QWay Health Podcasts

QWay Health

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Listen to the latest podcasts in Healthcare. We provide Revenue Cycle Management Services and solutions that address the billing challenges of the US Healthcare Industry. With a prompt and seamless flow of payments, and no day-to-day billing issues, you can now focus more on expanding the clientele base, add new healthcare specialties and treatment options and acquire new business.

05/03/2021

FAQs on Patient medical Billing services

We all know that healthcare industry continues to mark high patient financial responsibility and out-of-pocket costs. Healthcare professionals ensure that medical billing services help the pay process to yield high patient satisfaction. A positive experience with the medical billing services can obviously influence the patient’s billing. This is not to portray patients withhold their payments as a punitive measure following a complex or negative billing department experience. It shows that providers should make the patient payment process simpler. Making patients understand their financial responsibility, making them aware of potential charges before they receive their bills, and giving them a compassionate and empathic experience will be essential to create a patient-centered experience. Here are few frequently asked questions on patient’s medical billing services. Do Medical billing services companies offer payment arrangements? Of course, payment arrangements may be made by contacting medical billing partner’s patient billing customer service. What are the Patient’s payment options? Most of the medical billing service companies offer all forms of standardized payment options that are accepted, including cash, check, and major credit cards. To pay by credit card over the phone, please call customer service. Patients may also pay in cash at the hospital or mail their payments to the payment address listed on the patient statement. Text-to-pay is another available option which is easy to deal with. Why do patients receive separate bills from the hospital and from the physician? When a healthcare professional performs the services, patients are required to submit their bill separately from the hospital’s bill. For example, if patients came to the emergency room and had an x-ray and laboratory tests, they may receive a bill from the hospital for technical resources, a bill from the emergency room physician for professional services, a bill from the radiologist for interpreting any x-rays, and a bill from the pathologist for analyzing any specimens taken. Patients find the same bill listed on healthcare professional’s bill and hospital’s bill. Why? Each and every hospital visit involves both physician and hospital bill for the resources utilized while performing services. Although the hospital and the healthcare provider may use the same language to describe each charge, their bills are for separate services. The physician’s bill will be for professional assessment, direction and oversight. The hospital’s bill will be for the technical resources, including procedures and equipment, medications and supplies. Will medical billing services company bill for primary and secondary insurance companies? Definitely yes! As a courtesy to the patients, medical billing service companies will submit their bills to insurance companies. If the patient has secondary insurance company, a claim will be sent to the secondary insurance company after the primary insurance company has paid. Patient is requested to supply the pertinent billing information that the insurer may require. Listen to it fully.
04/22/2021

FAQs on Radiology Billing services

Not all radiologists are experts in radiology billing services. At the same time, it’s even more essential to notice the huge impact that billing staff has on revenue profits, which can’t be ignored. This article states the basic formulas and benchmarks radiologists need to gauge the performance of their billing operation. It’s not a very comprehensive study of the various facets of medical billing, and moreover not intended to replace expert guidance. The concept here will enable radiology professionals in any practice environment to quickly understand key billing measurements and apply them in their proper context. Practices also vary widely depending on their approach towards radiology billing services. Some groups have outsourced their radiology billing services to third parties while the others have a billing manager to take care of radiology billing. We will look at few issues that relates specifically to billing staff who are practice employees and those who work for radiology billing services in a billing company. What are the key financial indicators of radiology billing services? The Radiology Business Management Association publishes a survey every year related to the key financial indicators of radiology billing. These indicators are discussed according to their definitions. The key indicators are: Gross Collection Percentage Net Collection Percentage (or Adjusted Collection Percentage) Average Days in Accounts Receivable Bad Debt Recovered as a Percentage of Collection Write-Offs
04/12/2021

FAQs on Chronic Care Management

The fundamental goal of chronic care management is to aid patients with better and quality care and management. The Centers for Medicare and Medicaid have recognized chronic care management as crucial component that contributes to good patient responsibility. Few years back Medicare started paying separately for chronic care management under Medicare Physician Fee Schedule. It’s not surprising to know implementing chronic care management involves few steps to follow. They are: identifying patients, educating and enrolling patients, engaging with patients, maintaining documentation, and billing for reimbursement. But there are few questions to be answered. What’s the difference between Chronic care management and complex chronic care management services? Complex chronic care management services come under the criteria of chronic care management with an additional requirement of establishment of a comprehensive care plan, medical decision-making of moderate to high complexity, and at least 60 minutes of clinical staff time. Can all physicians and specialists bill CCM services, or it’s only for primary care healthcare professionals? Of course, any healthcare professional who encounters the reporting requirements can readily bill for CCM. Physicians or specialists, who are treating patients with at least two or more chronic conditions, could also be eligible to bill the codes. Only one physician per month may need to report these services. Are there certain diagnoses for only which the CCM code can be reported? No defined lists of diagnoses codes are mentioned to meet the requirements. The required list includes the chronic conditions place, the patient at significant risk of death, acute exacerbation or de-compensation, functional decline along with a care plan.
04/05/2021

