What’s the Value of Medical Marijuana and Why Don’t Private Insurers Cover It? Value of Medical Marijuana Medical marijuana has been legal in some form in over 30 states in the United States, and many patients are using it to treat a variety of medical conditions. However, despite its growing popularity, medical marijuana is not […]
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The Medical Billing Onboarding Process
Medical Billing Onboarding Medical Billing Has Its Complexities Medical billing is a complex process that involves various steps to ensure that healthcare providers receive payment for their services. Onboarding a new medical billing system can be a daunting task, but it can also bring about significant improvements in the efficiency and accuracy of the billing […]
Billing Onboarding, Medical Billing, Medical Billing Onboarding, Medical Billing Service, medical billing strategy, medical claims, Onboarding Billing, outsourced billingMedicare and Medicaid Fraud: A Growing Problem in the Healthcare Industry
Medicare and Medicaid Fraud is a Massive Healthcare Industry Problem Medicare and Medicaid Fraud Vulnerability The Medicare and Medicaid programs provide crucial support to millions of Americans, offering access to healthcare services for those who may not otherwise be able to afford it. Unfortunately, these programs are also vulnerable to fraud, with criminals exploiting the […]
Billing for services not rendered, billing fraud, False certification, fraud, Kickbacks, medicaid, medicaid fraud, medical billing fraud, medicare, medicare fraud, Phantom billing, Prescription drug fraud, Supply fraud, Unlawful self-referral, Upcoding, Whistleblower, Whistleblower Protection ActThe Benefits of Using a Medical Billing Company for Healthcare Providers
The Value of Using an Outsourced Medical Billing Company The Complex Nature of Medical Billing Healthcare providers are faced with a growing number of challenges when it comes to managing their medical billing operations. With the complex nature of healthcare billing, the increasing regulations and laws that govern the industry, and the need to stay […]
billling, healthcare, Healthcare Billing, Medical Billing, Medical Billing Company, Outsource Medical billing, outsourced billing, Revenue Cycle ManagementAll About ICD-10 Codes
Everything You Always Wanted to Know About ICD-10 Codes What are ICD-10 Codes? ICD-10 codes are the tenth revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification system used worldwide to classify and code diseases and health conditions. The ICD-10 codes are used by healthcare providers and insurance […]
healthcare, Healthcare Billing, ICD-10, ICD-10 lookup, ICD-11, Medical Billing, reimbursement, WHO, World Health OrganizationWhat’s the Value of Medical Billing for Genetic Testing Labs?
The Value of Medical Billing for Genetic Testing Labs What is Genetic Testing? Genetic testing is a medical process that involves analyzing a person’s DNA, the building blocks of their genes, to look for specific changes that can indicate the presence of a genetic disorder or an increased risk of developing a certain condition. Genetic […]
Medical Credentialing: Understanding the Process and Its Importance
The Process and Importance of Medical Credentialing What is Medical Credentialing? Medical credentialing is a vital process for ensuring the quality of healthcare services. It involves verifying the education, training, and professional experience of healthcare providers to ensure that they meet the standards for practicing in their field. This process helps to ensure that patients […]
Credentialing, healthcare, healthcare credentialing, Medical, medical credentialing, what is medical credentialingSubstance Abuse and The Opioid Epidemic
Substance Abuse, The Opioid Epidemic and Billing Substance Abuse Substance abuse refers to the harmful use of drugs or alcohol with negative consequences on an individual’s health, relationships, and daily life. The term encompasses a range of substance use disorders, including addiction and abuse, and is a growing concern in the United States and around […]
Opioid, opioid addiction, Opioid Addiction Billing, Overdoses, SAMHSA, SBIRT, SBIRT reimbursement, Substance Abuse and Mental Health Services AdministrationCOVID-19 Test Kits and Reimbursement
