Medical billers and coders play a critical role in the healthcare revenue cycle. Their work processing medical claims ensures providers receive accurate reimbursement for services rendered. But what can these professionals expect to earn as their billing and coding career progresses? We explore key factors influencing medical billing and coding salaries, average pay ranges, top […]
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Verifying a patient’s insurance eligibility and benefits is a critical first step in the medical billing process. Doing it thoroughly and accurately helps prevent claim denials and delays in payment down the road. We reveal proven techniques to verify eligibility and benefits like a seasoned medical billing pro. Insurance Eligibility Verifying insurance eligibility is crucial in […]
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The COVID-19 pandemic has persisted due to the continued emergence of new SARS-CoV-2 variants. As the novel coronavirus has spread globally, mutations in the viral genome have given rise to distinct new strains that present evolving challenges. Variants like Omicron and its sublineages have demonstrated a higher transmissibility and ability to evade immunity compared to […]
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Adding new providers to your practice brings growth opportunities, but also important billing considerations. Navigating payor credentialing, enrollment paperwork, and proper system setup keeps revenue flowing smoothly for new clinicians. We expose the key steps medical billers / credentialers should take when onboarding new providers to ensure claims pay as expected. Why Provider Credentialing Matters […]
Credentialing, Credentialing AI, Credentialing New Providers, credentialing on-boarding, EHR, FTP, healthcare, Medical, medical credentialing, Medical Recredentialing, Payer enrollment, Pre-screening, Provider Recredentialing, Recredentialing, Revenue Cycle Management, revenue cycle optimization
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. We reveal essential medical billing KPIs and metrics every practice should monitor. Why […]
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Selecting the right medical billing company is key to ensuring smooth claim processing, optimal reimbursement, and an improved bottom line. Healthcare revenue cycles become more complex day-by-day. Hence, outsourcing to revenue cycle specialists, like Medwave, is an increasingly attractive option. Below, we’ll explore why we rise above the rest as the top medical billing service […]
healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, medical billing strategy, medical credentialing, Outsource Medical billing, outsourced billing, outsourced medical billing, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPA
In the complex landscape of medical billing, the term “AR Recovery” holds significant importance. This article will delve into the depths of AR Recovery, shedding light on its significance, process, and benefits. Whether you’re a healthcare provider, a patient, or simply curious about medical billing intricacies, this guide will provide you with valuable insights. AR […]
A/R Recovery, Accounts Receivable, Accounts Receivable Recovery, AR Medical Billing, AR Recovery, healthcare, Healthcare Billing, Medical Billing, Medical Billing Service, Revenue Cycle Management, revenue cycle optimization
Navigating the complex world of medical billing requires a deep understanding of Current Procedural Terminology (CPT) codes. For intensivists, accurate coding is crucial to ensure proper reimbursement for the critical care services they provide. We’ll jump into the realm of intensivist billing and explore the key CPT codes that play a pivotal role. Whether you’re […]
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In the realm of medical billing and coding, precision and accuracy are paramount. Hospitalist billing, a specialized area, relies on specific CPT (Current Procedural Terminology) codes to ensure proper reimbursement for services rendered. These codes serve as a universal language that communicates medical procedures and services to insurance companies. In this comprehensive guide, we’ll delve […]
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At Medwave, we are dedicated to providing valuable insights and guidance on detecting and preventing healthcare fraud and abuse. We will equip you with the knowledge and tools necessary to safeguard your organization and patients from these malicious activities. By implementing the strategies outlined below, you can enhance the integrity of your healthcare services and […]
fraud, healthcare, Healthcare Abuse, Healthcare Fraud, medicaid, medicaid fraud, Medical, Medical Fraud, medicare, medicare fraud, Phantom billing
Understanding Payer Enrollment What is Payer Enrollment? Payer enrollment refers to the process through which healthcare providers, such as hospitals, clinics, and individual practitioners, become registered with insurance payers or healthcare plans. It involves submitting the necessary documentation and information to establish a contractual relationship with these payers. By enrolling with payers, providers gain the […]
Credentialing, healthcare, Healthcare Billing, healthcare credentialing, Medical, Medical Billing, Medical Billing Service, medical credentialing, payor enrollment, Revenue Cycle Management, revenue cycle optimization
In today’s fast-paced world, the healthcare industry faces numerous challenges when it comes to managing medical billing processes efficiently. With the increasing complexity of healthcare systems and the constant changes in regulations, there is a growing need for automation to streamline and optimize medical billing operations. Robotic Process Automation (RPA) has emerged as a game-changing […]
healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Robotic Process Automation, Medical Billing Service, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, Robotic Process Automation Billing, Robotic Process Automation Medical Billing, RPAIn today’s fast-paced healthcare industry, medical billing plays a crucial role in the financial stability and success of medical practices. However, managing the complexities of medical billing can be overwhelming for healthcare providers. This is where outsourcing your medical billing can be a game-changer. In this article, we will explore the reasons why outsourcing your […]
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Substance abuse treatment plays a crucial role in addressing addiction and supporting individuals on their path to recovery. Alongside the provision of quality care, it is essential to have a streamlined billing process to ensure efficient reimbursement for the services rendered. This article aims to explore the common Current Procedural Terminology (CPT) codes used in […]
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Medical billing plays a critical role in the healthcare industry, ensuring accurate reimbursement for services provided by healthcare providers. However, the traditional processes of medical billing have long been plagued by challenges such as complex coding systems, frequent changes in regulations, and increasing administrative burden. The future of medical billing holds great promise in transforming […]
Automation, Blockchain Technology, EHR, HIPAA, HIPAA and Data Protection, Machine Learning, Medical Billing, Patient-Centric Billing Systems, Predictive Analytics, Real-Time Claims Processing, Reducing Rejected Claims, Remote Billing, Telemedicine
Urgent care clinics have become an increasingly popular option for patients seeking prompt medical attention for non-life-threatening conditions. These facilities provide convenient, affordable, and timely care for a wide range of illnesses and injuries that are too severe to wait for a scheduled appointment but not serious enough to warrant a visit to the emergency […]
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Welcome to our comprehensive guide on denial codes in medical billing. As a leading authority in the healthcare industry, we understand the challenges healthcare providers face when it comes to navigating the complex world of medical billing. Our goal is to provide you with valuable insights and actionable strategies to help you overcome denial code challenges […]
Denial Codes, denial management, denied medical claims, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, outsourced billing, Revenue Cycle Management, revenue cycle optimization
Are you passionate about healthcare administration and interested in pursuing a career in medical billing and coding? As the demand for skilled professionals in this field continues to grow, it’s crucial to choose the right educational institution that provides comprehensive training and prepares you for a successful career. We take a look at some of […]
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As the healthcare industry continues to grow and evolve, credentialing has become an essential aspect of ensuring the safety and quality of care provided to patients. Credentialing is the process of verifying a healthcare provider’s qualifications, experience, and professional history to ensure that they meet the necessary standards for patient care. We disclose why credentialing […]
Credentialing, credentialing challenges, credentialing process, healthcare, healthcare credentialing, Medical, medical credentialingAs a leading provider of healthcare services, we understand the importance of an efficient and reliable physician billing solution. Medical billing is a critical aspect of healthcare management, and selecting the right solution can significantly impact the success and profitability of a practice. In this article, we will explore the key qualities that define a […]
billing, denial management, EHR, Electronic Health Records, healthcare, Healthcare Billing, HL7, Medical, Medical Billing, Robotic Process Automation, Robotic Process Automation Medical Billing, RPA
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 BillingIn the complex world of healthcare, managing the business side of things can often be overwhelming, especially for those new to the field. One common question that arises is the distinction between medical billing and revenue cycle management (RCM). Although the term “medical billing” has been around for a long time, RCM encompasses the entire […]
CPT, healthcare, Healthcare Billing, ICD, Medical, Medical Billing, Medical Billing Service, medical billing software, medical credentialing, rcm, Revenue Cycle, Revenue Cycle Management
Integrating behavioral health services with primary care has become increasingly important. Recognizing the significance of this integration, the American Medical Association (AMA) has developed specific Current Procedural Terminology (CPT) codes to facilitate the billing and reimbursement process for behavioral health integration (BHI) services. By comprehending and effectively utilizing these codes, healthcare providers can maximize their […]
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As a healthcare professional running a private practice, streamlining administrative processes is crucial for optimizing efficiency and providing quality care to your patients. One essential step in this regard is registering with the Council for Affordable Quality Healthcare (CAQH). We’ve created this guide to help you understand the importance of CAQH registration and navigate the […]
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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. We take an in-depth look into the key aspects of medical billing for new and established patients, exploring the differences, challenges, and best practices […]
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