Oncology Billing and Reimbursement Oncology billing is a highly complex and specialized area of medical billing. With cutting edge cancer treatments constantly emerging, billing staff at oncology practices face unique challenges. Oncology reimbursement also continues to evolve with healthcare reforms and new value-based payment models. We provide a comprehensive overview of oncology medical billing fundamentals, […]
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Medical Billing versus the Sports World: An Unlikely Comparison
At first glance, medical billing and professional sports seem to occupy opposite ends of the career spectrum. However, there are interesting parallels in how these two worlds operate when it comes to finances, data, and competition. Drawing comparisons between the healthcare administration and athletics provides unique insights that billing professionals can apply to enhance their […]
AI, artificial intelligence, Claim Data, Data, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, outsourced billing, outsourced medical billing, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, sports, sports vs billingWhich CPT Codes are Used in Speech Therapy Billing?
Speech-language pathology services are critical for evaluating and treating communication disorders, swallowing difficulties, and cognitive-linguistic impairments. However, selecting the proper CPT codes for speech therapy can be complex given the many types of assessments, modalities, and interventions provided. This comprehensive guide examines the most frequently used Current Procedural Terminology (CPT) codes that speech therapists report […]
billing, Common Procedural Terminology (CPT) codes, CPT, CPT codes, Current Procedural Terminology, Medical Billing, Speech Billing, speech therapy billingStaffing Shortages Force New Medical Billing Strategies
The healthcare industry is facing a critical staffing shortage that is impacting medical billing operations and revenue cycle management. With an aging population and expanded access to healthcare, the demand for healthcare services is rising. However, there is a shortage of healthcare workers, including medical billers and coders, to meet this growing demand. This is […]
billing, Billing Staff, COVID billing, COVID-19, healthcare, Healthcare Billing, Medical Billing Staff, medical coding, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process AutomationHL7 Integration
HL7 Interface Development Seamlessly Connecting Healthcare Systems for Streamlined Billing and Revenue Cycle Management Here at Medwave, we recognize seamless system connectivity is the foundation enabling efficient automated workflows in healthcare. Yet, disparate technologies with incompatible data formats severely limit real-time interoperability. That’s why we provide specialized HL7 interface development and support services to help […]
Skilled Nursing Facilities
Optimize Your SNF Reimbursement with Specialized Medical Billing Providing high-quality care to your rehabilitation and long-term residents depends on receiving proper payment for services delivered. But nursing facilities often leave revenue on the table due to outdated billing practices and undercoded claims. Medwave partners with SNFs nationwide to maximize reimbursement through compliant, optimized billing capture. […]
Evolving Medical Billing Talent Strategies: The Rise of Offshoring and Outsourced Models
Medical billing involves the complex processes of coding services, generating insurance claims, managing rejection disputes, and ultimately securing optimal reimbursement for healthcare providers. With mounting administrative burdens and revenue pressures facing US healthcare systems, demand has accelerated for skilled medical billing talent. However, tight labor markets have spurred shortages. This article explores spreading adoption of […]
healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, HL7, Medical, Medical Billing, Offshore Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, rcm, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization, Robotic Process Automation, RPAStrategies for Reducing Accounts Receivable Days and Improving Collections
For any medical practice, keeping accounts receivable cycles short and patient collections high is critical for unlocking the path to financial health. When reimbursement lags become excessive or collection rates decline, financial pressures mount quickly. This comprehensive guide covers key strategies and best practices to shorten accounts receivable days, boost patient payments, and strengthen the […]
A/R, A/R Process, A/R Recovery, Accounts Receivable, Accounts Receivable Recovery, AR, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, medical billing strategy, Revenue Cycle Management, revenue cycle optimizationHow to Verify Insurance Eligibility and Benefits Like a Pro
