Dealing with denied medical claims is one of the biggest headaches in the healthcare revenue cycle. It’s frustrating, time-consuming, and can put a serious dent in your bottom line if not handled properly. But fear not – we’re here to walk you through the process of identifying denials, filing appeals, and hopefully getting those claims […]
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What to Expect When Outsourcing Medical Billing
If you’re a healthcare provider, dealing with medical billing is probably one of your least favorite parts of the job. It’s tedious, complicated, and takes you away from your real passion – caring for patients. That’s why many practices choose to outsource their medical billing to third-party companies that specialize in it. But what does […]
billing, Billing AI, Billing Analytics, Billing KPIs, billing revenue, Billing RPA, Medical Billing, Medical Billing AI, outsourced billing, outsourced medical billing, Outsourcing, Revenue Cycle ManagementWhich CPT Codes are Used in Home Infusion Therapy Billing?
Home infusion therapy is a treatment option that allows patients to receive intravenous (IV) medications, fluids, or nutrition at home. This approach has become increasingly popular as it offers convenience, promotes patient independence, and reduces healthcare costs associated with prolonged hospital stays. However, to ensure proper reimbursement and accurate billing, healthcare providers must understand and […]
0537T, 0538T, 96360, 96361, 96365, 96366, 96367, 96368, 96372, 96374, Category I Codes, Category II Codes, Diagnostic Injections, Home Infusion Therapy, Home Infusion Therapy Billing, Home Infusion Therapy CPT Codes, Intravenous (IV) Medications CPT Codes, Prophylactic, TherapeuticWhich Medical Billing Technologies Should Healthcare Providers Adopt?
If you’re a healthcare provider, dealing with medical billing is probably one of your least favorite parts of the job. It’s a total pain – keeping track of patient information, filing claims, following up on denials, and ensuring you actually get paid for your services. And let’s be honest, the medical billing process is incredibly […]
A/R, Billing Tech, Billing Technologies, Business Intelligence, Claim Scrubbing, Data Analytics, Denials, EHR, EMR, KPIs, Patient Portals, RPA, Rules-Based Claim ScrubbingHow Robotic Process Automation is Replacing Manual Entry in Medical Billing
Let’s be real – medical billing can be a huge pain. For those who perform it internally and externally. At times, it’s one of those mind-numbingly tedious tasks that makes you question your career choices. Hours upon hours of copying and pasting data from one system to another, checking and re-checking codes, filling out endless […]
Automation, Billing Automation, EHR, EMR, EMR Data Extraction, EMR RPA, Medical Billing Automation, Robotic Process Automation, Robotic Process Automation Billing, Robotic Process Automation Medical Billing, RPA, RPA AdoptionWhich CPT Codes are Used in Remote Patient Monitoring Billing?
If you’re a healthcare provider looking to get into remote patient monitoring (RPM), one of the first things you need to understand is how to bill for these services. And that starts with knowing the right CPT codes to use. RPM has been around for a while, but it really took off during the COVID-19 […]
99091, 99453, 99454, 99457, 99473, 99474, billing, CPT codes, Healthcare Billing, Medical Billing, rcm, Remote Patient Monitoring, Remote Patient Monitoring Billing, Remote Patient Monitoring CPT Codes, Revenue Cycle Management, RPM, RPM Billing, RPM CPT CodesWant to Start a Medical Billing Company?
So you want to start your own medical billing company? It’s a lucrative industry with a ton of potential, but also one that requires some specialized knowledge and an understanding of the healthcare system. Don’t worry though, I’m going to walk you through all the key steps for getting a medical billing business off the […]
billing, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Startup, rcm, RCM Startup, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Start a Medical Billing Company, Start Your Own Medical Billing CompanyThe Need for Transparency in Medical Billing
If you’ve ever received a medical bill, chances are you were confused, frustrated, or both. The bills are often filled with inscrutable codes, massive dollar amounts that seem to make no sense, and a complete lack of clarity around what you’re actually being charged. It’s a systemic problem in the US healthcare industry that leads […]
American Hospital Association, billing, Billing Systemic Reform, Billing Transparency, CMS, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Medical Billing Transparency, No Surprises Act, Revenue Cycle, Revenue Cycle ManagementThe Digitization of Medical Billing: How Electronic Systems are Streamlining the Revenue Cycle
In the dynamic, healthcare ecosystem, one aspect that has undergone a remarkable transformation is the way medical bills are processed and submitted. Gone are the days when mountains of paper claims and endless filing cabinets were the norm. Instead, healthcare providers have embraced the power of electronic medical billing systems, revolutionizing the revenue cycle management […]
Better Patient Experience, Billing Automation, Billing Process, Digitization of Medical Billing, Electronic Medical Billing, Electronic Medical Billing Systems, Future of Medical Billing, Healthcare Billing, Healthcare Billing Systems, Medical, Medical Billing, Medical Billing Systems, Revenue Cycle, Revenue Cycle Management, Robotic Process Automation, RPAWhich CPT Codes are Used in Pathology Billing?