COVID-19 has brought the world to a standstill, and the demand for effective testing has skyrocketed. In this blog post, we will discuss COVID-19 test kit reimbursement and the different types of kits available. It depends on the country and healthcare system, but generally COVID-19 test kits are reimbursed if they are performed in a […]
COVID-19, COVID-19 billing, COVID-19 test kit, COVID-19 test kit billing, COVID-19 test kit reimbursement, COVID-19 test kits, COVID-19 testingThe Crucial Role of Medical Billing in Healthcare
Medical Billing: Basics, Role of Specialists, Challenges, RPA and What to Look for in a Company Medical billing is an important aspect of the healthcare industry that plays a crucial role in ensuring that patients receive the medical treatment they need while healthcare providers are reimbursed for the services they offer. The process involves submitting […]
Billing Accuracy, HIPAA, HIPAA Compliant, Medical Billing, Medical Billing Compliance, Medical Billing Customer Service, Medical Billing Expertise, Medical Billing Robotic Process Automation, reimbursement rates, Robotic Process Automation, RPAUncompensated Healthcare: Charity Care and Bad Debt
Uncompensated Healthcare in the Form of Charity Care and Bad Debt are Painful for Providers Uncompensated care is a widespread pain point for healthcare organizations, rising by just over a billion dollars in 2020 to $42.7 billion. And while it may not be thinkable to get rid of it, there are tactics you can introduce […]
Charity Care, Charitycare, healthcare, Healthcare Debt, Medical, Medical Care, medical charity, rcm, Revenue Cycle Management (RCM), Uncompensated HealthcareEmerging Trends in Revenue Cycle Management
In the wake of months of social distancing and virtual visits during the COVID-19 pandemic, patients are once again veering towards a need to see their physicians in person. As patient volume recovers, it’s a great time to take a look at a healthcare practice’s Revenue Cycle Management (RCM) program and make sure it’s still […]
AI, artificial intelligence, artificial intelligence healthcare, Covid, COVID-19, Data Security, Machine Learning, Medical Billing, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimizationStruggling with Claim Denials?
Overcome Claim Denials Claim Denials are Challenges for Healthcare Providers Even healthcare providers who deploy safeguards to dodge insurance payment hazards, occasionally find themselves up against a claim denial. Taking care of denied insurance claims can be a frustrating process for healthcare practitioners and their office staff. That’s why it’s vital to utilize a claim […]
billing, Claim Denial, Claim Denials, Claim Rejections, denial management, denied medical claim prevention, denied medical claims, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Claim Rejections, medical claims, Medical Payor, rcm, Revenue Cycle ManagementHow Critical is Revenue Integrity in Healthcare?
Is Revenue Integrity Critical in Healthcare? What is Revenue and Why is it Important? The exact wording may vary, but you can look for terms such as “gross revenue,” “gross sales,” or “total sales.” This figure is the amount of money a business brought in during the time period covered by the income statement. The […]
healthcare, Healthcare Revenue, Healthcare Revenue Integrity, Medical Revenue Integrity, Revenue, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Revenue IntegrityThe Importance of Small Business Insurance for Healthcare Providers
As a healthcare provider, your goal is to help people. However, this type of work is unsure at times. If a healthcare worker makes a misstep, they could harm a person’s health. Even if there hasn’t been any maltreatment or mistake on the part of the healthcare practitioner, disagreements can result when physicians’ and patients’ […]
general liability, general liability insurance, health insurance, healthcare, healthcare practice, insurance, Medical, Medical Billing, medical credentialing, medical practiceSkilled Nursing Facility Versus Nursing Home
What’s the Difference Between a Skilled Nursing Facility and a Nursing Home? On the surface, a skilled nursing facility and a nursing home may appear rather the same. In fact, some care facilities actually function as both, with a distinct floor or section of a building dedicated to each. The difference between a skilled nursing […]
billing, Medical Billing, Medical Billing Service, nursing billing, nursing facility billing, nursing hom, old folks home, skilled nursing, skilled nursing billing, skilled nursing facility, skilled nursing facility billingWhy Aren’t Patients Using Patient Portals?
