A medical billing specialist plays a crucial role in the healthcare industry. They are responsible for managing the financial side of healthcare, which includes submitting claims to insurance companies and following up on any denied claims. A medical billing specialist is responsible for submitting and following up on claims to insurance companies for payment for […]
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The Business Relationship Between a Healthcare Provider and Medical Billing Company has to be Built on a Solid Foundation What are the Steps in Achieving a Healthy Business Relationship Between a Healthcare Provider and a Medical Billing Company? A good understanding of both sides’ expectations is crucial to the success of both parties. The healthcare […]
Claim Status Updates, Customer Service, Healthcare, Healthcare Provider's Expectations, Healthcare Providers, Medical Billing, Medical Billing Customer Service, Medical Billing Expectations, Medical Billing Service, Medical Billing Strategy, Medical Claims, Outsourced Billing, Reimbursement, Reimbursement Regulations, Revenue Cycle Management
Uber Health and Lyft Healthcare Transportation Services Uber and Lyft have made moves towards medical transportation, driven by the growing demand for Non-Emergency Medical Transportation (NEMT) services, which help patients who are unable to drive themselves to and from medical appointments. Estimates have the Non-Emergency Medical Transportation Market Size Worth $15.57Bn by 2028. Both Uber […]
Healthcare Transportation, Lyft, Lyft Concierge, Lyft Healthcare, Medical, Medical Appointments, Medical Billing, Medical Transportation, NEMT, NEMT Billing, Non-Emergency Medical Transportation, Transportation, Uber, Uber Health
AR Recovery for Medical Providers is Significant Fundamental Aspects of AR Recovery Accounts receivable (AR) recovery is the process of collecting payments from customers who have overdue invoices. This is a critical aspect of cash flow management for businesses, as it helps to ensure that they have the resources they need to operate and grow. […]
Accounts Receivable, Accounts Receivable Recovery, AR Recovery, Healthcare, Healthcare Billing, Medical, Medical Billing, RCM, Revenue Cycle Management
What’s the Value of Medical Marijuana and Why Don’t Private Insurers Cover It? Value of Medical Marijuana Medical marijuana has been legal in some form in over 30 states in the United States, and many patients are using it to treat a variety of medical conditions. However, despite its growing popularity, medical marijuana is not […]
Marijuana Billing, Marijuana Payment Processing, Medical Billing, Medical Cannabis, Medical Cannabis Billing, Medical Marijuana, Medical Marijuana Billing
Medical Billing Has Its Complexities Medical billing is a complex process that involves various steps to ensure that healthcare providers receive payment for their services. Onboarding a new medical billing system can be a daunting task, but it can also bring about significant improvements in the efficiency and accuracy of the billing process. Examples of […]
Billing Onboarding, Medical Billing, Medical Billing Onboarding, Medical Billing Service, Medical Billing Strategy, Medical Claims, Onboarding Billing, Outsourced BillingThe Value of Using an Outsourced Medical Billing Company The Complex Nature of Medical Billing Healthcare providers are faced with a growing number of challenges when it comes to managing their medical billing operations. With the complex nature of healthcare billing, the increasing regulations and laws that govern the industry, and the need to stay […]
Healthcare, Healthcare Billing, Medical Billing, Medical Billing Company, Outsource Medical billing, Outsourced Billing, Revenue Cycle Management
What are ICD-10 Codes? ICD-10 codes are the tenth revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification system used worldwide to classify and code diseases and health conditions. The ICD-10 codes are used by healthcare providers and insurance companies to accurately describe and categorize medical diagnoses, treatments, […]
Healthcare, Healthcare Billing, ICD-10, ICD-10 lookup, ICD-11, Medical Billing, Reimbursement, WHO, World Health Organization
Medical Billing: Basics, Role of Specialists, Challenges, RPA and What to Look for in a Company Medical billing is an important aspect of the healthcare industry that plays a crucial role in ensuring that patients receive the medical treatment they need while healthcare providers are reimbursed for the services they offer. The process involves submitting […]
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In the wake of months of social distancing and virtual visits during the COVID-19 pandemic, patients are once again veering towards a need to see their physicians in person. As patient volume recovers, it’s a great time to take a look at a healthcare practice’s Revenue Cycle Management (RCM) program and make sure it’s still up […]
AI, Artificial Intelligence, Artificial Intelligence Healthcare, COVID, COVID-19, Data Security, Machine Learning, Medical Billing, RCM, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization
Even healthcare providers who deploy safeguards to dodge insurance payment hazards, occasionally find themselves up against a claim denial. Taking care of denied insurance claims can be a frustrating process for healthcare practitioners and their office staff. That’s why it’s vital to utilize a claim denial management strategy to recognize, solve, recover and avoid denied […]
Billing, Claim Denial, Claim Denials, Claim Rejections, Denial Management, Denied Medical Claim Prevention, Denied Medical Claims, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Claim Rejections, Medical Claims, Medical Payor, RCM, Revenue Cycle Management
As a healthcare provider, your goal is to help people. However, this type of work is unsure at times. If a healthcare worker makes a misstep, they could harm a person’s health. Even if there hasn’t been any maltreatment or mistake on the part of the healthcare practitioner, disagreements can result when physicians’ and patients’ […]
