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How to Break Into Your New Career as a Certified Medical Biller

One of the most common questions we hear posed by new graduates from medical billing schools all over the country is, “How can I get a job with no experience?” This is a legitimate question since the majority of positions advertised online in the medical billing world stipulate “xx of years experience” required or preferred. […]

Kudos from the Independent

HRS Learning Center offers career training in medical billing By SHELLY WILKISON As more people become insured as a result of the Affordable Care Act, there is a growing need for qualified medical insurance billers. And one Liberty Hill company has developed an online curriculum to educate and train future talent to meet the demand. […]

HRS Learning Center Unveils Online Medical Billing Course

  Online medical billing training offers hands-on training and CMRS certification LIBERTY HILL, TX – January 5, 2015 – HRS Learning Center  has taken its hands-on medical billing training online, opening the course to students nationwide who need more flexibility. HRS developed the course in response to student feedback.  “The students spoke and we listened”, […]

Be Wary of Routinely Forgiving Copays and Deductibles

Is  your clinic routinely forgiving deductibles and copays? If so, you may want to rethink it. The AMA’s Code of Medical Ethics Opinion 6.12 explains why routine waivers are unethical, particularly when a clinic advertises a willingness to waive copayments. Further, the Office of Inspector General (OIG) has long taken the position that routine waiver of copayments […]

New CMS 1500 Claim Form January 2014

CMS-1500 Claim Form Updates: Medicare to Accept Revised Form Starting January 2014 The CMS-1500 Claim Form has been recently revised with changes including those to more adequately support the use of the ICD-10 diagnosis code set. The revised CMS-1500 form (version 02/12) will replace version 08/05. The revised form will give providers the ability to […]

2013 Brings Many Changes for Therapists in the Medicare Program

 Hold onto those party hats….ringing in the New Year should definitely set off some bells and whistles for therapy providers who treat Medicare patients.   There are 2 big changes coming that are definite and one very real possibility: PQRS (Medicare Physician Quality Reporting System) Therapists who bill Medicare for outpatient therapy services in private practice […]

Is Your Fee Schedule Defensible?

    As a healthcare provider, are you able to defend your fee schedule to both patients and insurance carriers? A 2009 settlement in a lawsuit filed by New York’s Attorney General against United Health Group has resulted in the formation of an independent nonprofit entity named FAIR HealthTM.   FAIR Health was called upon to […]

Texas Department of Insurance Imposes Fines on Payers, Doctors, Clinics

The Texas Department of Insurance, Workers’ Compensation Division (TDI-DWC) has just released a list of payers, clinics, and doctors for whom disciplinary measures have been imposed due to violations of the Texas Labor Code and DWC rules. A brief review of the Enforcement Actions posted for 2011 reveals that roughly half of the entities who […]

Department of Insurance Helps Increase Clinic Bottom Line

What could your clinic do with an additional $6000?  Or much more?  What if you had an ally in the government who could and would be willing to assist you?   An often forgotten or under-utilized ally is your state’s Department of Insurance.  We are HRS have had great success by relying on our allies at […]

The New MPPR for Therapy Providers Explained

Have you noticed additional adjustments on your Medicare remittance advice this year?  I have received many questions from therapy providers this year regarding the new MPPR  (Multiple Procedure Payment Reduction) and what it means for their clinics.   In a nutshell, Medicare is applying a reduction to the practice expense portion of the payment for a […]

Alert: Big Changes Coming for Medicare Therapy/Rehab Providers

Changes Ahead for Therapy Providers The 2011 Medicare Physician Fee Schedule Final Rule has been released—all 2023 pages of it.  How does the final rule affect physical therapy and rehab providers?  Here is the breakdown: Therapy caps: 2011 outpatient therapy cap will be $1870 (page 382) The exceptions process to the therapy caps will expire on December […]

November is Heal that Claim Month

Do you wish you and your staff had more time and resources to focus on caring for your patients?  November is the third annual “Heal that Claim”TM month, and physician practices are being urged to take a stand against flawed and inefficient claims processing. One in five medical claims is processed inaccurately by commercial health […]

Would Your Documentation Stand Up to a Medicare Audit?

Documentation under the Magnifying Glass Facts & findings from recent Medicare audits reveal 3 main areas where payment errors were identified.  The  results?  Charges denied as “Insufficient Documentation” ….leading to recoupment. The 3 most common deficiencies were: Illegible or missing signatures on documentation or orders Signature requirements are nothing new–but CMS and its audit contractors […]

Virginia College Healthcare Reimbursement Services Opens Shop in Austin

A new business affiliated with Virginia College in Austin, Texas, recently opened its doors in the Capitol City, with the aim of assisting medical practices in their billing and medical coding needs.  Virginia College Healthcare Reimbursement Services (HRS) is a billing service owned and operated by the school, and is managed and staffed by certified […]

New Timely Filing Limits for Medicare–Be Prepared!

Medicare has had a history of  very generous timely filing limitations over the years.  However, as the old song lyrics go, “Times, they are a’changing”.   While in years past, some claims could be submitted as much as 2 years from the date of service,  new legislation changed the timely filing limts to one calendar year from the […]

Alert: Idaho Medicaid to Hold Payments!

Healthcare providers in Idaho and billing companies serving Idaho providers who accept Medicaid patients should be aware that a payment hold has been scheduled  for the last 3 payment cycles of the fiscal year, which ends June 30, 2010.  Hospitals and nursing homes will experience an extended hold time of 8 to 12 weeks. While […]

Medical Biller’s Day 2012

Happy Medical Medical Biller’s Day!  March 22, 2012 is National Medical Biller’s Day.  Medical Billers Day was first initiated by The American Medical Billing Association (AMBA)  in 2008 to honor and recognize the hard work and dedication of medical billing professionals. Many states have received official proclamations from their governor offices declaring the fourth Thursday […]