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 […]
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The 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, RPAOutsourced 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 billingCommon 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 ManagementThe Importance of Ethical Medical Billing Practices
The Gravity of Ethical Medical Billing Practices The Hypothetical Case of Dr. Michael Stevens’ Unethical Medical Billing Behavior The case of Dr. Michael Stevens is an illustration of the worst-case scenario when unethical behavior impacts medical billing. An anesthesiologist and owner of a pain management clinic, Dr. Stevens was obliged to relinquish his medical license […]
Basics of Medical Billing, Ethical Medical Billing, healthcare ethics, Medical Billing, Medical Billing Ethics, medical billing fraudMedical Billing Issues Affecting Healthcare Provider Revenue
Healthcare Practice Revenue Affected by Medical Billing Issues Let’s say a patient comes in and gives you his or her Medicare card. The front desk carefully records the information and billing submits the charge to Medicare. But the claim is rejected, maybe even from the clearinghouse. The problem? The patient thinks he’s simply on Medicare, […]
Healthcare Billing, Medical Billing, Medical Billing Service, medical claims, Outsource Billing, Outsource Medical billing, outsourced 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 BillingDetroit Medical Billing, Credentialing
Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Detroit, MI and surrounding communities. The healthcare industry has deep roots in the Detroit region. In fact, more than half of the health-related businesses in Michigan are located here. With more than 13,000 healthcare-related businesses and approximately […]
Miami Medical Billing, Credentialing
Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Miami, FL and surrounding communities. Miami’s Health District is the center of the city’s medical, research and biotechnology industries and, as such, is the home to many of the city’s largest hospital systems. The largest is the […]
Phoenix Medical Billing, Credentialing
Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Phoenix, Arizona and surrounding communities. In the Phoenix area, there are a number of great healthcare providers, some of which have been recognized nationally for their outstanding performance. Here are the top Phoenix healthcare providers named by […]
Charlotte Medical Billing, Credentialing
Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Charlotte, NC. Charlotte’s high-quality business community, housing, schools and cultural features leave little doubt that the same standards would relate to health care. In fact, the region is flush with outstanding healthcare providers and a broad, experienced […]
Washington D.C. Medical Billing, Credentialing
Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Washington, D.C. and surrounding communities. Washington D.C. is a national center for patient care and medical research. There is currently a total of 16 medical centers located in the District of Columbia, with numerous other medical research […]
Cleveland Medical Billing, Credentialing Services
Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the City of Cleveland, OH and surrounding communities. Cleveland is the largest city in the State of Ohio, situated in the northeastern part of the state, with a population just under 400,000 in the city proper and an estimated population […]
5 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 BillingWhy 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 BillingWhat 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 BillingDoes Medical Billing Software Improve Productivity?
Medical Billing Software and Productivity Questioned Does technology really benefit us? The right technology can make our lives easier; however, if they don’t have the right features, they can end up hurting us more than benefiting us. Medical billing software has revolutionized the medical industry. With easier retrieval of medical histories and reduced paperwork, using […]
claim denial manager, e-prescribing, healthcare analytics, Medical Billing, medical billing software, patient portal, voice recognitionGrowing Risk of Claim Denials: How to Protect Your Practice
For medical practices, claim denials have always been a fact of life when dealing with health insurers. However, trends show claim denial rates growing year over year, driven by increased utilization management efforts by payers. Denials directly impact practice revenues and the time/costs tied to appealing denials. This article will examine the factors behind increasing […]
Claim Denials, Denial Codes, Denial Prevention Strategy, Denial Trends, Denials, denied medical claims, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Revenue Cycle Management, revenue cycle optimizationWhat 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 supportRevenue 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 AITop Strategies to Drastically Reduce Claim Denial Rates in 2024
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 […]
Appeals management, Authorizations, claim denial prevention, denial rates, documentation, medical necessity, patient demographic/insurance data, patient insurance eligibility, Pre-certifications, preventable denial rates, Reducing Denials, verification5 Common EHR Gaps and How to Fill Them
Electronic health records (EHRs) have become a core component of healthcare operations. When used effectively, EHRs can improve care coordination, increase efficiency, and provide valuable data insights. However, many healthcare organizations struggle to fully leverage their EHR investments. Gaps in EHR adoption and usage lead to workflow inefficiencies, poor data quality, and suboptimal care. In […]
care gap identification, Clinical Decision Support Underutilization, Coding Gaps, Data Silos, Data Transparency, EHR, EHR (Electronic Health Records), EHR adoption, EHR gaps, EHR Integration, Electronic Health Records, healthcare, healthcare analytics, Medical, Medical Analytics, Medical workflow inefficiencies, Patient Portal Underutilization, Reporting LimitationsWhy Would a Medical Provider Want to Use Robotic Process Automation?
Robotic Process Automation (RPA) has transformed industries across the globe by automating repetitive, rules-based digital tasks. In recent years, healthcare providers have begun to realize the immense potential benefits RPA can offer their organizations too. Implementing RPA can be a challenging process, but for those willing to invest in change, the payouts are plentiful. This […]
AI, artificial intelligence, Automation, Billing Automation, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Automation, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPADecoding Medical Claims: an Introductory 101 Guide
Navigating insurance claims represents one of the most vital yet complex aspects of running a successful medical practice. Claim submission impacts cash flow, revenue realization, and provider satisfaction. For staff new to healthcare administration, the terminology and processes around medical claims can seem confusing. This article will explain the fundamentals in simple terms – from […]
Charge Capture, Claim Denial Rate, Claim Rejection Rate, Claim Transmission, Claims Lifecycle Management, Claims Management Challenges, First Pass Rate, High Claim Volumes, Patient Dissatisfaction, Provider Dissatisfaction, Regulatory Exposure, Suboptimal Claims