Verifying a patient’s insurance eligibility and benefits is a critical first step in the medical billing process. Doing it thoroughly and accurately helps prevent claim denials and delays in payment down the road. This guide covers proven techniques to verify eligibility and benefits like a seasoned medical billing pro. Insurance Eligibility Verifying insurance eligibility is […]
Benefits Verification, Eligibility, healthcare, Healthcare Billing, Insurance Eligibility, Medical Billing, Medical Billing Service, medical billing strategy, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, Outsourced Verification, Revenue Cycle Management, revenue cycle optimization, Smarter Verification, Verify Eligibility, Verify Insurance EligibilityPayer Enrollment: Streamlining Healthcare Billing and Reimbursement
Understanding Payer Enrollment What is Payer Enrollment? Payer enrollment refers to the process through which healthcare providers, such as hospitals, clinics, and individual practitioners, become registered with insurance payers or healthcare plans. It involves submitting the necessary documentation and information to establish a contractual relationship with these payers. By enrolling with payers, providers gain the […]
Credentialing, healthcare, Healthcare Billing, healthcare credentialing, Medical, Medical Billing, Medical Billing Service, medical credentialing, payor enrollment, Revenue Cycle Management, revenue cycle optimizationThe Future of Medical Billing: Revolutionizing Healthcare Administration
Medical billing plays a critical role in the healthcare industry, ensuring accurate reimbursement for services provided by healthcare providers. However, the traditional processes of medical billing have long been plagued by challenges such as complex coding systems, frequent changes in regulations, and increasing administrative burden. As technology continues to advance, the future of medical billing […]
Automation, Blockchain Technology, EHR, HIPAA, HIPAA and Data Protection, Machine Learning, Medical Billing, Patient-Centric Billing Systems, Predictive Analytics, Real-Time Claims Processing, Reducing Rejected Claims, Remote Billing, TelemedicineDenial Codes in Medical Billing: A Comprehensive Guide
Welcome to our comprehensive guide on denial codes in medical billing. As a leading authority in the healthcare industry, we understand the challenges healthcare providers face when it comes to navigating the complex world of medical billing. Our goal is to provide you with valuable insights and actionable strategies to help you overcome denial code challenges […]
Denial Codes, denial management, denied medical claims, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, outsourced billing, Revenue Cycle Management, revenue cycle optimizationQualities of an Outstanding Physician Billing Solution
As a leading provider of healthcare services, we understand the importance of an efficient and reliable physician billing solution. Medical billing is a critical aspect of healthcare management, and selecting the right solution can significantly impact the success and profitability of a practice. In this article, we will explore the key qualities that define a […]
billing, denial management, EHR, Electronic Health Records, healthcare, Healthcare Billing, HL7, Medical, Medical Billing, Robotic Process Automation, Robotic Process Automation Medical Billing, RPAMaximizing Reimbursement: 10 Tips for Successful Medical Billing
Medical billing is a critical aspect of the healthcare industry, as it ensures that healthcare providers are paid for the services they provide to patients. However, medical billing can be a intricate process, and many healthcare providers struggle to maximize reimbursement for their services. To maximize reimbursement, healthcare providers should focus on accurate medical coding, […]
Healthcare Billing, Medical Billing, Medical Billing Service, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, rcm, Revenue Cycle ManagementKansas City Medical Billing, Credentialing Services
Medwave is pleased to offer our medical billing and credentialing services to healthcare professionals in the Kansas City, Missouri and surrounding communities. Kansas City is a major city located in the Midwestern United States, spanning across the border of Missouri and Kansas. With a population of over 500,000 people, it is the largest city in […]
Tips for Landing Your First Medical Billing Job
Introduction Medical billing is an essential aspect of the healthcare industry, and with the increasing demand for healthcare services, the need for skilled billers is on the rise. A medical biller is responsible for submitting claims to insurance companies and ensuring that healthcare providers are reimbursed for their services. If you’re looking for a career […]
Billing Jobs, Healthcare Jobs, Jobs in Healthcare, Jobs in Medical Billing, Medical, Medical Billing, Medical Billing Jobs, Medical Billing Service, Medical Jobs, rcm, Revenue Cycle ManagementOutsourced Medical Billing: Elevating Healthcare with Enhanced Understanding
