Ayaz Sharif

The Medicare program has developed a new system to grade doctors on how well they treat their patients. It’s called the Merit-based Incentive Payment System or MIPS for short. MIPS decides how much money Medicare will pay doctors for seeing people on Medicare. It looks at things like how healthy doctors keep their patients, how […]

You may be running a clinic or working as a physician in a hospital anywhere in the USA. In that case, you know that the patients get insurance on the medical services they receive from any provider. But in some cases, you may have experienced patients visiting you without insurance plans for their treatments. Hence, […]

In the medical billing field, a “SUPERBILL” is a document that provides a detailed invoice of the services provided by a healthcare provider to their patient. Typically, superbills are created and submitted for each treatment session conducted by an out-of-network provider. Once the doctor has concluded their work with the patient, payment is collected in […]

Navigate The Difficulty Of Medicare 8-Minute Rule Billing? Lets schedule a free 1:1 therapy billing services with me right now! Medicare, known for its strict regulations on claim filing and reimbursement, requires careful adherence to its rules to ensure proper patient care and compliance. One such regulation is the “Medicare 8-Minute Rule”. This rule can […]

Need Help In Choosing The Best Reimbursement Model For Your Practice? Lets schedule a free 1:1 billing consultation with me right now! “Reimbursement”. It’s a fancy ten-dollar word for plain old payment. But in healthcare, it means everything. Reimbursement in the medical world translates into a provider or healthcare facility collecting payments from the big […]

Schedule Free Billing Consultancy! Need help with billing? Let’s talk. An Explanation of Benefits (EOB) is equally important for patients and providers. It helps identify billing errors in claims and enables providers to fix them to avoid claim denials. EOBs improve the overall effectiveness of billing and patient communication in medical practices. The healthcare providers […]

In the world of healthcare billing, two key terms often come up: institutional claims and professional claims. Now, some bills are for the doctor’s service (professional), while others are for the hospital itself (institutional) explaining who’s charging for what – the doctor or the hospital. Knowing the difference between these two is crucial for both […]

One in seven of all claims are denied amounting to 200 million rejections each day. And out of these, 27% of denials are due to issues with patient registration and eligibility for the medical claim. Now, the average denial management costs a minimum of $25 per claim denial. Thereby, creating cash flow issues for practices’ […]

Investigating issues like claim denial and the slow payment process is necessary to ensure your practice operates effectively. Your billing procedure is one of the elements of your practice that needs to run smoothly. Medical billing reports are crucial for tracking and fixing billing process issues. They can provide essential details regarding payments, claims, and […]

The Medicare Outpatient Code Editor or OCE is a software that looks for mistakes in coding when processing bills from outpatient hospitals. It also ensures that all outpatient claims sent to Medicare adhere to the relevant coding guidelines. As outpatient claims enter the system, the OCE systematically checks for compliance with the following NCCI edits: […]