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 […]
Medical Billing, Outsource RCM, RCM Outsourced, Revenue, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Metrics, Revenue Cycle Optimization, Revenue Cycle Process
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 service rates. We’ll also […]
Basics of Medical Billing, Billing, Healthcare Billing, Medical Billing, Medical Billing Service, Medical Provider Billing, Outsource Medical billing, Pittsburgh Medical Billing, RCM, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization
“This procedure will require prior authorization.” Words that no patient or healthcare provider wants to hear when they are ready to proceed with a doctor-approved procedure for a medical matter. However, it’s one of the utilization management tools that insurance companies have fostered to decide if specific prescribed procedures, services and medications are medically required […]
Health Insurance, Healthcare, Healthcare Providers, Medical Billing, Medical Credentialing, Medical Practice, Medicare, Prior Authorization, Prior Authorization Process, Revenue, Revenue Cycle, Revenue Cycle Management, Utilization Management