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News - Illinois Medicaid NIPS Billing Update

June 05, 2020

Effective July 1, 2020 Illinois Medicaid transitions Non-Institutional Provided Services (NIPS) to be billed on institutional claims.

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Is Outsourcing Your Billing & Coding Operations the Right Choice?

April 12, 2017

Healthcare organizations rely on the accuracy of their medical billing and coding operations to maximize revenue. Errors in billing and coding cause millions in lost revenue and waste valuable resources every year.

Medical billing and coding is complicated. Constantly changing payer rules, government regulations, and coding procedures make it very difficult for management and staff to keep up to date with all of these changes.

When is outsourcing your billing and coding operations the right choice?

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Don't Forget Denials When Aiming for Patient Satisfaction

July 06, 2016

In May 2016, the Department of Health and Human Services (HHS) announced “A Bill You Can Understand” Design and Innovation Challenge: Help Patients Understand Their Medical Bills and the Financial Aspect of Health. Simply put, design a simplified medical bill that is easy to interpret.

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3 Tips to Prepare for ICD-10 Right Now

October 05, 2015

Past delays have left Providers wary of the impending ICD-10 transition date, currently set as October 1, 2015. Some groups are pushing for a delay, some are not. Some groups are ready; others are still compiling resources to prepare their staff. No matter the stance or preparedness, all providers seem to have one thought in common - the uncertainty of the ICD-10 deadline.

However, with the recent passing of the Medicare reform package (SRG bill) that made no mention of an ICD-10 delay, most organizations closely following ICD-10 believe the October 1 transition date will stand firm.  At this stage, providers should actively test with their vendors and major payers and ensure contingency plans are in place.

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The 21st Century Biller

August 24, 2015

The healthcare landscape is rapidly changing, and sitting with a front seat view is the hospital business office. The uncertainty of ICD-10, healthcare reform and changing reimbursement rates, payer rules, compliance regulations…it's a lot to take in. A business office needs to be adaptable and ready to make adjustments. With the advantage of evolving technology around claim submission and editing, that includes adjusting the roles of its personnel, namely the medical biller.

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