QWay Health Podcasts

About QWay Health Podcasts

Listen to the latest podcasts in Healthcare. We provide Revenue Cycle Management Services and solutions that address the billing challenges of the US Healthcare Industry. With a prompt and seamless flow of payments, and no day-to-day billing issues, you can now focus more on expanding the clientele base, add new healthcare specialties and treatment options and acquire new business.

Publisher

QWay Health

Category

health & fitness

Language

en

Explicit

Yes

First episode

12 Feb 2021

Latest episode

3 May 2021

Latest episodes

16 episodes in the feed.

1. 

   3 May 2021

   FAQs on Patient medical Billing services

   We all know that healthcare industry continues to mark high patient financial responsibility and out-of-pocket costs. Healthcare professionals ensure that medical billing services help the pay process to yield high patient satisfaction. A positive experience with the medical billing services can obviously influence the patient’s billing. This is not to portray patients withhold their payments as a punitive measure following a complex or negative billing department experience. It shows that providers should make the patient payment process simpler. Making patients understand their financial responsibility, making them aware of potential charges before they receive their bills, and giving them a compassionate and empathic experience will be essential to create a patient-centered experience. Here are few frequently asked questions on patient’s medical billing services. Do Medical billing services companies (https://qwayhealth.com/blog/tips-for-medical-billing-service-companies-on-anesthesia-billing/) offer payment arrangements? Of course, payment arrangements may be made by contacting medical billing partner’s patient billing customer service. What are the Patient’s payment options? Most of the medical billing service companies offer all forms of standardized payment options that are accepted, including cash, check, and major credit cards. To pay by credit card over the phone, please call customer service. Patients may also pay in cash at the hospital or mail their payments to the payment address listed on the patient statement. Text-to-pay is another available option which is easy to deal with. Why do patients receive separate bills from the hospital and from the physician? When a healthcare professional performs the services, patients are required to submit their bill separately from the hospital’s bill. For example, if patients came to the emergency room and had an x-ray and laboratory tests, they may receive a bill from the hospital for technical resources, a bill from the emergency room physician for professional services, a bill from the radiologist for interpreting any x-rays, and a bill from the pathologist for analyzing any specimens taken. Patients find the same bill listed on healthcare professional’s bill and hospital’s bill (https://qwayhealth.com/blog/how-crucial-is-hospital-billing-software-in-hospital-management-system/). Why? Each and every hospital visit involves both physician and hospital bill for the resources utilized while performing services. Although the hospital and the healthcare provider may use the same language to describe each charge, their bills are for separate services. The physician’s bill will be for professional assessment, direction and oversight. The hospital’s bill will be for the technical resources, including procedures and equipment, medications and supplies. Will medical billing services company bill for primary and secondary insurance companies? Definitely yes! As a courtesy to the patients, medical billing service companies will submit their bills to insurance companies. If the patient has secondary insurance company, a claim will be sent to the secondary insurance company after the primary insurance company has paid. Patient is requested to supply the pertinent billing information that the insurer may require. Listen to it fully.

2. 

   22 Apr 2021

   FAQs on Radiology Billing services

   Not all radiologists are experts in radiology billing services. At the same time, it’s even more essential to notice the huge impact that billing staff has on revenue profits, which can’t be ignored. This article states the basic formulas and benchmarks radiologists need to gauge the performance of their billing operation. It’s not a very comprehensive study of the various facets of medical billing, and moreover not intended to replace expert guidance. The concept here will enable radiology professionals in any practice environment to quickly understand key billing measurements and apply them in their proper context. Practices also vary widely depending on their approach towards radiology billing services. Some groups have outsourced their radiology billing services to third parties while the others have a billing manager to take care of radiology billing. We will look at few issues that relates specifically to billing staff who are practice employees and those who work for radiology billing services in a billing company. What are the key financial indicators of radiology billing services (https://qwayhealth.com/blog/tips-to-improve-radiology-billing-in-healthcare-billing-services/)? The Radiology Business Management Association publishes a survey every year related to the key financial indicators of radiology billing. These indicators are discussed according to their definitions. The key indicators are: Gross Collection Percentage Net Collection Percentage (or Adjusted Collection Percentage) Average Days in Accounts Receivable Bad Debt Recovered as a Percentage of Collection Write-Offs

3. 

