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
The Medical Billing Onboarding Process
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 […]
Billing Onboarding, Medical Billing, Medical Billing Onboarding, Medical Billing Service, medical billing strategy, medical claims, Onboarding Billing, outsourced billingMedicare and Medicaid Fraud: A Growing Problem in the Healthcare Industry
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 […]
Billing for services not rendered, billing fraud, False certification, fraud, Kickbacks, medicaid, medicaid fraud, medical billing fraud, medicare, medicare fraud, Phantom billing, Prescription drug fraud, Supply fraud, Unlawful self-referral, Upcoding, Whistleblower, Whistleblower Protection ActThe Benefits of Using a Medical Billing Company for Healthcare Providers
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 […]
billling, healthcare, Healthcare Billing, Medical Billing, Medical Billing Company, Outsource Medical billing, outsourced billing, Revenue Cycle ManagementAll About ICD-10 Codes
Everything You Always Wanted to Know About ICD-10 Codes 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 […]
healthcare, Healthcare Billing, ICD-10, ICD-10 lookup, ICD-11, Medical Billing, reimbursement, WHO, World Health OrganizationWhat’s the Value of Medical Billing for Genetic Testing Labs?
The Value of Medical Billing for Genetic Testing Labs 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 […]
Substance Abuse and The Opioid Epidemic
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 […]
Opioid, opioid addiction, Opioid Addiction Billing, Overdoses, SAMHSA, SBIRT, SBIRT reimbursement, Substance Abuse and Mental Health Services AdministrationThe Crucial Role of Medical Billing in Healthcare
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 […]
Billing Accuracy, HIPAA, HIPAA Compliant, Medical Billing, Medical Billing Compliance, Medical Billing Customer Service, Medical Billing Expertise, Medical Billing Robotic Process Automation, reimbursement rates, Robotic Process Automation, RPAStruggling with Claim Denials?
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 ManagementSkilled Nursing Facility Versus Nursing Home
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 billingElectronic Claim Attachments: The Future Is Now
Submitting 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 […]
clearinghouse, EHR, Electronic Claim Attachments, Electronic Claims, EMR, Medical Billing, medical billing software, medical billing team, medical billing tool, outsourced billing, outsourced medical billing, rcm, Revenue Cycle ManagementBalancing Social Media and Patient Privacy in Healthcare
Social Media and Patient Privacy in Healthcare A Few Use Cases Use Case #1: Use Case #2: Protected Health Information (PHI) Preserving privacy of patients’ protected health information (PHI) is one of the major concerns linked to social media in healthcare. Privacy and protection of such information are dealt with in federal law and overseen […]
facebook healthcare, HIPAA, HIPAA Compliant, instagram healthcare, Internet HIPAA, Medical Billing, medical credentialing, patient privacy, PHI, privacy, safety violations, social media, social media healthcare, social media HIPAA, social media medicalWhy You Should Integrate EHR Systems and Medical Billing
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 Billing6 Advantages of Outsourced Medical Billing
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 optimizationThe Role of AI in Medical Billing and Coding
(AI) Artificial Intelligence in Medical Billing and Coding 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 […]
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, RPAWhat is Revenue Leakage and How to Stop It?
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 supportWhat Does Medicare Cover for Home Healthcare?
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 coverageWhere Does Your Revenue Cycle Management Need to Be?
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 optimizationPatient Payment Trends Moving Forward
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, telehealthWhat Do Patients Want from Billing?
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 payment9 Steps for a Proactive Medical Billing Strategy
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, RPAMedical Providers: Never Underestimate the Importance of Your Front Desk Staff
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, rcmOutsourced Medical Billing Saves Money
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 billing10 Ways to Best Achieve Revenue Cycle Optimization
The healthcare industry is changing rapidly, creating a host of challenges for healthcare providers. Cutbacks in reimbursements, bad debt and regulatory reforms all affect a provider’s revenue. Moreover, the failure to recognize claim submission mistakes heightens the risk of inadequate reimbursement and even nonpayment. While concentrating on ever-pressing needs, it’s difficult for providers to spot […]
healthcare revenue cycle, Medical Billing, Outsource Billing, Outsource Medical billing, outsourced billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, revenue loss, revenue optimizationCommon Revenue Cycle Management Mistakes and How to Avoid Them
Common Revenue Cycle Management Mistakes Is Your Revenue Cycle Management in Top-Notch Condition? Let’s face it, we all make mistakes, even as veterans in revenue cycle management. Sometimes, though, our biggest mistakes are the ones right under our noses – the ones we simply don’t identify as mistakes because we’ve been making them for so […]
healthcare, Healthcare Billing, healthcare rcm, Medical Billing, medical credentialing, rcm, rcm practices, rcm support, Revenue Cycle Management