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The FIRM provides professional claims billing services for individual providers, clinics and facilities. We service all disciplines of practice, i.e., medical, dental, diagnostic testing, chiropractic, physical therapy, optometry/ophthalmology, mental health, chemical dependency, and durable medical equipment.

We offer specialty services such as consultation, collections and appeals, contracting and credentialing, verification and preauthorization and personal injury settlement negotiating. We offer form development and revision services, office reorganization and personnel training.

We have extensive experience in all areas of commercial insurance, Workers Compensation, personal injury, Third Party Administrators, Medicare, Medicaid, and other state and federally funded programs. We offer personalized services designed specifically to meet your needs.

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Smooth Rollout For New ICD-10 Medical Codes, Insurers Say

FORBES/ Pharma & Healthcare OCT 13, 2015 @ 07:55 AM Bruce Japsen ,CONTRIBUTOR The launch of tens of thousands of new government-mandated “ICD-10” codes used to describe diseases and hospital procedures in the billing process has seen few problems in the early days of its launch, large health insurers say. The news of a smooth rollout thus far comes from Humana HUM +0.52% (HUM) and UnitedHealth Group UNH -0.16% (UNH) despite reports that one in four doctor practices weren’t ready for the October 1 transition to International Classification of Diseases, Tenth Revision, known as “ICD-10.” After two years of delays, medical care providers had to be ready at the beginning of this month for the conversion to 140,000 new codes that they will use in order to bill government and private insurers. The delays to help doctor practices get ready seem to have paid off. “The extra time has helped,” Robert Tennant, health information technology policy director at the Medical Group Management Association told more than 200 doctors at a panel featuring insurers at the group’s annual meeting in Nashville this week. Humana (HUM) said calls in the first week into the insurer that were specific to ICD-10 amounted to “only 0.03 % of all calls from providers regarding benefits, claim status, spanning date of service, and authorization.” Pediatrician Lanre Falusi examines an infant’s ear in an exam room at a Community Clinic Inc. health center in Takoma Park, Maryland. Photographer: Andrew Harrer/Bloomberg  Lanre Falusi “It’s been a pretty smooth transition so far,” Sid Hebert, who heads the ICD-10 implementation team at Humana (HUM) said. “We are about ten days into this and already have 50% of our claims coming in. Almost everyone who is [...]

ICD-10 Compliance a Struggle for Some Physician Practices

ICD-10 is here. Are you ready? By Kyle Murphy, PhD on October 12, 2015 October 1 has come and gone, and nearly two weeks in to ICD-10 compliance most of the healthcare industry is relatively mum on the transition to the newer clinical diagnostic and procedural code set. More than likely, healthcare organizations and professionals are busy enough adapting to ICD-10 and its more specific set of codes. That’s not to say some are not speaking out or in support of ICD-10 compliance. ICD-10 a struggle for some physician practices Two recent weekend reports in the Florida’s Crestview News Bulletin and Maine’s Bangor Daily News paint two very different pictures of ICD-10 compliance at the two-week mark. Apparently, some physician practices in the Florida panhandle are going through the motions in adapting to the federal mandate for ICD-10 compliance which began back on October 1. Brian Hughes reports that medical offices are encountering difficulties with the code set. “Large practices and medical companies, such as Peoples’ Home Health, usually have coders on staff. Their only job is to enter the numbers into billing records and insurance reimbursement forms,” he writes. “For smaller offices like Dr. Herf’s and Mir’s, the increased coding tasks take away staffers’ time with patients.” Betty Jordan, the manager of physician practice of Abdul Mir, MD, views ICD-10 as more of a hindrance than a help. “It requires so much extra work. If my doctor treated someone for rheumatoid arthritis, there’s hundreds of codes. It’s got to be specific,” she told the Crestview News Bulletin. “It is horrible for a primary care doctor,” she further revealed. “For a specialist, they deal with the same things over and over. For us [...]

ICD-10 Medical Diagnosis Code Gives Americans 70,000 Official Ways To Get Sick, Hurt or Die

Medicare ICD-10 Questions? We have answers at The Firm Services By Rina Marie Doctor, Tech Times | October 5, 6:35 AM Just when patients and medical and non-medical staff in hospitals and health care facilities are on the verge of getting crazy from the thousands of currently existing medical codes, the 10th version of the International Classification of Diseases (ICD) has been released. Dubbed as the ICD-10, the said updated list contains about 70,000 codes, which equate to the number of official ways for Americans to get sick, hurt or die. On Thursday, Oct.1, medical providers in the U.S. will start to transition from ICD-9 to ICD-10 in billing government and private insurers for different health care services. However, even before the updated protocol can be implemented, a number of health care staff have already mocked the wide-scope medical diagnoses. Examples of codes include V91.07XA, which is defined as "burn due to water skis on fire," and Z63.1, which is described as "problems in relationship with in-laws." Aside from its large scope, the ICD-10 codes are also said to be highly-precise. For example, if a patient is suspected of ingesting a toxic mushroom, clinicians will have to look at about 18 codes to perfectly fit that patient's case. Another example is leg fracture, which has dozens of types. Despite the seemingly humorous vibe entailed in the changes, this transition is anything but a joke for health care providers, who need to manipulate this coding system with utmost efficiency for payment purposes. The ICD-10 codes are based on the list of official medical diagnoses set by the World Health Organization (WHO). The said coding system delegates a particular code for each patient complaint and medical [...]

By |October 5th, 2015|Blog, Commercial Insurance, Credentialing, Doctor, doctor, Healthcare Changes, Healthcare Professionals, ICD-10, Medicaid, Medical Billing, Medical Coding, Medical Compliance, Medical Credentialing, Medical Insurance, Medicare, Medicare, medicare claims, Physician Credentialing, Verification|Comments Off on ICD-10 Medical Diagnosis Code Gives Americans 70,000 Official Ways To Get Sick, Hurt or Die