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Posts tagged "Revenue Cycle Management"

JN.1 Variant: Navigating COVID-19 Testing Billing Requirements and Optimization

December 29, 2023 / Alex J. Lau / COVID-19
CPT Covid-19 Billing

Cases of a new COVID-19 variant, temporarily designated JN.1, are rising rapidly nationwide. According to data from the U.S. Centers for Disease Control and Prevention, JN.1 now accounts for 44% of all COVID-19 infections in the country. That represents more than double its share compared to just a week prior, highlighting the dramatic growth rate […]

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COVID-19 Testing Billing, JN.1, Revenue Cycle Management

Why Would a Medical Provider Want to Use Robotic Process Automation?

December 13, 2023 / Alex J. Lau / Robotic Process Automation
Robotic Process Automation (RPA) Medical Billing

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. Below, […]

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Artificial Intelligence, Billing Automation, Medical Billing Automation, Revenue Cycle Management, RPA

Improving Workflow Efficiency with Medical Billing Automation

October 5, 2023 / Alex J. Lau / Medical Billing
Robotic Process Automation (RPA) Medical Billing

For modern healthcare practices, efficient and accurate medical billing operations are essential to financial success. However, manual billing processes can be time-consuming, error-prone, and make it difficult to scale. Automating key steps in the medical billing workflow brings game-changing improvements in productivity, reduction of costly claim errors, accelerated revenue cycles, and optimized billing costs. Benefits […]

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Billing Automation, Higher Reimbursements, Revenue Cycle Management, Robotic Process Automation

Payer Enrollment: Streamlining Healthcare Billing, Reimbursement

June 30, 2023 / Alex J. Lau / Medical Billing, Payer Enrollment
Payer contracting specialist reviewing insurance agreement

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. Enrolling with payers allows providers to gain the ability to […]

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Centralizing Documentation, Continuous Monitoring, Provider Enrollment, Revenue Cycle Management

The Importance of Robotic Process Automation in Medical Billing

June 26, 2023 / Alex J. Lau / Medical Billing
robotic-process-automation-RPA-example-code

There is a growing need for automation to streamline and optimize medical billing operations. Robotic Process Automation (RPA) has emerged as a game-changing technology in the field of medical billing. We highlight the importance of robotic process automation in medical billing and its potential benefits for healthcare organizations. What is Robotic Process Automation (RPA) in […]

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Billing Automation, Revenue Cycle Management, Robotic Process Automation, RPA

Understanding Medical Billing for New vs. Established Patients

April 27, 2023 / Alex J. Lau / Billing, Billing Revenue, Billing Services, Existing Patients, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Assessment, Medical Billing Best Practices, New Patients, Revenue Cycle Management
Therapist talking to patient

Efficient and accurate medical billing is crucial for healthcare providers and patients alike. Whether it’s handling billing for new or established patients, understanding the intricacies of medical billing practices is essential. We take an in-depth look into the key aspects of medical billing for new and established patients, exploring the differences, challenges, and best practices […]

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Medical Billing, Medical Billing Service, Medical Billing Strategy, Outsource Billing, Outsource Medical billing, Outsourced Billing, Outsourced Medical Billing, Revenue Cycle Management, Revenue Cycle Optimization

What to Know Before Starting Your Own Medical Billing Company?

March 9, 2023 / Alex J. Lau / Billing, Billing Services, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Careers, Medical Billing Companies, Medical Billing Jobs, Medical Billing Services, Medical Coding, RCM, Revenue Cycle Management
Outsourced Medical Billing Services

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services provided by healthcare providers. With the increasing complexity of medical billing and coding procedures, there has been a surge in demand for medical billing companies. Many entrepreneurs are now considering starting their […]

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Medical, Medical Billing, Medical Billing Service, Outsource Billing, Outsource Medical billing, Outsourced Billing, Outsourced Medical Billing, RCM, Revenue Cycle Management

Which CPT Codes are Used in Genetic Testing Billing?

