Whether you have years of experience or are just looking for your first job, building a resume can be a daunting task. Even though you can find templates to help you outline your resume, knowing what to put in it is the bigger task. If you’re short on experience, you may need to be creative […]
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Professional medical coders need to have certified training under their belts in order to perform their jobs accurately. This means that they not only have to be fluent in the varieties of industry-standard medical codes and their uses, but they must also be able to read and understand a patient’s medical record, in order to […]
Most professional coders and billers work in the outpatient physician office setting. This is because every doctor needs to send out his or her own bills to insurance companies, government healthcare agencies, or to patients. The number of private physician practices outnumbers all other healthcare facilities combined. When a physician provides services to his or […]
At least once a week, a professional medical biller gets a phone call from a patient. “I got a bill from my insurance company,” the patient says. This is despite the fact that the top of the paper they are holding says, “THIS IS NOT A BILL.” Patients think it is a bill because it […]
At the top of the medical coding and billing career ladder is the role of a corporate compliance officer. These professionals are cognizant of the many regulations that govern the assignment of medical codes to describe medically necessary services. Compliance refers to compliance to legal mandates at the federal and state level, code definitions and […]
Worker’s compensation, also known as workman’s compensation or workers’ comp, is a specialized type of medical insurance that covers treatment for injuries incurred on the job. Commercial workers’ comp policies may be purchased by employers, though in some states, the policies and programs are administered by the states. Professional medical billers are aware of the […]
Over the course of their lives, some patients develop chronic medical conditions. When commercial health insurers sign up new policy holders for their plans, they often exclude coverage for pre-existing conditions. With the enactment of the Patient Protection and Affordable Care Act of 2010 (PPACA), the commercial healthcare insurance industry in the United States is […]
According to the 2011 annual salary survey conducted by the American Academy of Professional Coders (AAPC), salaries earned by professional medical billers and certified medical coders vary widely by job duties and geographic area. That said, the earnings potential of medical coders and medical billers is above minimum wage for their locality. This is understandable […]
It is only in rare instances that a patient is not responsible for at least a portion of the expenses incurred for medical services. Even when patients are covered by healthcare insurance, the terms of their policy usually require them them to pay for a portion of the fees attached to the codes that are […]
Medicare, Medicaid, and third-party commercial insurers employ the concept of a global surgical package when reimbursing surgeons for specific medically necessary services that they provide to patients under their care. What this means is that certain services are incidental to the main procedure, or that they are considered an integral component of that surgical procedure. […]