   12 Apr 2021

   FAQs on Chronic Care Management

   The fundamental goal of chronic care management is to aid patients with better and quality care and management. The Centers for Medicare and Medicaid (https://qwayhealth.com/blog/faqs-on-medicare-updates-2021/) have recognized chronic care management as crucial component that contributes to good patient responsibility. Few years back Medicare started paying separately for chronic care management under Medicare Physician Fee Schedule. It’s not surprising to know implementing chronic care management involves few steps to follow. They are: identifying patients, educating and enrolling patients, engaging with patients, maintaining documentation, and billing for reimbursement. But there are few questions to be answered. What’s the difference between Chronic care management and complex chronic care management services? Complex chronic care management services come under the criteria of chronic care management with an additional requirement of establishment of a comprehensive care plan, medical decision-making of moderate to high complexity, and at least 60 minutes of clinical staff time. Can all physicians and specialists bill (https://qwayhealth.com/blog/physician-billing-vs-hospital-billing/) CCM services, or it’s only for primary care healthcare professionals? Of course, any healthcare professional who encounters the reporting requirements can readily bill for CCM. Physicians or specialists, who are treating patients with at least two or more chronic conditions, could also be eligible to bill the codes. Only one physician per month may need to report these services. Are there certain diagnoses for only which the CCM code can be reported? No defined lists of diagnoses codes are mentioned to meet the requirements. The required list includes the chronic conditions place, the patient at significant risk of death, acute exacerbation or de-compensation, functional decline along with a care plan.

4. 

   5 Apr 2021

   5 Things to know about Ambulatory Surgical Billing

   Did you know that ambulatory surgical billing services are entirely different from other medical billing specialties? It’s very crucial to learn about ambulatory surgical services before taking up its billing and coding tasks. Basically, ambulatory surgical billing specializes in claiming surgical services especially for outpatient treatment. Some may include billing procedures related to pain management (https://qwayhealth.com/blog/7-medical-billing-and-coding-tips-for-spine-and-pain-management/) or diagnostic procedures like colonoscopies. Procedures performed at Ambulatory Surgical Centers are more extensive compared to the services performed at healthcare professionals’ office. Moreover, they don’t require a hospital stay either. For ambulatory surgical billing, it needs to qualify certain requirements and also additionally enter into written document with Centers for Medicare and Medicaid Services. Unlike physician or hospital billing, ambulatory surgical billing services must be well known for the billing department to handle those claims accurately for the services rendered. Medicare has separate set of guidelines for ambulatory surgical billing services and other insurance companies will have their own set of guidelines differing from one payer to another depending on medical necessity, approved procedures as well as other filing requirements. What is Ambulatory Surgical Billing? Ambulatory surgical billing is a whole new scenario where ambulatory surgical centers use a mixture of hospital and physician billing and the process is often confusing depending on insurance companies and their acceptance of different CPT and HCPCS level II codes. Medicare has a whole different set of guidelines for ambulatory surgical billing services and it’s not covered under part B. Though the list is published yearly by Medicare, it’s essential for ambulatory surgical centers to bill and code according to Medicare requirements. These procedures come as a package when it represents ambulatory surgical billing reimbursement or revenue payments. Certainly, related line items are paid with one set reimbursement. Few insurance companies fail to follow CMS guidelines for ambulatory surgical centers and it becomes very complicated for ambulatory surgical billing and coding professionals to file claims. Missed procedures, inaccurate coding, late reimbursement, changing contracts along with an expanding procedure pool can cause much hassle for ambulatory surgical centers and billing staff.

5. 

   29 Mar 2021

   Podcast on DME Billing Services

   Durable Medical Equipment in short used as DME has been undergoing perennial renovations due to changes in regulatory compliance. Being constant with changing DME billing landscape always remains as one of the remarkable challenges. DME represents approximately 2% of Medicare’s annual expenditure. Denials are one of the most stressful causes for healthcare professionals while billing Durable Medical Equipment. Not all DME billing claims will shower revenue reimbursements for healthcare professionals. In fact, DME billing faces the maximum denials than any others. It may include various reasons and factors but all these denials cause a major damage for revenue payments in revenue cycle management process. There are few more concerns confronted by DME providers, they include, less collections, billing errors, training expenditure for new staff, suspended operations in the absence of office staff. DME billing services should be dealt with concentration. Even the slightest mistake can compound leading to very slow productivity and revenue halt.

