Medical billing is an essential aspect of the healthcare industry, and with the increasing demand for healthcare services, the need for skilled billers is on the rise. A medical biller is responsible for submitting claims to insurance companies and ensuring that healthcare providers are reimbursed for their services. If you’re looking for a career in […]
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Uber Health and Lyft Healthcare Transportation Services Uber and Lyft have made moves towards medical transportation, driven by the growing demand for Non-Emergency Medical Transportation (NEMT) services, which help patients who are unable to drive themselves to and from medical appointments. Estimates have the Non-Emergency Medical Transportation Market Size Worth $15.57Bn by 2028. Both Uber […]
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Insurance Companies Deny Medical Claims for a Number of Reasons Insurance Claim Denials Can be Challenging As a patient, it can be frustrating to have your medical claim denied by your insurance company. Unfortunately, this is a common issue that many people face. In this section, we’ll explore some of the reasons why insurance companies […]
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 […]
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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 […]
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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 companies to accurately describe and categorize medical diagnoses, treatments, […]
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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 testing can be used to diagnose a variety of […]
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 […]
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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 […]
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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 ManagementSubmitting 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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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Medical Billing Service Costs How Does Pricing Work in Medical Billing? The most familiar question medical billing companies hear, “What are your prices?” It’s an entirely reasonable question. After all, price is a sizable component in any business decision. In in the undermentioned content, we’ll try to clarify some of the misunderstandings surrounding medical billing […]
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Medical Billing and Credentialing Made Easy “There just has to be an easier way to perform our billing and credentialing.” If you’ve had to perform your own billing and credentialing, you know exactly what we’re talking about. For any number of healthcare practices, in-house billing and credentialing is an unpleasant, yet necessary, chore. This is […]
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Medical Billing and Credentialing Differences Medical billing and credentialing for medical providers are two different categories in the healthcare world. Before any medical billing can even be completed, the healthcare provider needs to be credentialed with insurance companies in order to be an approved provider of services. Becoming credentialed as an in-network provider dictates the […]
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