General Liability, General Liability Insurance, Health Insurance, Healthcare, Healthcare Practice, Insurance, Medical, Medical Billing, Medical Credentialing, Medical Practice
What’s the Difference Between a Skilled Nursing Facility and a Nursing Home? On the surface, a skilled nursing facility and a nursing home may appear rather the same. In fact, some care facilities actually function as both, with a distinct floor or section of a building dedicated to each. The difference between a skilled nursing […]
Billing, Medical Billing, Medical Billing Service, Nursing Billing, Nursing Facility Billing, Nursing Home, Old Folks Home, Skilled Nursing, Skilled Nursing Billing, Skilled Nursing Facility, Skilled Nursing Facility BillingSubmitting Electronic Claim Attachments One of the major strains on healthcare providers is the dependence on paper and manual procedures. This duo frequently adds up to harmful mistakes and costly denials, which demand significantly more time and effort to resolve, if left unchecked. Among the manual processes most difficult to manage are claim attachments that […]
Clearinghouse, EHR, Electronic Claim Attachments, Electronic Claims, EMR, Medical Billing, Medical Billing Software, Medical Billing Team, Medical Billing Tool, Outsourced Billing, Outsourced Medical Billing, RCM, Revenue Cycle Management
Social Media and Patient Privacy in Healthcare A Few Use Cases Use Case #1: Use Case #2: Protected Health Information (PHI) Preserving privacy of patients’ protected health information (PHI) is one of the major concerns linked to social media in healthcare. Privacy and protection of such information are dealt with in federal law and overseen […]
Facebook Healthcare, HIPAA, HIPAA Compliant, Instagram Healthcare, Internet HIPAA, Medical Billing, Medical Credentialing, Patient Privacy, PHI, Privacy, Safety Violations, Social Media, Social Media Healthcare, Social Media HIPAA, Social Media Medical
EHR Systems + Medical Billing Integration Medical billing and practice management has long been a labor-intensive task for healthcare providers. There’s little doubt, however, that the use of EHR (Electronic Health Records) or sometimes known as EMR (Electronic Medical Records) has considerably slashed these tasks by offering providers a proven method to effectively streamline their […]
Billing, Billing AI, Billing Automation, Billing Revenue, Billing Service, EHR, EHR (Electronic Health Records), EHR Integration, EHR Interoperability, Electronic Health Records, Electronic Medical Records, EMR, EMR (Electronic Medical Record), Health Level 7, HL7, Insurance, Interoperability, Interoperability Standards, 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 Optimization
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 can be employed to improve overall performance. As a prime example, medical billing and coding have […]
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, RPA
Provider-Payer Relationship Under COVID-19 COVID-19 Upset Provider-Payer Relationships The COVID-19 pandemic has affected most, if not all, businesses everywhere. For healthcare, in particular, the pandemic and its consequences altered the ways that payers and providers do business with one another. How So? Let’s catch a momentary peek at several of the more immediate effects on […]
Coronavirus, Coronavirus billing, COVID billing, COVID test kits, COVID testing billing, COVID-19, COVID-19 testing, Healthcare Billing, Medical Billing, Outsourced Billing, Outsourced Medical Billing, Provider-Payor
No matter the industry, artificial intelligence (AI) has become routine and commonplace. When it comes to healthcare, AI helps practitioners streamline tasks, expand operational efficiencies and simplify complicated medical procedures. AI in medical billing and coding is becoming increasingly more crucial. Although AI is certainly transforming the healthcare industry, this technology is still quite new. As […]
AI, AI Healthcare, AI medical, Artificial Intelligence, Artificial Intelligence Healthcare, Healthcare, Healthcare KPIs, Healthcare Outcomes, Medical Billing
What 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 of tools that partly or fully automate human […]
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“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 less likely healthcare providers are to retrieve payment, even in […]
A/R, Healthcare, Healthcare Denials, Healthcare Reimbursement, Healthcare Revenue Cycle, Medical Billing, Medical Billing Denials, RCM, RCM Challenges, RCM Essentials, RCM Support
Patient Payments in Healthcare are Changing In spite of a “hot-vaxxed summer,” the COVID-19 pandemic lingers, and sadly, even more robustly in some places than ever before. It’s also continuing to take its toll on healthcare consumers, both psychologically and financially. That’s one of several reasons why it’s more critical than ever for healthcare providers […]
Digital Payments, Healthcare, Healthcare Payments, Medical Billing, Medical Digital Payments, Medical Payments, Patient Payments, Payment Trends, Telehealth
Healthcare Practices Face RCM Challenges Healthcare providers of all shapes and sizes are struggling to fine-tune their revenue cycle to adapt to changes in the billing world. Constant changes to the healthcare system have brought about a variety of new challenges for providers and patients alike. This is particularly true for smaller practices who must […]
Healthcare RCM, Medical Billing, Medical Billing Software, RCM, RCM Practices, RCM Support, Revenue Cycle, Revenue Cycle Challenges, Revenue Cycle Management, Revenue Cycle Optimization
Isn’t it Time to Become More Proactive in Your Medical Billing Payment Strategies? “Do you believe in miracles?” During the 1980 Winter Olympics, the U.S. National Hockey Team miraculously vanquished the Soviet Union Team (who had won the gold medal in the six previous Olympics). It has been noted that one of the chief factors […]
Basics of Medical Billing, Collection Process, Medical Billing, Medical Billing Strategies, Medical Billing Strategy, Outsourced Medical Billing, Patient Collections, Revenue Cycle Management, Robotic Process Automation, RPA