6. 

   22 Mar 2021

   FAQs on Out of Network Billing in Healthcare

   Did you ever realize what’s most important in the healthcare industry? How crucial is out of network billing for providers? Patients and healthcare professionals play an important role in healthcare revenue system. Patients might require various services depending on the health conditions. Healthcare professionals’ responsibility is to check if that patient is eligible for all those required services and is under insurance coverage policies. Patients need not worry about in network providers much but they will have to concentrate on out of network providers if at all they’re ready to choose one. At the same point, out of network billing is also something to pay attention at! As insurance companies set up their efforts to pressurize out of network revenue rates by also learning new strategies of navigating issues to achieve higher reimbursement rates. Let’s check out answers for few questions on out of network billing.

7. 

   17 Mar 2021

   Updated Radiology Billing Guide

   Get ready for new CPT coding changes. Radiology billing is one among the specialties to be aware of annual changes in coding system that needs to be entered into the minds of healthcare professionals simultaneously. Did you know that for radiology diagnosis, changes for the this year has focused on areas of abdominal, gastrointestinal plain films, along with nuclear medicine procedures for tumor localization as well as myocardial PET imaging. Did you ever forget to update imaging? Oh no! Then that seems to be a bigger mistake! Radiology billing always demands updates of imaging uploads which aids in proper billing payments and prevention of revenue loss. CPT coding changes for Radiology Billing: (https://qwayhealth.com/medical-billing/) Diagnostic Radiology: Abdominal and Gastrointestinal imaging exams include all scout films and delayed images of basic procedure codes with distinction made between single as well as contrast studies. Complete Acute Abdomen Series: 74022 – A code that specifies two or more abdomen views including the example supine, erect and decubitus.

8. 

   17 Mar 2021

   Medical Billing Outsourcing vs In-house Billing

   There has always been a discussion or debate on whether medical billing needs to be outsourced or have to be maintained in house. To be honest, there is no hard and fast rules in it. Each organization’s business dynamics and vision is different. So there cannot be one rule fits all. However, if you are a medical professional or a medical billing company in a dilemma then this article will help you to understand how both in house and outsourced system works. Medical Billing Outsourcing pros The very reason for medical billing companies to outsource is to benefit from it. Now let us see how outsourcing benefits the medical company. If you are driving or not having time to read this article, you can listen to this podcast. enjoy listening.

9. 

   17 Mar 2021

   5 Major Challenges Every Healthcare BPO Confront?

   As predicted, the Australian healthcare BPO (https://qwayhealth.com/blog/faqs-guide-for-healthcare-billing-companies-in-australia/) will confront major challenges especially in claiming and delivery of medical billing services. The medical billing and coding services has been a complex process as it takes longer days to clear the revenue payments. So, it’s significant to coordinate with internal workflow and clearing House for feasible billing payments. Here are the 5 major challenges of healthcare BPO companies (https://qwayhealth.com/blog/a-guide-on-bulk-billing-vs-private-billing-for-medical-billing-outsourcing-companies/): Updating and maintaining patient details Training for success Tracking the denials Problems in Quality Control Frequent Claim follow ups.

10. 

    17 Mar 2021

    How to Maximize Operational efficiency using AI in RCM?

    As we all know, Artificial intelligence emerged into healthcare industry that made machines follow directions to capture and store health records. AI in revenue cycle management companies played a crucial role in making extracting health records for feasible billing process. Machine learning came later with advanced intelligence to make predictive solutions. Deep learning, which stands as another subset for machine learning works as human brain to solve critical problems in no time. Ai in revenue cycle management process is bigger than expected as it encapsulates everything under machine and deep learning. Deep learning is most helpful in scaling businesses with automated processes. The advance intelligence of AI was influenced by human brain especially the interconnections of neurons. In healthcare industry, deep learning or machine learning is introducing many new avenues for better patient treatments and effective revenue cycle management process.

11. 

