Understanding Medical Billing Myths Dr. John Smith owns a small practice in Pittsburgh’s South Hills. He’s in the midst of a conversation with one of his nurses. Nurse: “Doctor, do you think we should be posting signs concerning the payment of co-pays once the patient is finished with their appointment?” Doctor: “I agree to a […]
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Higher Accuracy of Medical Claims Saves Revenue
Healthcare Practices Save Money with Higher Accuracy of Medical Claims Reimbursement for medical practices has been impacted by numerous trends and healthcare industry changes over the past five to ten years. Medicare and Medicaid are constantly cutting physician reimbursement, third-party payers (UnitedHealth, BCBS, Humana, Anthem, Aetna, Cigna, etc.) have bargained for fee-for-service contracts with healthcare […]
healthcare rcm, healthcare revenue cycle, HIPAA, Medical Billing, medical claim accuracy, medical claims, outsourced billing, outsourced medical billing, rcm, Revenue Cycle Management, revenue lossMedical Billing, Credentialing Regions Served
Medical Billing and credentialing are two of the most important healthcare revenue cycle components. It’s crucial to understand every nuance along both paths. Although we are located just north of Pittsburgh, PA (servicing this region for decades) we have serviced many former and current clients, outside of this region, in medical billing and credentialing. Regions […]
How Does Outsourcing Toxicology Billing Maximize Revenue Collection?
Outsourcing Toxicology Billing Maximizes Profit As a supplier of toxicology testing, you’re well aware that medical billing for toxicology laboratory work is highly complex and undergoes frequent and often unpredictable changes. Further muddying the waters, lab testing work is an area of attention and scrutiny by agents for the Office of Inspector General and the […]
billing revenue, Medical Billing, Revenue Cycle, toxicology billing, toxicology lab billing, toxicology laboratory billing, toxicology labsHow 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. […]
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 optimizationWhat’s a Medical Billing Service?
The Basics of Medical Billing As a healthcare provider, you wear quite a few hats. Chances are medical billing might be one of them. But is there a better way? Let’s discuss the advantages for your healthcare practice to consider outsourcing to a professional medical billing company. An Understanding of Medical Billing Medical billing is […]
Healthcare Billing, Medical Billing, Medical Billing 101, Medical Billing Service, medical provider billingEasier Medical Billing and Credentialing
Medical Billing and Credentialing Made Easy “There just has to be an easier way to perform our billing and credentialing.” Does any of this sound familiar? I’m tired of dealing with insurance companies! I got into healthcare because I wanted to focus on patients, not paperwork and red tape! I’d rather do without having to […]
Charlotte Medical Billing, Cleveland Medical Billing, Detroit Medical Billing, HIPAA, Louisville Medical Billing, Medical Billing, medical credentialing, Miami Medical Billing, New Jersey Medical Billing, payor contracting, payor enrollment, Philadelphia Medical Billing, Phoenix Medical Billing, Tampa Bay Medical Billing, Tampa Medical Billing, Washington DC Medical Billing5 Reasons to Outsource Your Allergy Billing
Allergy Billing Options The complexities of allergy billing Allergy immunotherapy (aka allergy shots) is the recurrent administration of specific allergens to individuals with immunoglobulin E(IgE)-mediated condition. The goal is to reduce or stop the allergy by diminishing the strength of the IgE response. These treatments, being patient specific, can have serum mixed for up to […]
Allergy Billing, Allergy Immunotherapy, Allergy Immunotherapy Billing, Immunologist Billing, Immunology Billing, Medical BillingCOVID-19 Billing Got You Down?
COVID-19 Billing for Lab Testing The federal government announced a Public Health Emergency in response to the COVID-19 pandemic, effective January 27, 2020. While the healthcare industry has been continually adapting to new information and new regulatory challenges, one thing that has stayed constant is the need for rapid, frequent and reliable COVID-19 lab testing. […]
Corona billing, Corona virus billing, Coronavirus, Coronavirus billing, Coronavirus Disease (COVID-19) Billing, COVID billing, COVID test kits, COVID virus billing, COVID-19, COVID-19 billing codes, Lab Billing, Medical Billing, SARSWhy Outsource Your Substance Abuse Billing?
