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ASC Billing vs. Hospital Billing: Coding, Compliance & Reimbursement Differences

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  Medical billing is a critical process in the healthcare industry that ensures providers receive payment for the services they deliver. It involves coding, submitting claims, and managing reimbursements from insurance companies and patients. Though the basic goal of billing remains the same across healthcare settings, the methods and rules can vary widely depending on the type of facility. Ambulatory Surgical Center (ASC) and hospital billing are two common billing types. Although they might seem similar, these billing systems have essential coding, reimbursement, and compliance differences that impact providers and patients. In fact, many healthcare facilities are  outsourcing medical billing and coding services providers in India   to understand the difference more clearly to avoid any denials. This blog will explore those differences in detail, helping you understand how ASCasc and hospital billing work. ASC Billing vs. Hospital Billing: Meaning ASC billing ...
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Optimizing DME Billing with the Latest CMS DMEPOS Fee Schedule

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  With the CY 2025 DMEPOS Fee Schedule in effect, CMS has further refined its policies by introducing new HCPCS codes, updating rural and competitive bidding area rates, and many more. As a result, staying current with these updates is a strategic opportunity for DME suppliers and billing professionals to optimize billing practices, prevent denials, and maximize reimbursements. In this blog, we break down the latest CY 2025 DMEPOS Fee Schedule updates and explore proven strategies to align your DME billing practices. Optimize DME Billing with CMS 2025 Fee Schedule As CMS releases the CY 2025 DMEPOS Fee Schedule,  DME billing professionals  and suppliers must align their operations with the latest regulations to ensure maximum healthcare reimbursements. The following are the latest changes with actionable optimization strategies: 1. Adjust for Updated Fees The CY 2025 update introduces changes that directly affect DME billing and reimbursement: ·   ...
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Chiropractic Billing Compliance: Key Takeaways from CMS Article A56273

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  Chiropractic services are becoming acceptable as an essential, non-invasive approach for managing musculoskeletal conditions, especially among Medicare beneficiaries looking for the pharmaceutical and surgical options. But providing outstanding care is the sole need of the hour. In 2025, chiropractic providers, office managers, and medical billers face a rapidly changing billing environment, shaped by heightened Medicare scrutiny, evolving payer policies, and increasing claim denials. Therefore, it is essential to keep updated on Medicare billing standards in order to remain in compliance. Centers for Medicare & Medicaid Services (CMS) Article A56273 is an essential guide for chiropractic billing compliance, providing essential information regarding documentation, eligibility of services, and coding guidelines. This blog will offer major takeaways from CMS pertaining to  chiropractic billing  compliance. Compliance of Chiropractic Billing & Coding Guidelin...
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HIPAA-Compliant Offshore Medical Coding: ICS’s Proven Model for U.S. Providers

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  Medical coding plays a critical role in healthcare, especially when it comes to protecting patient data. With strict regulations like the Health Insurance Portability and Accountability Act (HIPAA), healthcare providers must ensure that every piece of patient information is handled with care. Coders, who translate diagnoses and treatments into billing codes, work directly with highly sensitive data, making HIPAA compliance essential. Keeping in mind the need for opting a HIPAA-Compliance model, companies providing  offshore medical billing and coding services in India  like Info Hub Consultancy Services (ICS) have developed proven systems to support U.S. healthcare providers. This blog explains how ICS helps maintain HIPAA standards while improving coding efficiency. Overview of HIPAA-Compliance HIPAA compliance means protecting patient information throughout the medical coding process. Coders must handle all health data carefully and only use it when needed for v...
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The Role of Accurate Medical Coding in Faster Reimbursements

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  Every week, the United States loses a staggering $935 million due to  medical billing and coding  errors. In fact, over 80% of medical bills are found to contain mistakes with most of them arising from inaccurate coding. No wonder 42% of doctors state coding inaccuracies as the leading cause of claim denials. Accurate medical coding is not just a technical necessity, it is the lifeline of your hospital’s financial health. It directly impacts critical revenue cycle metrics like claim denial rates, first-pass acceptance rates, and days in Accounts Receivable (AR). When coding errors occur, they trigger underpayments, delayed reimbursements, and even revenue losses, undermining the financial stability of hospitals. In this blog, we will explore how correct medical coding transforms healthcare information into standardized CPT, ICD, and modifier codes that results in streamlined billing and faster insurance processing and healthcare reimbursements. Why is Accurate Cod...
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