Why Your Patients are Failing to Use Your Portal Properly Patient Portal Challenges Healthcare consumers vary from tech-savvy Generation Z, Y and Millennials, familiar with rapid click-throughs, to straightforward answers, to patients with little or no faith or proficiency in computing tools. In any instance, just a few words can sum up the probable value-added […]
confusion, medical patients, medical practice, patient portal, patient portal problems, securityElectronic Claim Attachments: The Future Is Now
Submitting Electronic Claim Attachments One of the major strains on healthcare providers is the dependence on paper and manual procedures. This duo frequently adds up to harmful mistakes and costly denials, which demand significantly more time and effort to resolve, if left unchecked. Among the manual processes most difficult to manage are claim attachments that […]
clearinghouse, EHR, Electronic Claim Attachments, Electronic Claims, EMR, Medical Billing, medical billing software, medical billing team, medical billing tool, outsourced billing, outsourced medical billing, rcm, Revenue Cycle ManagementBalancing Social Media and Patient Privacy in Healthcare
Social Media and Patient Privacy in Healthcare A Few Use Cases Use Case #1: Use Case #2: Protected Health Information (PHI) Preserving privacy of patients’ protected health information (PHI) is one of the major concerns linked to social media in healthcare. Privacy and protection of such information are dealt with in federal law and overseen […]
facebook healthcare, HIPAA, HIPAA Compliant, instagram healthcare, Internet HIPAA, Medical Billing, medical credentialing, patient privacy, PHI, privacy, safety violations, social media, social media healthcare, social media HIPAA, social media medicalHL7 Standards: Building a Conduit Between Modern Healthcare and Advancing IT
HL7: Building the Connection Between Healthcare and IT What Exactly is HL7? HL7 (Health Level Seven) is a standard for swapping health information between medical applications. This standard identifies a format for the transmission of health-related information. Information transmitted using the HL7 standard is sent as a collection of one or more messages. Each message sends […]
Healthcare Delivery, Healthcare Format, Healthcare HL7, HL7, HL7 StandardsPayer Contracting, What Healthcare Providers Should Understand
Let’s begin with this set-up: Let’s say you’re hunting for a new job and receive a call from a would-be employer informing you that the job is yours. Of course, you’re thrilled by the news and inquire about your starting salary. Your new employer replies that you need to wait for your first paycheck to […]
Credentialing, healthcare credentialing, medicaid, medicare, private insurers, Provider Credentialing, provider networks, reimbursement ratesPayer Enrollment Versus Credentialing, What’s the Difference?
Bringing new providers aboard is invigorating, yet a complex process with plenty of moving parts. If you’ve ever had the opportunity to hire a physician or mid-level professional, you know just how much work is involved. Payer enrollment is maybe one of the more essential, yet misunderstood pieces of the puzzle. No doubt, making your […]
Credentialing, credentialing on-boarding, enrollment, healthcare, healthcare credentialing, medical credentialing, Payer Contract, Payer Contracting, Payer enrollmentWhy 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 Billing4 Ways to Improve Patient Telehealth Experience
Improving Patient Telehealth Experience Telehealth Assessment Gaining access to healthcare has become even more essential than ever. The COVID-19 pandemic didn’t prevent healthcare workers from discharging their oath and tackling medical issues quickly and properly. In fact, the use and popularity of telehealth expanded significantly in response to the COVID-19 pandemic. An assessment of telehealth […]
healthcare, Healthcare AI, HIPAA, HIPPA Compliant, medical providers, telehealth, telehealth delivery, telehealth experience, telehealth improvements, telehealth services, telehealth software, Telemedicine, telemedicine improvementsVaping and What Healthcare Providers Need to Know
What Healthcare Providers Need to Know about Vaping Both the U.S Food & Drug Administration and the Centers for Disease Control are working determinedly to look into the disturbing occurrences of severe respiratory illness connected with the use of vaping products. Both organizations are diligently working with state and local health officials to investigate these […]
cancer, CDC, e-cigarette, EHR, healthcare, Lung Association, vape, vape pen, vaping, vapor