Are You Committed to Outsourcing Your Substance Abuse Billing? So, you’re determined to outsource your substance abuse billing. That’s a smart move, since you’ll save time and ultimately money. After all, no one gets into the substance abuse field because they want to wade through the insurance industry bureaucracy. No, you became substance abuse specialists because […]
Medical Billing, opioid addiction, Opioid Addiction Billing, Outsource Billing, Outsource Medical billing, Outsourcing Medical Billing, substance abuse, Substance Abuse BillingWhy Outsource Your DME Billing?
Outsourcing DME (Durable Medical Equipment) Billing In a constantly growing healthcare industry, Durable Medical Equipment (DME) have become an increasingly popular choice of healthcare-related services to millions of patients nationwide. In fact, a recent survey performed on the DME products industry found that the market would grow significantly over the next 10 years. With the rising […]
DME, DME Billing Service, Durable Medical Equipment, Durable Medical Equipment billing, HME, HME Billing Service, Home Medical Equipment, Home Medical Equipment billingThe Value of Medical Credentialing
Medical Credentialing is Crucial for Healthcare Providers; Here’s Why Truth is, many patients know little more about their physician’s qualifications than what they see neatly hanging from their office wall. While they’re able to access in-depth background information about their auto mechanic, it’s when they are at their most vulnerable, entrusting their family’s health to […]
Credentialing, healthcare credentialing, in-network, insurance companies, medical credentialing, medical provider credentialing, payor contracting, payor enrollmentWhat Makes Mental Health Billing So Difficult?
Vexatious Aspects of Mental Health Billing Let’s face it, the healthcare industry is vast and complex, even more so for mental health providers. This is especially true when it comes to the billing process. The variety in the types of services, the time, scope and restraints put on mental health treatments make the billing process […]
Behavioral Health, Behavioral Health Billing, ICD-10, Medical Billing, medical coding, Mental Health, Mental Health Billing, Outsource Medical billing, Pittsburgh Behavioral Health BillingMedical Billing: In-House Issues; Outsourced Solutions
Outsource Your Medical Billing to Avoid Issues Installing a cost-effective, effectual medical billing team is one of the biggest challenges for any healthcare provider. Whether you’re a behavioral health provider, genetic testing lab or a substance abuse facility, it isn’t easy to create, maintain and scale your own internal medical billing team. Below, some of […]
HIPAA Compliant, inhouse billing, Medical Billing, medical coding, medical credentialing, Outsource Medical billing, outsourced billing, Pittsburgh Hospital Billing, Pittsburgh Medical Billing, Pittsburgh Medical Credentialing, substance abuseTips for Choosing the Right Medical Billing Company
Choose a Qualified Medical Billing Group Since there are a large number of companies offering medical billing services, it’s often difficult for a healthcare provider to choose the best-fit, third party billing group for their organization. Healthcare providers have to ask billing companies the right questions on systems and services rendered, thereby making it much […]
Medical Billing, medical coding, medical credentialing, Pittsburgh Medical Billing, Pittsburgh Medical Credentialing, Revenue Cycle Management4 (Medical Billing) Techniques that Can Assist Your Practice
Medical Billing Techniques that Can Be Installed to Help Your Medical Practice Health care providers should periodically review their financials and revenue cycle, so that they can take corrective measures at the earliest if required. A great deal of medical offices / health care providers find that medical billing is one area which could be […]
AI, Automation, EHR, medicaid, Medical Billing, medicare, MIPS, Outsource Medical billing, Pittsburgh Medical BillingThe 10 Advantages of Outsourcing Your (Behavioral Health Billing)
10 Advantages of Outsourcing Your Behavioral Health Billing Behavioral Health Billing Healthcare in a digital environment is complicated, particularly with the numerous regulations that seem to be constantly rolling out additional layers. Healthcare providers are spending more time and resources as they organize patient care, and this time could be put to better use. Using […]
