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Showing posts from May, 2025

Scaling Your RCM Team with an Offshore FTE Model: Pros, Cons & Best Practices

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If you are a healthcare service provider juggling patient care and paperwork, you know the frustration. Be it endless back-and-forth with insurance companies, coding errors slipping through the cracks, and a billing process that seems to slow down more than it speeds up your revenue. Now imagine having a dedicated offshore medical billing and coding team that knows your practice like the back of their hand, takes charge of your revenue cycle, and frees up your time for what matters most, i.e., your patients. That’s exactly what the full-time equivalent (FTE) model offers. By tapping into  offshore medical billing and coding services in India , many practices are transforming how they manage RCM without the burden of in-house teams. In this blog, we are taking a closer look at the pros, cons, and best practices of the FTE model so you can decide whether it is time to scale your RCM team the smarter way. Pros of the Offshore FTE Model The offshore FTE model benefits healthcare provid...

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 ...

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: ·   ...

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...