Health care providers should periodically review their financials and revenue cycle, so that they can take corrective measures at the earliest if required. A great deal of medical offices / health care providers find that medical billing is one area which could be drastically improved. Using the latest medical billing techniques, a provider’s efficiency and […]
AI, Automated Billing, Automation, EHR, RPA
Healthcare in a digital environment is complicated, particularly with the numerous regulations that seem to be constantly rolling out additional layers. Healthcare providers are spending more time and resources as they organize patient care, and this time could be put to better use. Using a qualified, outsourced behavioral health billing company can provide better service […]
Behavioral Health Billing, Mental Health, Mental Health Billing, Outsourced Billing
Credentialing for healthcare providers, hospital groups and facilities is a tedious task that often requires a team of specialists to handle all the on-boarding information, as well as updates throughout the year. As of April, 2018, CMS now mandates that providers maintain accurate information and timely updates. Providers and facilities that do not keep up with […]
CAQH, Credentialing Applications, In-Network, NPPES, PECOS, Primary Source Verification
Getting paid for the care you provide used to be fairly simple, see the patient, bill Medicare, get paid based on volume. That model started to shift back in 2015, when Congress passed the Medicare Access and CHIP Reauthorization Act, better known as MACRA. The law rebuilt the way Medicare pays physicians, moving reimbursement away […]
Advanced APM, CMS, Medicare, MIPS, QPP, Value-Based Models
Ask ten people in a medical office to explain the difference between billing and credentialing, and you might get ten different answers. Some will say they’re basically the same department. Others will shrug and say “billing is the money part, credentialing is the paperwork part,” which isn’t wrong, but it barely scratches the surface. The […]
Billing vs Credentialing