March 6, 2023 / Alex J. Lau / CPT Codes, Genetic Testing, Genetic Testing Billing, Genetic Testing Medical Billing, Healthcare, Healthcare Billing, HIPAA, HIPAA Compliant, Lab Billing, Laboratory Billing, Medical, Medical Billing
Genetic Testing Lab

Genetic testing has become an essential tool in medicine, providing valuable insights into a patient’s health and disease risk. As genetic testing becomes more prevalent, medical professionals must navigate the complex world of billing and coding for these tests. Correct coding ensures that the provider is reimbursed for the services provided, and it also provides […]

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CPT, CPT Code, CPT-10, Genetic Testing, Genetic Testing Billing, Genetic Testing CPT Codes, Genetic Testing Labs, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Revenue Cycle Management

Which CPT Codes are Used in Behavioral Health Billing?

March 5, 2023 / Alex J. Lau / Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, Biling Codes, Billing, CPT, CPT Codes
Behavioral Health Billing Codes

In behavioral health, medical billing is a crucial aspect of providing services to patients. The billing ensures that healthcare providers receive proper payment for the services they provide, and it helps patients understand the costs associated with their care. As the healthcare industry continues to evolve, it is important for behavioral health providers to understand […]

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Behavioral Health, Behavioral Health Billing, Behavioral Health Billing Codes, Behavioral Health Codes, Behavioral Health CPT Codes, Billing Codes, CPT, CPT Billing Codes, CPT Codes, CPT-10, CPT-10 Codes, Healthcare Billing, Medical Billing, Medical Billing Service, Revenue Cycle Management

Maximizing Reimbursement: 10 Tips for Successful Medical Billing

March 3, 2023 / Alex J. Lau / Medical Billing
Medical Owner White Businessman

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, […]

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Billing Tips, Reimbursement, Revenue Cycle Management

Tips for Landing Your First Medical Billing Job

February 18, 2023 / Alex J. Lau / Billing, Careers in Medical, Careers in Medical Billing, Jobs in Healthcare, Medical, Medical Billing, Medical Billing and Coding, Medical Billing Job, RCM, Revenue Cycle Management, Revenue Cycle Management (RCM)
Medical Billing Software White Male User

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 in […]

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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 Management

EDISS Connect: All You Need to Know

February 15, 2023 / Alex J. Lau / Claim Data, Data Management, EDI, EDISS, EDISS Connect, EDISS Connect Account, Medical Claim Data, Medical Data, Medical Data Management
Outsourced Medical Billing Services

What is EDISS Connect? EDISS Connect is a powerful web-based application that allows healthcare providers to manage their claims data more effectively. With its user-friendly interface and advanced features, the EDISS platform streamlines the claims submission process, tracks payment status, and provides powerful reporting tools to help providers analyze their financial transactions. If you’re a […]

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EDI, EDISS, EDISS Connect, Medical Billing, Outsource Billing, Outsource Medical billing, Outsourced Billing, Outsourced Medical Billing, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization

Electronic Claim Attachments: The Future Is Now

December 5, 2022 / Alex J. Lau / Billing, Billing Automation, Billing Revenue, Billing RPA, EHR, Electronic Claim Attachments, Electronic Claims, EMR, Medical Billing, Medical Billing AI, Medical Billing Artificial Intelligence, RCM, Revenue Cycle Management, Robotic Process Automation, RPA
electronic-claim-attachments

Submitting 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 […]

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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

Why Do Health Insurers Require Prior Authorization?

February 9, 2021 / Alex J. Lau / Prior Authorization
Female Doctor 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. “This procedure will require prior authorization.” 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 […]

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Prior Authorization Process, Revenue Cycle Management
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  • AI Scribes Changing Medical Coding and Billing

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  • Net Collection Rate, analyzed by analyst

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  • Modifier 96 versus Modifier 97

    Modifier 96 vs. Modifier 97: What Therapy Billers Need to Know

  • 'Revalidation versus Recredentialing' Neon Sign

    Revalidation vs. Recredentialing: What’s the Difference? (2026 Guide)

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Recent Posts

  • Reduction in Billing, Credentialing Admin Load Due to AI?

    Why Isn’t AI Reducing the Administrative Load in Medical Billing?

  • Denied Medical Claim Appeal Letter

    Why an Approved Authorization Can Still End in a Denied Claim

  • AI Scribes Changing Medical Coding and Billing

    AI Scribes are Changing Medical Coding, Reimbursement

  • Net Collection Rate, analyzed by analyst

    What’s a Net Collection Rate in RCM?

  • Modifier 96 versus Modifier 97

    Modifier 96 vs. Modifier 97: What Therapy Billers Need to Know

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