At the height of music legend James Brown’s career, the song, "The Big Payback," was a chart topping hit. In 2008, with a vast knowledge of CPT and ICD-9 Codes that gets back-logged claims submitted fast, innovative billing companies have made the James Brown classic a song that healthcare providers can sing all the way to the bank.
Reported in 2006 by the Blue Cross Blue Shield Association(BCBSA), The House [of Representatives] is considering health information technology legislation (H.R. 4157) that would require providers and payers to switch from the ICD-9 billing code set to a very different ICD-10-CM/PCS (ICD-10) code set by October 1, 2009. The BCBSA is advocating for the extension of the deadline to 2012 because much has to be done before a switch to ICD-10 can be started…The efficiency of today’s company to quickly obtain information and correctly submit claims to Blue Cross Blue Shield as well as Florida Medicaid has proven to be an achievable task by New Jersey Healthcare Solutions.
Finances and proper procedures are a heavyweight with all healthcare providers. Sentara, which offers Optima as a health plan, gives the harsh reality of improper billing and coding in their 2008 Guide to Compliance and Ethics. The company and employees can be prosecuted for filing inaccurate claims for reimbursement, which carries extremely large civil fines or criminal penalties or both.
In the 1990’s, Hip-Hop artist L. L. Cool J. used "The Big Payback" as a musical backdrop for his hit single, "Booming System." Healthcare providers’ reimbursement systems can “boom” with a billing company knowledgeable to State regulations pertaining to varying types of insurances and third party payers.
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Florida Clinic Rides the Wave of Swift Reimbursement
Of course, recompensation is necessary for healthcare businesses to survive. When providing a service, then providing a bill, it is iminent for the final step to be a payment provided. Thanks to efficient recompensory methods, one particular company in Florida has been finishing all three steps and has sent a glowing letter of appreciation:
It is with great pleasure I am writing a glowing recommendation for New Jersey Healthcare Solutions (NJHS). Their staff have handled our affiliates BlueCross BlueShield and Medicaid claims, and all this entails for the past 6 o r 7 months. NJHS also assists us with coding issues and concerns.
Our office has enjoyed the the intelligence and motivation that NJHS has provided. Their vast knowledge of CPT and ICD9 Codes has proven to be an unbelievable asset to getting our back-logged claims submitted correctly to either BlueCross BlueShield, and or Florida Medicaid. They always work efficiently and quickly to get all information needed to process our claims in a timely manner, while at the same time working cohesively with our company. As the Affiliate Administrator and Medical Billing Coordinator, I have valued the direct contact concerning all of our medical billing and coding issues.
Besides always being available to answer questions or concerns very quickly, NJHS is attentive to detail and is knowledgeable to State regulations pertaining to varying types of insurances and third party payers. When it comes to providing us with quality service, they will take on any challenging task and will quickly forge ahead to find answers to any and all requests.
During our regular telephone contact and many emails, NJHS remains courteous, friendly and attentive to all our needs. Nothing ever seems to be a problem for them which is why it is with great pleasure to recommend such a company.
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