management can be a very complicated task for a medical office to undertake. Some offices choose to hire trained medical billers to work full time in the office, and other medical offices choose to outsource their medical billing and practice management services.

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SlideWiki | Medical Billing Process Flow Chart

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Medical Billing Process Flow Chart by Bikham Healthcare, Bikham is one stop solution for DME medical billing, Lab medical billing, Laboratory medical billing, Cardiology Medical Billing, Dental Medical Billing, ORTHOPEDIC Medical billing, oncology Medical billing, Physical therapy Medical billing, Chiropractic Medical billing, Radiology Medical Billing, Emergency room billing.

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For practitioners, billing cycle efficiency is as important as delivering quality patient care.
Nothing "hurts" a medical provider more than a service rendered that never get reimbursed.
Getting paid is the goal, unfortunately, it is not easy.
Physicians graduate medical school as trained medical professionals, business management isn't necessarily a skill they inherit from all those years of education.
Enter Revenue cycle management, the primary role of which is to ensure the financial well being of a medical practice.
Often confused with medical billing, it is in fact, a system employed by most healthcare organizations to manage the entire process, right from the moment a patient makes his initial appointment to the moment an insurance payer reimburses the healthcare organization for the services provided.
Making Ends Meet
Revenue Cycle Management can be broken down into small sub-sets, each requiring different skills.
Everyone in the administrative team is involved in each of these steps.
The process begins at front-desk, moves to medical coders and then to A/R management staff.

Although not advisable, small practices still manage all the functions themselves, for bigger practices, a third-party Revenue cycle management expert is often a necessity.

Following is a brief about the various steps involved in a Revenue management system.
The steps are universally applicable with an exception of one or two depending on the size and nature of the practice.

A patient calls a practice to schedule an appointment.
Revenue cycle management begins at that, effective management at this stage eliminates problems down the line.
Front desk staff is responsible for procuring the details of the patients such as DOB, address, sex and phone number. In case of a new patient, the information is collected and a patient chart is generated, for old patients, the records are updated.

Why this matters?
A good percentage of insurance denials are because of problems with demographics, Clerical errors are still the major cause of insurance denials.
Clerical staff needs to be skilled, adept at handling both new and old patients.

Physicians need to make sure the services rendered by them are covered by the insurance payer, it also helps to determine the patient's share of the charges incurred.
New patients are checked for their insurance eligibility, a process that can be accomplished on payer websites or on the phone.
The insurance eligibility is confirmed along with the coverage plan opted by the patient.
For old patients, any change in details are accounted for and pending payments are recorded.
Once again, it's the responsibility of front desk to ensure verification is done before any services are provided to the patient. Both Patient registration and verification constitute the first step in Revenue cycle management.

Examination and documentation:

Once the details are obtained, the patient examination is performed, the services rendered are documented.
Certified coders make note of the services and once all the documentation is completed, the patient is discharged.

Part of the documentation process, the services rendered are documented in compliance with the current ICD regulations.
CPT (Current Procedural Terminology) and ICD (International Classification of diseases) are protocols for the services and the diagnosis provided by the physician.
Both the diagnosis and services are documented under separate ICD and CPT codes.
Physicians get reimbursed based on the codes they document, the codes become a standard of payment for the insurance payers.
Coding is also a crucial step a Revenue Cycle Management system, incorrect codes lead to insurance denials right away.
It is imperative that a certified staff takes care of the coding process.

The patient data, diagnosis and service codes all are combined to form a superbill that is then submitted to the insurance company. If the claim is approved, the practice will receive the payment form the insurance payer.

Coding and claim submission are parts of claim processing, once a claim is sent for review, the insurance payer processes it, depending on the information provided the claim can be approved or denied by the payer.

The payer can deny paying for claims because of many reasons.
Denial management is an important part of Revenue cycle management because on average, 30% of the claims get denied. The percentage of denied claims is even higher for certain payers.
Managing these denials becomes important for physicians since the backlogs of denials keep piling up, claim after claim.
The backlogs can become a serious problem over time as the cash flow gets halted.

