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Alethea Bryant, CCS: Posted on Wednesday, August 24, 2011 12:45 PM
Medical credentialing is the process of submitting your application to an insurance carrier to participate with them as a new in-network provider. Upon submission, the insurance carrier will verify all information provided, making sure that you as a provider have the required training to practice in your field, have met state and federal licensing guidelines and you carry the minimum liability insurance for your related area(s) of expertise. Once this process has been completed, you will then become contracted with the insurance carrier, agreeing and signing documentation about to the terms outlined by the carrier regarding services rendered, patient treatment restrictions, record keeping, state and federal laws adherence and reimbursement schedules. |
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Alethea Bryant, CCS: Posted on Friday, August 12, 2011 11:31 AM
In order to run a successful practice, you must make sure that you have effective time management skills. Maintaining a practice entails juggling various parts such as; scheduling and taking care of patients, bookkeeping/record keeping and financial outlooks, claims submission and review, patients account updates and marketing. To ensure that all areas are being covered adequately, time management is the key! Every provider should make sure to implement some type of scheduling system for the practice that outlines when each activity is to be completed and how much time will be spent doing so. |
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Alethea Bryant, CCS: Posted on Thursday, August 04, 2011 2:01 PM
Current Procedure Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) Level II codes are used to give a detailed explaination of a specific type of medical procedure completed for an insurance carrierandstate offices who collect information on medical procedures. While there are thousands of codes that can be used, you must be very careful to not inadvertantely use an incorrect code or make sure to have the right modifier with the code. A modifier helps to explain the procedure in greater detail, i. |
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