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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How 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 AdoptionWant 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 Importance of Defining Medical Billing Workflows
So you run a medical practice or healthcare facility. Congrats, you’re doing important work that helps keep people healthy. But have you put much thought into your medical billing workflows? If not, you really should. Billing is the lifeblood that keeps a healthcare operation afloat financially. It’s how you get paid for the vital services […]
AI, Automation, billing, Billing Workflows, Financial Visibility, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Medical Billing Workflows, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, RPABilling 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 Billing10 Medical Coding Mistakes That Could Cost You
Medical coding is a complex and detail-oriented job. Even experienced coders can make mistakes that lead to costly errors and compliance issues. Avoiding common coding mistakes is crucial for accurate reimbursement, proper record-keeping, and avoiding penalties. Medical coding is highly intricate, yet accuracy is critical for proper reimbursement, compliance, and data reporting. Even minor coding […]
(not otherwise specified) codes, AHIMA, AMA, CMS, Coding, Coding Errors, Common Coding Errors, E/M coding, ICD diagnosis code, Incorrect E/M, medical coding, Medical coding quality, National Correct Coding Initiatives, NCCI Edits, NOS codes, POA indicators, UnbundlingManual 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, RPASpeeding 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 optimizationRelieving Medical Billing Frustrations: The Benefits of Outsourcing to Qualified Professionals
Medical billing plays a pivotal yet oft-overlooked role in provider financial stability and continuity of care operations. However, limited resources and inadequate solutions burden in-house teams trying to navigate outdated systems. The resulting claim delays, reimbursement leakage, and patient dissatisfaction has brought many practices to a breaking point. While outsourcing presents risks if not properly […]
billing, healthcare, Healthcare Billing, Medical, Medical Billing, outsourced billing, outsourced medical billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPATelehealth Billing Gets More Complex as Virtual Care Services Expand
The COVID-19 pandemic triggered an explosion in telehealth utilization across healthcare. While telehealth billing processes matured during the public health emergency, new complexities are emerging as virtual care delivery models expand. Practices must stay updated on billing and coding guidelines for telemedicine services spanning video visits, remote patient monitoring, mental health apps, and more. This […]
(POS) Codes, Chronic care management, Digital Therapeutics, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, rcm, Remote Patient Monitoring, Remote Patient Monitoring (RPM), Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, RPM for Clinical Trials, telehealth, Telehealth Billing, telehealth delivery, telehealth experience, Telemedicine, Wearable IntegrationMust-have Metrics for Measuring Medical Billing Success
Medical billing is a complex, numbers-driven process. To elevate revenues and efficiency, healthcare practices must constantly measure, analyze and optimize their medical billing and revenue cycle performance using key metrics. The Importance of Analytics in Medical Billing In the dynamic healthcare landscape, data is king. Medical practices that succeed at leveraging data make better decisions […]
CPT Code, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Analytics, Medical Billing Service, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process AutomationTop Coding and Billing Errors to Avoid
Accuracy in both medical coding and billing processes is imperative for maximizing appropriate reimbursement, maintaining regulatory compliance, and optimizing revenue cycle performance. Even minor errors can have major consequences in delayed or reduced payments, denied claims, and compliance risks. This comprehensive guide covers the most common coding and billing mistakes along with best practices to […]
Authorization Failures, Bad Sequencing, Benefits Errors, billing, Billing Duplicates, Duplicate Coding, Duplication, EOB Errors, Expired Policy Numbers, Grouping Errors, Inaccurate Patient Info, Inaccurate Patient Information, Inadequate Specificity, Incorrect Code Assignments, Incorrect Units, Insufficient Modifiers, Invalid Linkages, Invalid Place of Service, Medical Billing, Missing Codes, Missing Modifiers, Poor Handwriting, Timed Coding Errors, Timeliness Issues, Unbundling, UpcodingMedical Billing KPIs and Metrics Every Practice Should Track
How do you know your medical billing operation is performing optimally? Key performance indicators (KPIs) and metrics provide the critical insights. By regularly tracking the right quantitative measures, you gain visibility into what’s working, uncover issues early, and identify areas for improvement. This guide covers essential medical billing KPIs and metrics every practice should monitor. […]
healthcare, Healthcare Billing, Healthcare KPIs, KPI, KPIs, Medical, Medical Billing, Medical Billing KPIs, Medical Billing Service, Medical KPIs, Revenue Cycle Management, revenue cycle optimizationWhat is EOB in Medical Billing?