Denial needs to be acted upon quickly.
Claim information has to be sent correctly to begin with, front desk staff, medical coders need to ensure clean claim submissions, still, if the payer denies, an optimum time window to act on it is 3 days.

A relentless follow-up ensures speedy claim processing and timely payments. Once a claim is filed, claim submissions are confirmed with payers and a regular follow-up is done on the current status of the claim.
On an average, 15 billion claims are filed each year, delays in processing lead to A/R increase and many physicians never follow up. Neither on denials nor on pending claims.
In an effective revenue cycle management system, A/R is constantly monitored, regular follow-ups ensure A/R stays low and a steady cash-flow is maintained.

Payment Received/Collections:

Once the claim is approved, Physicians are reimbursed for the services provided marking an end to the payment cycle.

A regular cash-flow is necessary for any business, medical practices are no different.
In the absence of a system in place, physicians simply end up providing more without any assurances of a payout later.
This is further complicated by the fact that insurance payers do not reimburse right away, as such, a steady cash inflow ensures a practice is able to sustain its operations.

Effective Revenue cycle management can take medical businesses a long way, the competition for private practitioners grows day by day and practices have evolved to not only manage the processes effectively but cut down on overheads costs as well.
Our blog resource is filled with such articles on how to save overheads and bring down operation costs, you can read about them here.

Revenue cycle management is necessary and in the right hands can save you the money and time.

It deals with the business side of a practice.
Delivering quality care is pivotal but the series of small steps ultimately leading to being paid is also necessary for the business to sustain itself.

Bikham has been the pioneer at providing end to end Revenue cycle management services to physicians all across The United States.
Our comprehensive solutions have helped physicians dramatically increase their cash collections and bring theirs pending A/R down.

Facing Billing troubles lately?
Contact us for a free analysis and see how we can help.

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Revenue Cycle Management and Why It is Important for Physicians

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For practitioners, billing cycle efficiency is as important as delivering quality patient care. Nothing "hurts" a medical provider more than a service rendered that never get reimbursed. Getting paid is the goal, unfortunately, it is not easy. Physicians graduate medical school as trained medical professionals, business management isn't necessarily a skill they inherit from all those years of education.

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ICD-10 codes (The tenth edition of International Classification of Diseases) is a clinical cataloging program that came into force on October 1, 2015. The transition of ICD-10 codes for medical billing from ICD-9 codes took place after a series of chronic delays. However, "ICD-10" offers wider classification options than its predecessor "ICD-9". This program is adopted by the federal government or regulation entities while it is owned, maintained and published by The World Health Organization (WHO).

ICD-10 codes can have 2-7 characters each representing a specific diagnosis. These 7 characters represent section, body system, root operation, body region, approach, method, and qualifier respectively. First three characters are designated as categories of the codes and can be expanded to four, five, six or seven in order to add more specific information.

Let's take an example of ICD-10 codes of medical billing i.e. S86, in this instance, "S" used along with numerals "8" and "6" refers to the category of the diagnosis related to injury of muscle, fascia, and tendon at lower leg level. This three-character category of ICD-10 data can stand alone as a code.
Importance of Assigning ICD-10 Codes:
It is essential for physicians as well as their faculty that ICD-10 codes of medical billing are not just limited to compliance, but it is more about improving the patient outcomes. The clinical details in the latest version provide the physicians with more information they require to measure healthcare service quality and improve the care of individuals.

Physicians would be glad to know that enhanced reporting capabilities of ICD-10 allow high reimbursements and increased pay for performance which directly factors in improvement of operational costs and the financial process.
Moreover, it has potential to improve the following:

Outcome measurements

Clinical, financial and administrative performance measurement

The design of payment methods and claims processing

Reporting on new medical technology

Improving reimbursement systems

Care and disease process management

Benefits of ICD-10 Codes of Medical Billing:
Most of the physicians have successfully adapted to this new transition, but still, there are a few who are confused whether to comply or not. If you are one of the latter, then read the following benefits of ICD-10 to get rid of your uncertainty.