Behavioral Health, Behavioral Health Billing, Medical Billing, Mental Health, Mental Health Billing, Outsource Billing, Outsource Medical billing, outsourced medical billing9 Thoughts on Why You Should (Outsource Your Medical Billing)
Outsourced Medical Billing Outsourcing your medical billing and coding to a qualified medical billing staff provides your office with the following: Decrease in office overhead, as outsourcing to our billing team saves time and money Support with operating and setting up Electronic Health Records (EHR) Medical Billing Software Utilizing online portals for electronic billing and […]
Basics of Medical Billing, Billing Medical, Medical Billing, Medical Billing and Coding, medical billing cycle, medical provider billing, new medical practices, Revenue Cycle ManagementMedical Billing
Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for medical services rendered by healthcare providers. This includes gathering and verifying patient and insurance information, submitting claims for services, reviewing and appealing denials, and tracking payments. It’s an essential part of the healthcare […]
Pricing
Medical Billing and Credentialing Pricing Medwave and its team of medical billing and credentialing specialists understand the time and effort it takes to run an efficient medical office. That is why every office receives specialized attention and a tailored plan to help your medical practice succeed. Every contract is priced according to your practice’s needs. […]
Revenue Cycle Metrics for Healthcare Financial Success
We all know how critical it is to keep a sharp eye on those revenue cycle metrics, right? Those numbers have the power to make or break your financial game. Understand them, optimize them – that’s the difference between rolling in dough or scraping by. But let’s keep it a hundred – digging into revenue […]
rcm, rcm challenges, RCM KPIs, RCM Metrics, RCM Optimization, Revenue, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Revenue Cycle Process, revenue optimizationWhy Outsource Your Credentialing?
Let’s be real – dealing with credentialing is difficult. No healthcare organization truly wants to maintain or balance it. It’s tedious, time-consuming, and can feel like an endless loop of paperwork and verification. But here’s the thing – it’s absolutely crucial. Proper credentialing ensures that your practitioners are qualified and up-to-date, allowing them to get […]
Credentialing, Credentialing Accuracy, Credentialing AI, Credentialing and Contracting, Credentialing Criteria, Credentialing Difficulty, Credentialing New Providers, credentialing on-boarding, medical credentialing, Medical Credentialing AIOBGYN
Billing in the field of obstetrics and gynecology (OBGYN) is a complex and multifaceted process that requires a thorough understanding of medical coding, insurance regulations, and practice management strategies. Efficient billing practices are essential for ensuring timely reimbursement, maintaining a healthy revenue cycle, and providing quality care to patients. We’ll delve into the intricacies of […]
Mastering Charge Capture: A Roadmap for Healthcare Providers
If you’re a healthcare provider, you know how important it is to get paid accurately and on time for the services you provide. But the revenue cycle management process can be a tangled web of codes, documentation requirements, and insurance rules. One of the biggest pain points? Charge capture. Charge capture is the process of […]
billing, Charge Capture, Charge Capture Challenges, Charge Capture Strategy, Denials, EHR, EMR, Medical Billing, Missed Charges, Optimized Charge Capture, Revenue Cycle Management, Revenue LeakageHow Does Medicare Reimbursement Work for Toxicology Testing?
Let’s talk about getting reimbursed by Medicare for toxicology tests – those tests that check for drugs or other harmful substances in someone’s body. It can be a confusing process with lots of rules and hoops to jump through. I’m going to break it down simply so you know what to expect. Understanding Medicare Coverage […]
Advanced Beneficiary Notice, G0480, G0481, G0482, G0659, G0660, GC/MS, LC/MS, Medicare Coverage for Toxicology Tests, Medicare Reimbursement, toxicology billing, Toxicology Medicare, Toxicology Medicare Reimbursement, Toxicology Reimbursement Denial, Toxicology Testing, Toxicology Tests