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 optimization
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 Management
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 Integrity
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 practice
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 billing
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 rates
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 Billing
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 improvements
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
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 optimization
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 can be employed to improve overall performance. As […]
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, RPATelehealth, the Provision of Remote Healthcare Telehealth is Useful, but is it Here to Stay? Maybe we really don’t want to talk about it, but truth is, major calamities like the COVID-19 pandemic often lead to innovations in healthcare. As a prime example, the use of virtual care skyrocketed as people – asked to socially […]
Corona, Corona Virus, Coronavirus, Covid, COVID-19, healthcare, telehealth, Telemedicine
Provider-Payer Relationship Under COVID-19 COVID-19 Upset Provider-Payer Relationships The COVID-19 pandemic has affected most, if not all, businesses everywhere. For healthcare, in particular, the pandemic and its consequences altered the ways that payers and providers do business with one another. How So? Let’s catch a momentary peek at several of the more immediate effects on […]
Coronavirus, Coronavirus billing, COVID billing, COVID test kits, COVID testing billing, COVID-19, COVID-19 testing, Healthcare Billing, Medical Billing, outsourced billing, outsourced medical billing, provider-payor
Artificial Intelligence (AI) in Healthcare Advantages and Disadvantages of Using Artificial Intelligence (AI) in Healthcare No matter the industry, artificial intelligence (AI) has become routine and commonplace. When it comes to healthcare, AI helps practitioners streamline tasks, expand operational efficiencies and simplify complicated medical procedures. AI in medical billing and coding is becoming increasingly more […]
AI, AI healthcare, AI medical, artificial intelligence, artificial intelligence healthcare, healthcare, Healthcare KPIs, Healthcare Outcomes, Medical Billing
Robotic Process Automation (RPA) in Medical Billing What Exactly is Robotic Process Automation? When you come across the term “robotic process automation,” you might think it sounds rather futuristic. However, RPA, as it’s often termed, is a technology being deployed more and more in the healthcare industry, including medical billing. Robotic process automation (software) consists […]
Billing Automation, Billing RPA, EHR, EHR RPA, EMR, EMR RPA, Health Level 7, HL7, insurance, Medical Billing, Medical Billing Automation, Medical Billing Robotic Process Automation, Medical Billing RPA, rcm, Revenue Cycle Management, Robotic Process Automation, Robotic Process Automation Billing, Robotic Process Automation Medical Billing, RPA, RPA Billing
Interested in Stopping Revenue Leakage? Firstly, Let’s Define Revenue Leakage “Revenue leakage” describes circumstances wherein a healthcare provider has supplied care to a patient but doesn’t collect payment. In general, it happens when accounts receivable (AR) continue to be unpaid for too long and are inadvertently overlooked. The longer an account receivable remains outstanding, the […]
A/R, healthcare, healthcare denials, healthcare reimbursement, healthcare revenue cycle, Medical Billing, medical billing denials, rcm, rcm challenges, rcm essentials, rcm support
Are Mental Health Services (like Therapy) Covered Under Medicare? Behavioral / Mental Health Services + Medicare Sometimes it can be problematic for older adults to differentiate indicators of mental health difficulties for typical aging-related changes. They may think that experiencing sadness or anxiety is an ordinary symptom of growing older, particularly when they live with […]
Behavioral Health, Behavioral Health Billing, medicaid, medicare, medicare coverage, Medicare Therapy, Mental Health, Mental Health Billing
Home Health Services + Medicare What does Medicare Cover for Home Healthcare? If you’re looking for an answer to the question, “What does Medicare cover for home healthcare?”, you’ve probably typed it into a search engine and immediately closed the tab. The amount of information and the level of detail can quickly become confusing and […]
healthcare, healthcare services, home health care, home health services, home healthcare, medicaid, medicaid billing, medicaid coverage, medicare, medicare billing, medicare coverage
Your Revenue Cycle Management Status Healthcare providers faced a tidal wave of challenges at the beginning of the COVID-19 pandemic, many of which endure consequences today. It’s not surprising that the revenue cycle did not evade these challenges. The shutdown and transfer to a generally virtual care world presented substantial bedlam that the revenue cycle […]
rcm, rcm challenges, rcm essentials, revenue cycle challenges, Revenue Cycle Management, Revenue Cycle Management Concerns, Revenue Cycle Management Issues, revenue cycle optimization
Patient Payments in Healthcare are Changing In spite of a “hot-vaxxed summer,” the COVID-19 pandemic lingers, and sadly, even more robustly in some places than ever before. It’s also continuing to take its toll on healthcare consumers, both psychologically and financially. That’s one of several reasons why it’s more critical than ever for healthcare providers […]
digital payments, healthcare, healthcare payments, Medical Billing, medical digital payments, medical payments, patient payments, payment trends, telehealth
Healthcare Patient Billing Expectations Patients believe every aspect of their healthcare experience contributes to their care, including the medical payment and billing process. And a negative payment incident could impact a patient’s overall impression of a healthcare organization, even if the rest of their experience was positive. According to survey results, patient satisfaction ratings fall […]
billing, billing service, healthcare, Medical, medical bill, medical bill process, medical claims, medical patients, medical payment
Healthcare Practices Face RCM Challenges Healthcare providers of all shapes and sizes are struggling to fine-tune their revenue cycle to adapt to changes in the billing world. Constant changes to the healthcare system have brought about a variety of new challenges for providers and patients alike. This is particularly true for smaller practices who must […]
healthcare rcm, Medical Billing, medical billing software, rcm, rcm practices, rcm support, Revenue Cycle, revenue cycle challenges, Revenue Cycle Management, revenue cycle optimization
Isn’t it Time to Become More Proactive in Your Medical Billing Payment Strategies? “Do you believe in miracles?” During the 1980 Winter Olympics, the U.S. National Hockey Team miraculously vanquished the Soviet Union Team (who had won the gold medal in the six previous Olympics). It has been noted that one of the chief factors […]
Basics of Medical Billing, Collection Process, Medical Billing, medical billing strategies, medical billing strategy, outsourced medical billing, Patient Collections, Revenue Cycle Management, Robotic Process Automation, RPA
Medical Providers Should Never Underestimate Front Desk Staff Value Patient/Customer Relations Whether it’s a medical practice or any other type of business, there is nothing as critical as patient/customer relations. What helps distinguish thriving medical practices from others is the interface of patients with your front desk staff. After all, it’s here where they handle […]
healthcare, Healthcare Billing, Medical Billing, medical front desk, medical office staff, medical patient flow, medical patients, medical provider, patient flow, patient relations, rcm
Outsourced Medical Billing Saves Healthcare Practices Money A rather bold statement. We’re so sure that we will save your healthcare practice money, we feel quite confident in asserting this claim in our headline. Where is it written that your healthcare practice has to conduct billing services in-house? Fact is, outsourcing medical billing can be extremely […]
Healthcare Billing, Medical Billing, Medical Billing Company, outsourced billing, outsourced medical billing