Medicare is a social health insurance backed and funded by the US federal government for senior citizens and for younger people with disabilities. Originally, beneficiaries of Medicare are provided with funding by the government itself, but with the inclusion of Medicare’s Part C, people can now opt to be covered through a network plan. While third-party health insurance agencies like the New Hampshire Blue Cross and Blue Shield Anthem exist for beneficiaries opting for Medicare’s Part C and D, why would anyone want to choose paying more for something the government offers at a lesser price? Medical Billing and Coding Process: Anyone who has ever been hospitalized and has filed ...

Outsource Management Group is pleased to announce that we have moved to our new, larger operations facility on Bloomfield Road near IU Health Bloomington Hospital. Outsource Management Group was originally born in March of 2003 in a small home office in Bloomington, Indiana. As the business began to quickly outgrow this office, it was moved into a much larger 1,200 square foot facility on 17th Street in early 2004. This move allowed the business to continue providing physicians with excellent results and grow it’s client base by 10 times, as well as increasing the billing staff by 6 times. As the client base and staff continued to grow, it became ...

Contrary to popular belief, it is safe practice to allow any office member to take the review of systems and the family social history. These two evaluation and management history elements can actually be taken by absolutely anyone. It is ok in medical billing for a parent or a secretary to take down this information as long as the information is reviewed and signed off on by the acting pediatrician. The only part of an evaluation and management visit that the physician or nurse practitioner must complete for medical billing purposes is the history of present illness or the reason for the visit. By allowing your administrative staff to complete ...

If you aren’t getting a reimbursement for the services rendered to patients by a nonphysician practitioner (NPP) affiliate with your practice, you’re leaving money on the table for the insurance company that rightfully belongs to your practice. Learn the rules of the carrier and take the time to bill under the NPP provider number and statistics show that over three-fourths of the health plans billed would reimburse at an average rate of 85%. While this isn’t a full reimbursement, it is far better than not receiving anything in return for your services rendered. There are two main rules for using this type of billing. The patient’s physician or another affiliated ...