Category: Blogs

Healthcare practices need to upgrade their technological systems to improve practice revenue growth and performance. Providers have invested millions in healthcare technologies over the past ten years. The reason for this has been increasing administrative efficiency and providing quality patient care. Software that fits practice needs helps you operate more efficiently and streamline the revenue… Continue reading How Technology Helps To Improve The Efficiency of The Healthcare Revenue Cycle Management?

As a key to a practice’s revenue cycle and its success, claims processing is an integral part of healthcare operations. To facilitate the process, patients’ insurance coverage must be verified, insurance claims must be submitted, payments must be tracked, and any balances due to patients must be collected.  A well-defined process is crucial to ensure… Continue reading Why Improving Claims Processing Is The Best Way To Control Denials

Revenue cycle management remains elusive in the modern healthcare landscape. New policies and reforms have forced the sector to evolve and left many hospitals struggling to maintain revenue in a value-based care reimbursement model. Today’s digital platforms may assist in the efficient connection and engagement of providers, payers, and customers, resulting in a more long-term… Continue reading Ways to Optimize the Performance of Healthcare Revenue Cycle

Credentialing or provider credentialing is an essential process for healthcare providers to be eligible to receive reimbursement from healthcare insurance companies. The provider credentialing and enrollment process is complex and time-consuming. CACH (Council for Affordable Quality Healthcare) helps streamline the process for healthcare providers and manage their participation in the insurance network.  This blog discusses… Continue reading How Important Is CAQH In The Credentialing Procedure?

In the healthcare industry, verifying patient eligibility is a crucial step to ensure proper reimbursement, minimize claim denials, and streamline the billing process. With insurance coverage constantly evolving and varying, healthcare providers need reliable methods to confirm patient eligibility accurately.  While the process of patient eligibility checks is seemingly straightforward, using the right methods to… Continue reading What Methods Can Be Used To Verify Patient Eligibility?

Medical coding and billing are essential components of the healthcare system. They involve translating medical services, procedures, diagnoses, and treatments into standardized codes for billing purposes. Medical coders assign these codes based on the information provided in medical records, such as physician notes, laboratory results, and radiology reports. What is Medical Coding?  Medical coding is… Continue reading Key Strategies To Increase Your Medical Coding and Billing Accuracy

Medical claims are requests for reimbursement submitted by healthcare providers to insurance companies or other payers for services rendered to patients. These claims serve as a means for providers to receive payment for the medical treatments, procedures, and services they have provided. The claims contain detailed information about the patient, the healthcare provider, the services… Continue reading 3 Common Errors While Submitting Medical Claims

In an ever-changing world, recredentialing stands as an indispensable practice to maintain professional competence, uphold industry standards, and ensure public safety. Recredentialing encourages practitioners to stay informed of any changes in the field and to continue to build on their knowledge and expertise. It also helps ensure that practitioners are providing the best care to… Continue reading How Often Is Recredentialing Necessary?

In the fast-paced world of medical billing, ensuring a steady cash flow is paramount to the financial health of healthcare organizations. Amidst the complexities of insurance claims and evolving reimbursement systems, the importance of account receivable follow-up services has become all the more essential.  In medical billing, the process of AR follow-up services involves tracking… Continue reading Importance of AR Follow-Up Services In Medical Billing

In the complex landscape of healthcare coding and billing, following the proper workflow steps is of paramount importance. A well-defined and structured workflow ensures accuracy, efficiency, and compliance in the coding and billing process.  The medical billing and coding process is complex, and healthcare providers face many challenges that are directly linked to revenue loss.… Continue reading Why Is It Important To Follow The Proper Workflow Steps For Coding And Billing?