Pathology is a branch of medicine that deals with the study of diseases, particularly through the examination of bodily fluids, tissues, and organs. Pathology services play a crucial role in the diagnosis and management of various medical conditions, and proper coding and billing procedures are essential for reimbursement from insurance companies and other payers. The […]
Anatomic Pathology Consultation, Anatomic Pathology Consultation Codes, Cytology, Cytopathology, Cytopathology CPT Codes, Disease, Electron Microscopy, Immunohistochemistry, Molecular Pathology, Molecular Pathology CPT Codes, Pathology, Pathology Billing, Pathology CPT Codes, Pathology RCM, Surgical Pathology, Surgical Pathology CPT CodesStreamline Your Medical Billing Workflow: Best Practices for Efficiency
Efficient medical billing processes are crucial for maintaining a healthy revenue cycle and to ensure the financial well-being of healthcare providers. With the increasing complexity of payer regulations, coding intricacies, and patient expectations, medical billing workflows can quickly become convoluted and inefficient, leading to costly delays, errors, and dissatisfied patients. Fortunately, through the implementation of […]
billing, Billing Challenges, Billing Workflow, Coding Intricacies, EHR, Electronic Health Records, EMR, Future-Proof, healthcare, Healthcare Billing, Interoperability Standards, Medical, Medical Billing, Medical Billing Service, Medical Billing Workflow, NLP, Payer Regulations, Practice Management Systems, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Streamlined Medical Billing Workflow10 Key Medical Billing Challenges and Solutions
The medical billing process is a complex and often daunting task for healthcare providers. From keeping up with ever-changing regulations and coding updates to managing denials and claim rejections, medical billers face numerous challenges that can significantly impact revenue cycle management and the financial health of a practice. In this comprehensive article, we’ll explore ten […]
A/R, A/R Management, Benefits Verification, COB, Coding Accuracy, denial management, HIPAA, HIPAA Compliance, Patient Eligibility, Payer Contracting, Revenue Cycle Management, Revenue Cycle Process, revenue optimization, Timely Claim SubmissionBilling for COVID-19 Testing: An In-Depth Use Case Explaining CPT Codes, Payer Policies, and Revenue Cycle Optimization
Diagnostic testing for COVID-19 has become a cornerstone of pandemic response for healthcare providers. However, rolling out testing services presents immense challenges around reimbursement and revenue cycle management. This definitive use case walks through COVID-19 testing billing and coding procedures in 2022 step-by-step, using examples to illustrate how to optimize claims submission and payment across […]
0224U, 87426, 87635, billing, Covid, COVID billing, COVID Test Billing, COVID testing billing, COVID Tests, COVID-19, COVID-19 Test Billing, COVID-19 testing, CPT codes, Medical, Medical Billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, SARS-CoV-2, SARS-CoV-2 BillingWhich CPT Codes are Used in Biologics and Specialty Drugs Billing?
Biologics and specialty drugs represent some of the most innovative and complex pharmaceuticals available today. They are used to treat a wide range of diseases and conditions, from cancers to autoimmune disorders. However, these cutting-edge medications also come with high price tags and complex administration requirements. One of the tools used to properly bill and […]
Additional Injectable Drugs, Biologics and Specialty Drugs, CPT Codes for Oral Specialty Drugs, Cytokines, Enbrel, Enzyme-Related Biologics, Hemophilia Clotting Factors, Humira, Immune Globulins, Infusible Biologics, Injectable/Infusible Biologics, Interferons, Monoclonal Antibodies, Remicade, Rituxan, Specialty DrugsBilling Workers’ Compensation: A Guide to Making Claims Through HR
Workers’ compensation provides benefits to employees who suffer job-related injuries or illnesses. It covers medical treatment, lost wages, and rehabilitation services. Workers’ comp is regulated at the state level and all businesses are required to have workers’ comp insurance. When an employee is injured on the job, they need to file a claim with their […]
healthcare, Healthcare Billing, HR, Human Resources, Insurance Adjusters, Lost Wages, Medical, Medical Billing, Revenue Cycle, Revenue Cycle Management, Workers' Comp, Workers' Compensation, Workers' Compensation Billing Process, Workers’ Comp Claim, Workers’ Compensation Billing, Workmans CompThe Top 10 Trends in Medical Billing Software
The healthcare industry has undergone massive changes in recent years, largely driven by advances in technology and data. One area seeing significant innovation is medical billing software. These new solutions are transforming how healthcare providers handle billing, collections, reporting, and revenue cycle management. In this article, we will explore the top 10 emerging trends in […]
Billing Analytics, Billing Dashboard, Cloud-Based Systems, denial management, Payment Plan Flexibility, Practice Management Integration, Real-Time Eligibility Checks, Robotic Process Automation, RPA, Self-Service Portals, Total Revenue Integrity, Workflow Rules EnginesManual Medical Billing is Dead, RPA is the Answer
Medical billing has long relied on manual data entry and paperwork to process claims. But this antiquated approach is no longer sustainable in today’s digital healthcare environment. The future of medical billing lies with robotic process automation (RPA). RPA automates repetitive data entry and workflow tasks, increasing efficiency, reducing human error, and allowing medical billers […]