5 Things to know about Ambulatory Surgical Billing

Did you know that ambulatory surgical billing services are entirely different from other medical billing specialties? It’s very crucial to learn about ambulatory surgical services before taking up its billing and coding tasks. Basically, ambulatory surgical billing specializes in claiming surgical services especially for outpatient treatment. Some may include billing procedures related to pain management or diagnostic procedures like colonoscopies. Procedures performed at Ambulatory Surgical Centers are more extensive compared to the services performed at healthcare professionals’ office. Moreover, they don’t require a hospital stay either. For ambulatory surgical billing, it needs to qualify certain requirements and also additionally enter into written document with Centers for Medicare and Medicaid Services. Unlike physician or hospital billing, ambulatory surgical billing services must be well known for the billing department to handle those claims accurately for the services rendered. Medicare has separate set of guidelines for ambulatory surgical billing services and other insurance companies will have their own set of guidelines differing from one payer to another depending on medical necessity, approved procedures as well as other filing requirements. What is Ambulatory Surgical Billing? Ambulatory surgical billing is a whole new scenario where ambulatory surgical centers use a mixture of hospital and physician billing and the process is often confusing depending on insurance companies and their acceptance of different CPT and HCPCS level II codes. Medicare has a whole different set of guidelines for ambulatory surgical billing services and it’s not covered under part B. Though the list is published yearly by Medicare, it’s essential for ambulatory surgical centers to bill and code according to Medicare requirements. These procedures come as a package when it represents ambulatory surgical billing reimbursement or revenue payments. Certainly, related line items are paid with one set reimbursement. Few insurance companies fail to follow CMS guidelines for ambulatory surgical centers and it becomes very complicated for ambulatory surgical billing and coding professionals to file claims. Missed procedures, inaccurate coding, late reimbursement, changing contracts along with an expanding procedure pool can cause much hassle for ambulatory surgical centers and billing staff.
03/29/2021

Podcast on DME Billing Services

Durable Medical Equipment in short used as DME has been undergoing perennial renovations due to changes in regulatory compliance. Being constant with changing DME billing landscape always remains as one of the remarkable challenges. DME represents approximately 2% of Medicare’s annual expenditure. Denials are one of the most stressful causes for healthcare professionals while billing Durable Medical Equipment. Not all DME billing claims will shower revenue reimbursements for healthcare professionals. In fact, DME billing faces the maximum denials than any others. It may include various reasons and factors but all these denials cause a major damage for revenue payments in revenue cycle management process. There are few more concerns confronted by DME providers, they include, less collections, billing errors, training expenditure for new staff, suspended operations in the absence of office staff. DME billing services should be dealt with concentration. Even the slightest mistake can compound leading to very slow productivity and revenue halt.
03/22/2021

FAQs on Out of Network Billing in Healthcare

Did you ever realize what’s most important in the healthcare industry? How crucial is out of network billing for providers? Patients and healthcare professionals play an important role in healthcare revenue system. Patients might require various services depending on the health conditions. Healthcare professionals’ responsibility is to check if that patient is eligible for all those required services and is under insurance coverage policies. Patients need not worry about in network providers much but they will have to concentrate on out of network providers if at all they’re ready to choose one. At the same point, out of network billing is also something to pay attention at! As insurance companies set up their efforts to pressurize out of network revenue rates by also learning new strategies of navigating issues to achieve higher reimbursement rates. Let’s check out answers for few questions on out of network billing.
03/17/2021

Updated Radiology Billing Guide

Get ready for new CPT coding changes. Radiology billing is one among the specialties to be aware of annual changes in coding system that needs to be entered into the minds of healthcare professionals simultaneously. Did you know that for radiology diagnosis, changes for the this year has focused on areas of abdominal, gastrointestinal plain films, along with nuclear medicine procedures for tumor localization as well as myocardial PET imaging. Did you ever forget to update imaging? Oh no! Then that seems to be a bigger mistake! Radiology billing always demands updates of imaging uploads which aids in proper billing payments and prevention of revenue loss. CPT coding changes for Radiology Billing: Diagnostic Radiology: Abdominal and Gastrointestinal imaging exams include all scout films and delayed images of basic procedure codes with distinction made between single as well as contrast studies. Complete Acute Abdomen Series: 74022 – A code that specifies two or more abdomen views including the example supine, erect and decubitus.
03/17/2021

Medical Billing Outsourcing vs In-house Billing

There has always been a discussion or debate on whether medical billing needs to be outsourced or have to be maintained in house. To be honest, there is no hard and fast rules in it. Each organization’s business dynamics and vision is different. So there cannot be one rule fits all. However, if you are a medical professional or a medical billing company in a dilemma then this article will help you to understand how both in house and outsourced system works. Medical Billing Outsourcing pros The very reason for medical billing companies to outsource is to benefit from it. Now let us see how outsourcing benefits the medical company. If you are driving or not having time to read this article, you can listen to this podcast. enjoy listening.

Listen to the latest podcasts in Healthcare. We provide Revenue Cycle Management Services and solutions that address the billing challenges of the US Healthcare Industry. With a prompt and seamless flow of payments, and no day-to-day billing issues, you can now focus more on expanding the clientele base, add new healthcare specialties and treatment options and acquire new business.

Creator

QWay Health
Years Active

2021
Episodes

16
Rating

Explicit
Copyright

© QWay Health
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QWay Health Podcasts