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pediatric electronic health records

8Must Have Features of Pediatric SpecialtyMedical Billing

Insurance companies have more complex systems and insurance editing processes today.   For instance, we have seen some insurance companies split individual codes within a visit into two claims for a provider (two codes were in-network rules while one code was out-of-network rules).    These complexities in the edit and rule process by insurance companies need the […]

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The Tricky Game of Payer Edits to Deny Insurance Payments to Providers

Medical billing needs to be completed for each medical practice and the revenue cycle management process requires training, specialized skills, time and focus. Most physicians and office managers have multiple duties per day to manage that provide higher value to their practice than chasing down medical claims. High value activities for Medical Offices include strong […]

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ICD10 – One Year Later

It is hard to believe that it has been over one year since the United States medical system migrated from ICD9 to ICD10 Diagnosis codes.  On October 1st, 2015, the new standard for diagnosis codes, ICD10, was implemented in E.H.R. systems, Medical Billing Systems, Practice Management Systems, Clearing houses and Insurance Companies.    Physician Offices and […]

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Items to improve the local performance of E.H.R. & Medical Billing Web Applications

Most E.H.R and practice management web applications are different than a static web site. A web site is informational while a web application is interactive. This means that usually a web application requires transferring data between the cloud site and the local computer. Many web applications interact with a local PC and have functions/tasks that […]

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Some differences between In-Network and Out-of-Network Providers

In-network and out-of-network are terms often found in the promotion of health insurance services, and there is very little explanation of their meaning, to be smart with the decision of having an in-network contact or an out-of-network contract, it is important to understand what they mean and what the medical policy covers. Those terms in […]

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Medical Billing for Compression Devices used for DVT Prevention

DVT, widely known as Deep Vein Thrombosis is a condition where blood clots/clot form in a deep vein located in the thighs and legs. This is a very serious condition because it can very easily break loose and move to the lungs. The patient is likely to develop anxiety, nervousness, unexpected shortness of breath, dizziness, […]

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