Introduction Medical billing plays a crucial role in the healthcare industry. They are responsible for the accurate and efficient handling of insurance claims, coding, and billing. In this guide, we will provide a comprehensive overview of outsourced medical billing and explore the benefits, challenges, and key factors to consider when choosing the right one for […]
billing services, coding and billing, FAQs, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Expertise, Medical Billing Service, outsourced billing, outsourced medical billingFind the Best Medical Billing Software Solution for Your Healthcare Practice
Discover the Most Advanced Medical Billing Software on the Market and Improve Your Practice’s Efficiency Uncover the Key Features of Medical Billing Software Medical billing software refers to a type of software specifically designed to help healthcare practices manage their billing and revenue cycle processes. This software is an essential tool for healthcare providers, enabling […]
AthenaHealth, clearinghouse, CureMD, DrChrono, EHR, EHR Integration, EMR, EMR integration, healthcare, Healthcare Billing, Kareo, Medical Billing, medical billing software, NextGen, NueMD, Practice Fusion, PUREDI, rcm, Revenue Cycle Management6 Advantages of Outsourced Medical Billing
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 […]
Healthcare Billing, insurance, Medical Billing, Medical Billing Service, medical billing strategy, medical credentialing, Outsource Billing, Outsource Medical billing, outsourced billing, outsourced medical billing, Revenue Cycle Management, revenue cycle optimizationRobotic Process Automation (RPA)
Robotic Process Automation (RPA) refers to the use of software robots to smartly automate repetitive and rule-based tasks. Within healthcare revenue cycle management, RPA can be used to streamline various tasks such as claims submission, payment posting, and denial management. For example, an RPA system can be programmed to automatically retrieve patient data from electronic […]
Medical Billing Robotic Process Automation (RPA)
Robotic Process Automation (RPA) in Medical Billing What Exactly is Robotic Process Automation? When you come across the term “robotic process automation,” you might think it sounds rather futuristic. However, RPA, as it’s often termed, is a technology being deployed more and more in the healthcare industry, including medical billing. Robotic process automation (software) consists […]
Billing Automation, Billing RPA, EHR, EHR RPA, EMR, EMR RPA, Health Level 7, HL7, insurance, Medical Billing, Medical Billing Automation, Medical Billing Robotic Process Automation, Medical Billing RPA, rcm, Revenue Cycle Management, Robotic Process Automation, Robotic Process Automation Billing, Robotic Process Automation Medical Billing, RPA, RPA BillingMedical Providers: Never Underestimate the Importance of Your Front Desk Staff
Medical Providers Should Never Underestimate Front Desk Staff Value Patient/Customer Relations Whether it’s a medical practice or any other type of business, there is nothing as critical as patient/customer relations. What helps distinguish thriving medical practices from others is the interface of patients with your front desk staff. After all, it’s here where they handle […]
healthcare, Healthcare Billing, Medical Billing, medical front desk, medical office staff, medical patient flow, medical patients, medical provider, patient flow, patient relations, rcmWhy Measuring Healthcare Outcomes is Important
Measuring Healthcare Outcomes Healthcare Practice Key Performance Indicators Matter So, your healthcare practice is running smoothly. You’ve hired fantastic people, followed a marketing plan, placed the right technology and your patient retention policy is in full swing with a low churn rate. Things are going great, right? Well, there’s no way of really knowing for […]
Common Practice KPIs, healthcare, Healthcare KPIs, Healthcare Outcomes, Measuring Healthcare Outcomes, Medical, Medical Key Performance Indicators, Medical KPIsWhy Perform a Medical Billing Assessment?
The Reasons Why a Medical Billing Assessment is Needed Medical Billing Assessments Running a healthcare practice means keeping a tight ship for the sake of your patients and your reputation, as well as your financial well-being. But, let’s face it, practices are only as successful as their medical billing performance. If you have a prosperous […]
Healthcare Billing, Medical Billing, Medical Billing Assessment, Medical Billing Company, medical billing cycle, Medical Billing Profit, Medical Billing Service, medical billing strategy, outsourced medical billingCOVID-19 Testing
COVID-19 testing is the process of detecting the presence of the SARS-CoV-2 virus, which causes COVID-19, in a person’s body. There are several types of COVID-19 tests available, including PCR tests, antigen tests, and antibody tests. PCR tests are considered the gold standard and involve collecting a sample from the back of the throat or […]