Medical billing is a critical aspect of the healthcare industry, as it ensures that healthcare providers are paid for the services they provide to patients. However, medical billing can be a intricate process, and many healthcare providers struggle to maximize reimbursement for their services. To maximize reimbursement, healthcare providers should focus on accurate medical coding, […]
Healthcare Billing, Medical Billing, Medical Billing Service, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, rcm, Revenue Cycle Management
At present, medical credentialing is one of the most critical components of healthcare administration. However, it is an endeavor that comes with its own set of challenges. From streamlining the entire process to ensure credentialing committees have adequate resources, there are a lot of challenges that need to be addressed to ensure that things run […]
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In this article, we aim to provide a comprehensive understanding of payer contracting for healthcare providers, simplifying the process and highlighting the essential aspects to keep in mind. Introduction to Payer Contracting Payer contracting is crucial for healthcare providers as it helps ensure that they receive adequate reimbursement for their services, enabling them to provide […]
healthcare, healthcare payor contracting, Medical, medical payor contracting, patient satisfaction, payor contracting, payor contracting process, payor enrollment, payor healthcare
Medical billing plays a crucial role in the healthcare industry. They are responsible for the accurate and efficient handling of insurance claims, coding, and billing. We’ll provide a detailed overview of outsourced medical billing and explore the benefits, challenges, and key factors to consider when choosing the right one for your healthcare organization. What is […]
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Understanding Outsourced Laboratory Billing In the medical industry, managing billing and reimbursement processes can be a daunting task. From insurance claims and patient billing to regulatory compliance and coding accuracy, there are many variables to consider. This is why many medical laboratories have chosen to outsource their billing operations to third-party providers. Outsourced laboratory billing […]
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The process of medical credentialing is crucial in ensuring the quality and safety of healthcare services. It involves verifying the credentials and qualifications of healthcare providers and evaluating their competency to provide medical services. We’ll examine the importance of proper medical credentialing and how it benefits both healthcare providers and patients. What is Medical Credentialing? […]
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RPA Effectiveness in Medical Billing RPA has Transformed the Medical Billing Industry Medical billing is a crucial aspect of the healthcare industry, responsible for accurately tracking and processing payments for patient care and services. In recent years, advances in technology have led to the development of Robotic Process Automation (RPA) in Healthcare, which has been […]
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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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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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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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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 […]
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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 […]
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 […]
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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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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 […]
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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
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 […]
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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’ […]
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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, security
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 StandardsBringing 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 enrollment
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