In the complex world of medical billing, an Explanation of Benefits (EOB) plays a crucial role in helping patients understand the costs and coverage associated with their healthcare services. An EOB is a document that provides a detailed breakdown of a medical claim, outlining the services rendered, the amount billed, the insurance coverage, and the […]
EOB, EOBs, Explanation of Benefits, healthcare, Healthcare Billing, Medical, Medical BillingUnderstanding Medical Billing for New vs. Established Patients
In the world of healthcare, efficient and accurate medical billing is crucial for healthcare providers and patients alike. Whether it’s handling billing for new or established patients, understanding the intricacies of medical billing practices is essential. In this comprehensive guide, we delve into the key aspects of medical billing for new and established patients, exploring […]
Medical Billing, Medical Billing Service, medical billing strategy, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, Revenue Cycle Management, revenue cycle optimizationWhich CPT Codes are Used in Genetic Testing Billing?
Genetic testing has become an essential tool in medicine, providing valuable insights into a patient’s health and disease risk. As genetic testing becomes more prevalent, medical professionals must navigate the complex world of billing and coding for these tests. Correct coding ensures that the provider is reimbursed for the services provided, and it also provides […]
CPT, CPT Code, CPT-10, genetic testing, genetic testing billing, Genetic Testing CPT Codes, genetic testing labs, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Revenue Cycle ManagementHow Both Healthcare Providers and Medical Billing Companies Succeed
The Business Relationship Between a Healthcare Provider and Medical Billing Company has to be Built on a Solid Foundation What are the Steps in Achieving a Healthy Business Relationship Between a Healthcare Provider and a Medical Billing Company? A good understanding of both sides’ expectations is crucial to the success of both parties. The healthcare […]
Claim Status Updates, Customer Service, healthcare, Healthcare Provider's Expectations, healthcare providers, Medical Billing, Medical Billing Customer Service, Medical Billing Expectations, Medical Billing Service, medical billing strategy, medical claims, outsourced billing, reimbursement, Reimbursement Regulations, Revenue Cycle ManagementAtlanta Medical Billing, Credentialing
Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Atlanta and nearby communities. In the Atlanta area, there a number of excellent healthcare providers, some of which have been nationally acclaimed for their outstanding performance. Here are the top Atlanta healthcare providers named by U.S. News […]
Boston Medical Billing, Credentialing
Boston Medical Billing, Credentialing Services Medwave is delighted to offer our medical billing and credentialing services to healthcare professionals in the City of Boston, MA and nearby communities. In the Boston area, there a number of excellent healthcare providers, some of which have been nationally acclaimed for their outstanding performance. Here are the top Boston […]
Nashville Medical Billing, Credentialing
Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Nashville, TN and nearby communities. In the Nashville area, there’s a variety of outstanding healthcare providers, some of which have been nationally recognized for their excellent performance. Here are the top Nashville healthcare providers named by U.S. […]
Houston Medical Billing, Credentialing
Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Houston, Texas and nearby communities. In the Houston area, there a number of especially highly-rated healthcare providers, some of which have been nationally celebrated for their outstanding performance. Here are the top Houston healthcare providers named by […]
Why You Should Integrate EHR Systems and Medical Billing
EHR Systems + Medical Billing Integration Medical billing and practice management has long been a labor-intensive task for healthcare providers. There’s little doubt, however, that the use of EHR (Electronic Health Records) or sometimes known as EMR (Electronic Medical Records) has considerably slashed these tasks by offering providers a proven method to effectively streamline their […]
billing, Billing AI, Billing Automation, billing revenue, billing service, EHR, EHR (Electronic Health Records), EHR Integration, EHR Interoperability, Electronic Health Records, Electronic Medical Records, EMR, EMR (Electronic Medical Record), Health Level 7, HL7, insurance, Interoperability, Interoperability Standards, Medical Billing6 Advantages of Outsourced Medical Billing
Medical Practice Management Challenges Solved by Outsourced Medical Billing Quality, Outsourced Medical Billing is the Answer The billing team at Capitol Healthcare practice had been reaching a high bar of excellence. But that bar was endangered when long-time staff members began to retire. “Some of the staff had been here for a long time, like […]
Healthcare Billing, insurance, Medical Billing, Medical Billing Service, medical billing strategy, medical credentialing, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, Revenue Cycle Management, revenue cycle optimizationThe Role of AI in Medical Billing and Coding
(AI) Artificial Intelligence in Medical Billing and Coding Example of AI in Medical Billing and Coding Artificial Intelligence (AI) is a hot topic right now with many speculating on how it will change the way we live our lives. In fact, we’ve already discovered that in the medical field, there are numerous ways that AI […]
AI, artificial intelligence, artificial intelligence healthcare, billing, Billing AI, EHR, EHR RPA, Health Level 7, Healthcare AI, HL7, insurance, Medical Billing, Medical Billing AI, Medical Billing Artificial Intelligence, RPA