Billing Analytics, Billing Automation, healthcare, Healthcare Billing, Manual Billing, Medical, Medical Billing, Medical Billing Robotic Process Automation, rcm, Revenue Cycle, Revenue Cycle Management, Robotic Process Automation, RPA, RPA AdoptionThe Complete Guide to Fixing Common Medical Billing Errors
Improve revenue, reduce denials, and ensure compliance by following these expert billing tips for healthcare providers. Frequent billing mistakes can hurt your medical practice’s bottom line. Discover the most common medical billing errors, their financial impact, and proven steps to prevent them. This comprehensive billing guide for providers, clinics, and medical billers will help fix […]
Automation, Billing Automation, Billing Errors, Common Medical Billing Errors, compliance, Denial Analytics, Diagnosis Code Errors, Incorrect Modifiers, Medical Billing Errors, MGMA, Missing Pre-Authorizations, patient satisfactio, Procedure Code Mistakes, Revenue, RPAThe Essential Guide to Medical Billing Automation
Medical practices are constantly looking for ways to improve efficiency and increase revenue. Yet many practices are still relying on manual, paper-based billing processes that are tedious, error-prone, and time-consuming. In today’s digital age, automated medical billing is a must for any practice that wants to streamline operations, get paid faster, reduce denied claims, and […]
AI, artificial intelligence, automated billing, automating billing, billing, Billing Automation, Cloud-based automation, EHR, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Automation, medical billing strategy, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPAThe Reimbursement Model Shift in Medical Billing
The healthcare industry in the United States has undergone massive changes in recent decades. One of the most significant shifts has been in how healthcare providers get reimbursed for services. The traditional fee-for-service model is giving way to value-based models that tie reimbursement to quality of care and patient outcomes. This transformation in reimbursement is […]
Accountable Care Organizations, Billing Operations, Bundled Payments, Capitation, Fee-for-Service, fee-for-service model, P4P, P4P Model, Pay-for-Performance, reimbursement, Reimbursement Disruption, Value Based System, Value-Based Models, Value-based Reimbursement10 Trends Set to Transform Medical Billing
The healthcare industry is rapidly evolving, driven by advances in technology, changes in regulations, and shifts in consumer behavior. For medical billing professionals, these changes bring both opportunities and challenges. Staying up-to-date on the latest trends is key to remaining competitive and providing the best possible service to healthcare providers. In this comprehensive guide, we […]
artificial intelligence, Big Data, Billing RPA, Changing Regulations, Cybersecurity, healthcare, Medical Analytics, Medical Billing, Medical Billing Analytics, Medical Billing Trends, Patient Consumerism, Payment Models, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPA, telehealth, Virtual CareTelehealth Billing
Telehealth has become an increasingly popular way for patients to access healthcare services remotely. With telehealth, patients can consult with doctors, therapists, and other providers through video chat, phone calls, or mobile apps instead of going into a clinic or hospital. As telehealth usage grows, understanding how to bill and get reimbursed for these virtual […]
Speeding Payment Through Strategic, Outsourced Billing
In today’s complex healthcare environment, medical providers face numerous challenges when it comes to getting paid for their services in a timely manner. Between complicated insurance requirements, claim denials, and administrative burdens, it can often take weeks or even months for providers to receive payment. This cash flow bottleneck can put significant financial strain on […]
healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, medical billing strategy, Outsource Medical billing, outsourced billing, outsourced medical billing, Revenue Cycle Management, revenue cycle optimizationJN.1 Variant: Navigating COVID-19 Testing Billing Requirements and Optimization
Cases of a new COVID-19 variant, temporarily designated JN.1, are rising rapidly nationwide. According to data from the U.S. Centers for Disease Control and Prevention, JN.1 now accounts for 44% of all COVID-19 infections in the country. That represents more than double its share compared to just a week prior, highlighting the dramatic growth rate […]
COVID billing, COVID Testing, COVID testing billing, COVID-19, COVID-19 testing, healthcare, Healthcare Billing, JN.1, Medical, Medical Billing, outsourced billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimizationThe Secret Sauce: Essential Ingredients for Optimized Medical Billing Outcomes
Medical billing sits at the heart of provider revenue cycles, yet few fully appreciate the complexities billing teams navigate to keep financial flows stable. Between interpreting endless payer policies, wrestling with outdated technology, and managing behind-the-scenes patient communications, it takes specialized skills to turn charges into reimbursements. It serves as the financial backbone of the […]
Healthcare Billing, Healthcare Outcomes, Medical, Medical Billing, Medical Billing Ingredients, Medical Billing Service, Outcomes, outsourced billing, outsourced medical billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPA, Secret Sauce