My insurer's Explanation of Benefits (EOB) showed a claim for a flu shot. That was accurate. But another EOB claimed that I got exactly the same flu shot (again) two…
At Greensboro, NC-based Cone Health—a six-hospital, not-for-profit health system with 1,242 beds and gross annual revenue of $2 billion—a number of revenue pressures are making it tougher than ever to…
MANY readers were shocked by my recent article about Peter Drier, who received a surprise bill of $117,000 from an out-of-network assistant surgeon who helped out during his back operation.
The health care revenue cycle is more than just collecting bills and is a pillar of a successful organization.
Paying medical bills is a huge hassle and expense for companies. With the cost of providing workers compensation coverage for employees rising, it's more important than ever that employers have a cost control process in place to minimize expenses and maximize savings.
Medical billing is wrought with errors and overcharges. Here's how to avoid overpaying. The next time you receive a medical bill, read it carefully. It's not uncommon to be charged…
Did you know that negotiating your medical bills could potentially save you thousands? When you open a medical bill, your eyes likely immediately fall on the total due. For many…
How many times have you gotten a medical bill for more than you were expecting? Chances are, it's happened before, and you're not the only one who's been shocked at…
Millions of Americans are potentially overpaying on their medical bills because of common errors, whether it’s duplicate charges, incorrect information like a wrong insurance ID number, or an inflated quantity…
Dr. Tariq Mahmood routinely ducked into the billing-code office of his Renaissance Hospital Terrell to insist that other doctors’ patient diagnoses be altered to reflect more expensive treatments, a former…
What happened to Eastern Carolina internal Medicine (ECIM) in Pollocksville, North Carolina is a provider’s nightmare about government oversight run amok. A Medicare audit began as a medical records request.…
The doctor is recommending tests that don't seem necessary, the hospital charged you $20 for that Tylenol you took during your stay -- and what can you do about it?…
Medical billing errors are rampant, and with changes to the healthcare system mandated by the Affordable Care Act, as well as a conversion in medical billing codes expected later this…
You maybe wondering if a career in medical billing and coding is a good choice for you. Before making any career move, it’s important to understand what kinds of responsibilities…
Healthcare providers say Medicare is going to short-change them on patients who spend fewer than two nights in the hospital, and delaying implementation of a new payment policy until October…
From patient accounting systems to sticky notes and "cheat sheets" posted in exam rooms, ICD-9 codes permeate the health care environment, translating the information in medical records to numbers on…