Lesser Fraudulent:
Implementation of ICD-10 codes of medical billing results in lesser frauds and more claims, which escalates the cost of healthcare provider's and payer's premiums. This new transition ultimately improves the patient care and helps to obtain more reimbursement for the physicians.

Performance Analyzing:
This upgraded version can help the provider to analyze their services, utilization of resources, operational costs and outcomes. More the detail on procedure types, more it will be easier for the physicians to monitor their own performance which will allow them to take essential steps to make headway.

Enhanced Quality of Documentation:
The ICD-10 codes of medical billing utterly fall back on the clinical documentation. There are about 68000 codes added to the new ICD-10 codes and the accuracy of codes rely on clinical documentation. So, with the adoption of the ICD-10 coding system, quality of documentation will also be enhanced.

Fair Pay:
This granular ICD-10 system allows the physicians to appropriately document the intricacy of the care rendered and differentiate between long-standing patients and patients who visit for regular check-ups. In this way, the patients can be billed in accordance with service provided which result in better payment procedures.

Build Relationship:
The new ICD-10 codes of medical billing help the physicians to build or improve their relationships with patients and insurance carrier. Moreover, the physicians can shake hands with the third-party agencies in order to increase the reimbursement, thereby enhancing their revenue and financial process.

With over 13 years of industry experience, Bikham Healthcare offers you top of the line medical billing and coding services with a team that houses complete knowledge of ICD-10 codes in order to help achieve your financial objectives with minimum denials and no delays.

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What is ICD-10 Codes, It's Importance and Benefits - Bikham Healthcare

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ICD-10 codes (The tenth edition of International Classification of Diseases) is a clinical cataloging program that came into force on October 1, 2015. The transition of ICD-10 codes for medical billing from ICD-9 codes took place after a series of chronic delays. However, "ICD-10" offers wider classification options than its predecessor "ICD-9".

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Laboratories have a different and unique billing criterion and need an in-depth knowledge of modern billing processes. The Medical laboratory billing Services is the interaction between laboratory practices - pathology, toxicology, molecular, clinical laboratory - and the insurance agencies.

A streamlined Medical laboratory billing Services can mean the difference between speedy claim reimbursement or reimbursements may that take several days or months.

Accurate billing and follow-up for the payment can be intimidating and cumbersome at the same time. The complexities in the billing can also lead to denials, non-payments and revenue loss.

Outsourcing can bring the much-needed change in the irregularities in the billing process.

A certified team following a streamlined approach can help your practice reach new business goals in no time.
What we can offer:
Being a leading outsourcing laboratory billing company with an experience of over 13 years, we provide state-of-the-art billing, coding and financial management services specially optimized to cater to your requirements. Our solutions are unparalleled and allow us to boost your revenue by mitigating overhead expenses. Moreover, Bikham's certified coders and billers guarantee you reinforced collection numbers and enhanced productivity.
The services that we deliver are:

Clinical medical laboratory billing

Toxicology laboratory billing

Pathology medical billing

Molecular medical billing

Our expertise :
Billing experts: At Bikham Healthcare, we understand the intricacies and needs of laboratory revenue cycle management. Our robust billing team plays a significant role in the success of your business as we are very well aware of the expectations of the different laboratory practices and how to meet those expectations.

Moreover, we possess highly-skilled and certified billing personnel who are well-versed in coding as well as analyzing payments from the providers.

Enhanced billing focus: We have in-depth knowledge of the complex and ever-changing billing guidelines. Our billing dedication allows Bikham to make billing and coding a superior key competency for our customers. Our main focus is to maximize payments, productivity and ensure that your laboratory gets reimbursed on time and your collection numbers grow steadily.