    17 Mar 2021

    A Guide on Bulk Billing vs Private Billing

    Are you new to medical billing outsourcing (https://qwayhealth.com/blog/faqs-guide-for-healthcare-billing-companies-in-australia/)? Then you must probably be aware of two kinds of billing payments, Bulk Billing and Private Billing. These are challenging and have many common misconceptions about the differences. For a clear idea on the process and how medical billing (https://qwayhealth.com/medical-billing-office/) works in Australia, learning about Bulk Billing and Private Billing will tranquilize your thoughts and have significant bearing on the healthcare practice. What is Bulk Billing? Medicare is a government operated healthcare insurance scheme that aims to provide access to efficient and equal health insurance to all the citizens of Australia. All Australians are eligible for Medicare and medical services that can be claimed out of it. When medical billing outsourcing companies are ready to bill for Medicare patients for the services rendered by the healthcare professionals, the payment will be processed through the Medicare card. Later on the government will reimburse the payments’ full fee with percentage of 65 to 70 where it can also be negotiated. Bulk Billing is where Medicare is responsible for payments those are directly sent by the healthcare professionals. Bulk Billing= patients will assign the bills with a right for refund. The healthcare professionals without any additional charges will bill the amount for the services rendered.

12. 

    15 Mar 2021

    FAQs on out of Network Providers

    What does Out of Network Provider mean? Patients often get confused between out of network provider and in-network providers. Most of them do not have an idea what it is! Sometimes lack of knowledge in these might lead to several issues while making payments. If at all the claims have to be paid properly, one should know what exactly it is and how does it work. Okay, it isn’t so tough to understand! Once if you’re aware of insurance companies, the picture is right in front of you! Out of network providers are healthcare professionals who do not have any contract signed with insurance companies. In short, insurance companies do not pay for their services at all. An in-network provider is a healthcare professional who has signed a contract with insurance companies.

13. 

    9 Mar 2021

    FAQs on Medicare Updates 2021

    Are you on Medicare? Or will be? Then, watch out for these Medicare updates! Because, they might have great impact in future! We all know Medicare changes happen every year and it’s very important for Medicare beneficiaries to maintain and keep up with new changes or updates ahead of the time. This year Medicare updates has brought us something interesting. Innovative technologies will be covered faster than ever before. Medical devices will be covered as soon as they are claimed but only when authorized by Food and Drug administration prior to the process. The Medicare updates and changes don’t stop here; it has announced changes including annual premiums and deductibles. Let’s dig in deeper and learn what the changes are!

14. 

    2 Mar 2021

    Top 10 FAQs of Medicare Remote Patient Monitoring

    Did you know that Centers for Medicare and Medicaid has finalized new policies for remote patient monitoring which is reimbursed under Medicare program? These changes include part of Physician Fee Schedule Final Rule that’s intended to clarify CMS position about how it interprets the necessities and requirements for remote patient monitoring services. As discussed in the earlier topics, Remote Patient Monitoring refers to the collection and analysis of patient physiologic data which is used to develop treatment plans related to health conditions or chronic diseases. Five primary Medicare remote patient monitoring CPT codes are 99091, 99453, 99454, 99457, and 99458. Top 10 Remote Patient Monitoring FAQs are based on CMS policies Final Rule 2021.

15. 

    26 Feb 2021

    How critical is AR calling in RCM companies

    Will you be satisfied with medical practice if you experience frequent denials and loss of payments for the services rendered? Do you think revenue cycle management companies would be the right choice for AR follow ups? Well! It’s most obvious that denials can push healthcare professionals deep into revenue loss and it’s always better to approach best AR follow up team to overcome denials and drive straight to revenue profits. Anyways, what can be motivating is outsourcing the best revenue cycle management companies for AR follow up process to increase revenue payments.

16. 

    12 Feb 2021

    All you need to know about Provider Credentialing!

    When was the last time you renewed provider credentialing documents? Did you know that renewal of credentialing documents is necessary once in three years? Provider credentialing involves many aspects. The main concept of provider credentialing is to prove the education, training and skills of healthcare professionals required for better patient responsibility and care. Meanwhile, healthcare organizations also would need to monitor the works of healthcare professionals in order to evaluate in terms of medical care and other reports of improper patient responsibility. The above reporting and monitoring should be followed continuously by also having regular check by healthcare facilities, employ providers and healthcare insurance companies. It’s quite certain that provider credentialing process will need to have significant work to clear the complex confusions on offer recommendations and fulfilling responsibilities.

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