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Select Prior Authorization Suspensions in Effect Nationally Dec. 18, 2020 – Jan. 31, 2021
UnitedHealthcare is temporarily suspending select prior authorization requirements for in-network hospitals and in-network Skilled Nursing Facilities (SNFs) nationwide, effective Dec. 18, 2020 through Jan. 31, 2021.

Medicare.
The changes to Current Procedural Terminology (CPT) codes ranging from 99201-99215 are proposed for adoption by CMS on Jan. 1, 2021.

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Are you facing any Credentialing or Billing issue’s than please let us know? We will resolve that issue.
We are also providing practice Review (audit) without any charges. We will give you comprehensive details about your Billing weak points.
Please feel free to contact me in case of any further question or Concern! Thanks
Ali Kamran
Leadx Billing LLC
Phone # +1315-820-1582
Email: [email protected]

Leadx Billing – A Legacy of Excellence Leadx Billing is a kind of organisation that have a forward-thinking vision with strategies and solutions for today and tomorrow, along with a scalable technology network. We have decades of experience that justifies our position as a successful medical billing service provider. Outsourcing with Lea...

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Pros of Outsourcing Your Medical Billing.

By Joy Hicks Updated on October 05, 2019
Medical billing can be a demanding and challenging task for small medical practices. For this reason, many physicians or practice managers make a choice to outsource their medical office billing to a professional medical billing company.

There are advantages to outsourcing medical billing. It saves time and money and eliminates the burden of concentrating on too many aspects of the medical office. There are also disadvantages, including loss of control of the work being performed. Consider all of the advantages and disadvantages of outsourcing your medical billing before making a decision.

Pro 1: Outsourcing Allows More Focus on Patient Care
a smiling nurse showing her smiling patient something on a tablet

Spend more time focusing on what you do best—concentrating on patient satisfaction and providing quality care to your patients. This is specifically advantageous for smaller physician groups that cannot afford a large medical office staff. Physicians cannot be efficient at providing excellent patient care if they are bogged down by the financial side of running a practice.

Pro 2: Outsourcing Reduces Billing Errors
physicians talking and smiling, looking at a tablet

Experienced, professional medical billers can ensure that your claims are accurately submitted in a timely manner. The sole purpose of the medical billing company is to provide medical billing services. It is their responsibility to ensure that the billers they hire undergo thorough training and are equipped with the knowledge to properly submit medical claims. Not only will this reduce the number of denied and rejected claims due to billing errors, but will also provide feedback to assist in maximizing reimbursements on future claims.

Pro 3: Outsourcing Saves Money
By outsourcing your medical billing, you could save thousands of dollars in annual salaries and benefits; office supplies and furniture; and purchasing, upgrading and maintaining billing software and computer equipment. Medical billing companies charge a flat rate per claim or a percentage of the reimbursement on each claim. Either way, it is less costly than what you would pay for medical billing staff to provide the same exceptional services that are provided by outsourcing companies.

Pro 4: Outsourcing Improves Cash Flow
Pro 5: Outsourcing Improves Patient Satisfaction
Pro 6: Outsourcing Ensures Billing Compliance
Pro 7: Outsourcing Increases Revenue

Many others possible advantages of Outsourcing Billing.

What Does a Medical Biller Do?

A medical biller translates health care services into medical claims, which are then submitted to insurance companies. Medical billers must follow up the claims to ensure that providers get paid. Billing and coding are related occupations. Medical coding requires knowledge of the system used to assign numerical codes to doctors' visits, hospital stays and all types of health care procedures. Depending on the job, you might be responsible for both billing and coding. Most, however, specialize in one or the other.

Skills of a Medical Biller

1-)Navigate through various insurance rules and regulations to reduce A/R days
2-)Understand the nuances of various types of insurance carriers along with their claim requirements
3-)Provide successful follow-up efforts for A/R including the appeals process for denied claims
4-)Implement best practices for insurance and patient collections while maintaining excellent public relations
5)-Reduce risk by understanding Fair Debt collection practices, professional courtesy regulations, clean claims and timely filing guidelines, refund requirements, and other regulations
6-)Use data and reports as indicators for potential improvement areas
7-)Navigate through various insurance rules and regulations to reduce A/R days
Understand the nuances of various types of insurance carriers along with their claim requirements
8-)Provide successful follow-up efforts for A/R including the appeals process for denied claims
9-)Implement best practices for insurance and patient collections while maintaining excellent public relations
10-)Reduce risk by understanding Fair Debt collection practices, professional courtesy regulations, clean claims and timely filing guidelines, refund requirements, and other regulations
11-)Use data and reports as indicators for potential improvement areas.

Medicare has been issuing beneficiaries new member cards with Medicare Beneficiary Identifiers (MBI) in place of Social Security Numbers (SSNs) for more than two years. 2019 was a phase-in period when Medicare would accept either a beneficiary’s Social Security Number or their new MBI on claims.

Starting Jan. 1, 2020, CMS will reject any Medicare claims submitted with the SSN- based ID number for the beneficiary. A simple way to prevent claims denials is to make sure all your patients have their new card.

MBIs Required in 2020
The MBI phase-in period is complete, and all claims are expected to identify the beneficiary using their MBI. If the MBI is not used on claims after Jan. 1, the claim will be denied with one of the following reason codes:

Electronic claims reject codes: Claims Status Category Code of A7 (acknowledgment rejected for invalid information), a Claims Status Code of 164 (entity’s contract/member number), and an Entity Code of IL (subscriber)
Paper claims notices: Claim Adjustment Reason Code (CARC) 16 “Claim/service lacks information or has submission/billing error(s)” and Remittance Advice Remark Code (RARC) N382 “Missing/incomplete/invalid patient identifier”
CMS says, to date, 87% of claims are submitted with the MBI. The other 13% of claims still using the SSN will be rejected and payment will not be received beginning Jan. 1, 2020.

If a patient does not know their MBI, you can look it up via the Medicare Administrative Contractor’s portal now and after the transition period. You can also find a patient’s MBI on the remittance advice.

Medical billing..

Claim process..

Out source billing and Less your workload.