The healthcare revenue cycle management (RCM) process is a complex and critical set of activities that encompasses everything from patient registration and appointment scheduling to final payment collection. With rising costs, shrinking reimbursements, and increasing regulatory burdens, optimizing RCM performance has become essential for provider organizations to ensure financial viability and sustainability. In this article, […]
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Revenue Cycle Optimization
Essentials of Revenue Optimization in Healthcare
The healthcare industry is undergoing massive changes. With rising costs, declining reimbursements, and shift towards value-based care, healthcare providers face significant financial pressures. At the same time, patients demand superior access, quality, and lower out-of-pocket costs. To thrive in this environment, healthcare organizations must adopt a strategic approach to revenue optimization. Revenue optimization involves systematically […]
Better Payer Contracts, billing, Clinical Documentation, healthcare, Healthcare Billing, Medical, Medical Billing, patient payments, rcm, Renegotiate Payer Contracts, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Revenue Integrity, revenue optimization, Value Based Care, Value Based SystemBilling for COVID-19 Testing: An In-Depth Use Case Explaining CPT Codes, Payer Policies, and Revenue Cycle Optimization
Diagnostic testing for COVID-19 has become a cornerstone of pandemic response for healthcare providers. However, rolling out testing services presents immense challenges around reimbursement and revenue cycle management. This definitive use case walks through COVID-19 testing billing and coding procedures in 2022 step-by-step, using examples to illustrate how to optimize claims submission and payment across […]
0224U, 87426, 87635, billing, Covid, COVID billing, COVID Test Billing, COVID testing billing, COVID Tests, COVID-19, COVID-19 Test Billing, COVID-19 testing, CPT codes, Medical, Medical Billing, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, SARS-CoV-2, SARS-CoV-2 BillingBoosting Revenue Integrity: 7 Keys to Unlocking Efficient, Effective Medical Billing
Amidst an increasingly complex healthcare payer environment, medical billing has direct implications on the financial viability of providers to maintain daily operations and invest in advancing care. However, antiquated systems still relying on manual workflows struggle to effectively navigate critical revenue cycle processes and optimization in the modern digital era. The resulting claims denials, patient […]
How Much Does a Medical Billing Service Cost?
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 this article, we’ll try to clarify some of the misunderstandings surrounding medical billing service rates. […]
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