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Patient Insurance Eligibility

Managing Patient Financial Responsibility, While Maintaining High-Quality Care

September 29, 2024 / admin / Articles, Patient Billing, Patient Care, Patient Experience, Patient Financial Responsibility, Patient Flow, Patient Insurance Eligibility, Patient Medical Billing, Patient Responsibility, Patient Satisfaction, Patient-Centered Medical Home, Patient-Centric, Patient-Centric Billing Systems, Patient-Friendly
Happy Healthcare Patient

Healthcare providers face the dual challenge of delivering exceptional patient care while effectively managing the financial aspects of their practice. As healthcare costs continue to rise and patients bear an increasing share of these expenses, it’s crucial for providers to implement strategies that balance financial sustainability with the commitment to high-quality care. We inspect the […]

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Patient Billing, Patient Care, Patient Collections, Patient Costs, Patient Dissatisfaction, Patient Experience, Patient Financial Responsibility, Patient Medical Billing, Patient Responsibility, Patient Satisfaction, Patient-Centered Medical Home, Patient-Centric, Patient-Centric Billing Systems, Patient-Friendly

10 Key Medical Billing Challenges and Solutions

March 5, 2024 / admin / A/R, A/R Recovery, Articles, COB, Coding Accuracy, Healthcare KPIs, HIPAA Compliance, Patient Eligibility, Patient Insurance Eligibility, Payer Contracting, RCM, Revenue, Revenue Cycle Management, Timely Claim Submission
White Female Medical Billing Outsourced

The medical billing process is a complex and often daunting task for healthcare providers. From keeping up with ever-changing regulations and coding updates to managing denials and claim rejections, medical billers face numerous challenges that can significantly impact revenue cycle management and the financial health of a practice. We cover 10 key medical billing challenges […]

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A/R, A/R Management, Benefits Verification, COB, Coding Accuracy, Denial Management, HIPAA, HIPAA Compliance, Patient Eligibility, Payer Contracting, Revenue Cycle Management, Revenue Cycle Process, Revenue Optimization, Timely Claim Submission

Top Strategies to Drastically Reduce Claim Denial Rates in 2024

February 5, 2024 / admin / Articles, Claim Denial Prevention, Claim Denial Rate, Claim Denials, Claim Rejection, Denial Management, Denied Claims, Denied Medical Claims, Medical Necessity, Patient Insurance Eligibility, Pre-certifications, Reducing Denials
Medical Claim Denied Doctor

Claim denials continue to be a persistent challenge for healthcare providers in 2024. The costly administrative burden of denied claims and appeals, coupled with lower revenues and margins, puts increasing pressure on organizations to find ways to prevent denials and increase collections. The good news is there are proven strategies providers can implement to proactively […]

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Appeals management, Authorizations, Claim Denial Prevention, Denial Rates, Documentation, Medical Necessity, Patient Insurance Eligibility, Pre-Certifications, Preventable Denial Rates, Reducing Denials, verification

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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Cardiology
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Cardiology
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Recent Posts

  • AI Bot Assistance in Medical Credentialing

    How AI is Transforming Medical Credentialing

  • Inadequate Reimbursement Rates Threaten Your Healthcare Organization

    Inadequate Reimbursement Rates Threaten Your Healthcare Organization

  • The Credentialing Committee (with group of people)

    The Credentialing Committee Process

  • White Male Medical Doctor Typing at Machine

    What’s the Difference Between Credentialing and Contracting?

  • LLM or Generative AI Assistant Bot

    Commonly Used Credentialing Prompts for LLMs, Generative AI

  • Female Medical Doctor PECOS User

    PECOS 2.0: Medicare Enrollment Gets a Major Upgrade

  • White Male Medical Doctor in need of Credentialing, at Hospital

    Credentialing: Provider Pain Points

  • White Female Medical Office Manager

    Acceleration of Revenue Cycle Metrics for Physician Groups

  • White Male Congressman slamming gavel

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