Compliant billing practice: We ensure claims fall under billing guidelines and all pertinent rules are followed. We govern current compliance reviews of the agency's procedures as well as advise our clients regarding the issues related to their practices' billing.
Customer service to enhance client' experience:
We understand that every laboratory practice has their unique financial goals and commitments to their patients. Our customer service team ensures a positive service experience, whether it is for you or your patients.
Final verdict:
While reducing the overhead and operational costs related to the Medical laboratory billing Services and claim processing, we offer our clients freedom to focus on their patients and practice.

We strive to be the one-stop billing solution a Laboratory needs.

To know more about how Bikham can help your business roll down the administrative expenses and streamline your financial process, visit bikham.com

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Laboratories have a different and unique billing criterion and need an in-depth knowledge of modern billing processes. The Medical laboratory billing Services is the interaction between laboratory practices - pathology, toxicology, molecular, clinical laboratory - and the insurance agencies.

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Laboratories have seen a high influx of patients over the last few years. Toxicology and radiology laboratories particularly. With state of the art tools at hand providing accurate diagnosis you require someone equally adept to handle the various administrative duties and various back-end processes. For choosing to neglect those is choosing to incur revenue losses. Prioritizing Laboratory revenue cycle management is the call of the hour.

There are numerous options to choose from when looking for a laboratory billing service provider. But the trick is finding the one that suits your needs and fits the bill and handles your laboratory revenue cycle management in ways that ensure optimal end product. A customized solution should be the goal. Finding the right partner to manage your L aboratory revenue cycle management is key. Let's elaborate on a few points you need to keep an eye out for when looking for an adept laboratory billing service that ensures top revenue cycle management.

Your revenue cycle management team should possess the skills to streamline your documentation ensuring higher efficiency in your practice. Scheduling, billing, charting and lab incorporations are the key takeaway from a service provider also delivering round the clock assistance as delays hurt the practice's revenue stream and Bikham Healthcare understands that.

Protect your coding and paperwork by maintaining perfect coding patterns ensuring your defense is ready against potential audits and any losses of returns that might be incurred. A revenue cycle management practice should work in a way making sure these tasks are carried out efficiently including providing assistance to help configure any and all systems/software required.

A top-quality Laboratory revenue cycle management company offers a smoother cash flow where all the billing payments and collections from the services provided are processed in an efficient way. The billing processes should be scheduled as per the client's expectations to build a long-term business relationship.

With the right partner for your Laboratory revenue cycle management, you avail yourself of the benefits of smoother cash flow where all the billing and payment schedules from different services rendered are processed efficiently. The billing processes should be scheduled as per the client's expectations which always helps in building a long-term successful business relationship.

You can focus on your field of expertise, I.e providing medical care to the subject/patient. With Bikham healthcare alongside you, your entire laboratory's revenue cycle management is handled with supreme efficiency with a team of certified technicians and experts at hand, handling any and all problems while keeping the entire operation streamlined. More time simply means more money

Last but never the least, providing top notch customer support service whenever you require assistance. Ensuring all your queries and problems are answered in no time and correctly. Bikham Healthcare has 13 years of experience in offering top-quality revenue cycle management for laboratories across the nation, ensuring our status as a trusted brand name that consistently partners with industry moguls.

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Laboratory Revenue Cycle Management - Laboratory RCM Services

# data[].attributes.attachment_link.description
Laboratories have seen a high influx of patients over the last few years. Toxicology and radiology laboratories particularly. With state of the art tools at hand providing accurate diagnosis you require someone equally adept to handle the various administrative duties and various back-end processes. For choosing to neglect those is choosing to incur revenue losses.

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Bikham Health Care has been providing chiropractic billing services since past more than 12 years to our clients. We are specialized in chiropractic medical bi...

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Chiropractic billing service | Visual.ly

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Bikham Health Care has been providing chiropractic billing services since past more than 12 years to our clients. We are specialized in chiropractic m

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Laboratory billing solutions | podcast garden

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Laboratory billing solutions: Increase revenue with Laboratory Medical billing. Bikham best Laboratory Billing Company offer Lab medical Billing and Laboratory revenue cycle management