Category: Blogs

Introduction: Claim denials are a common and frustrating challenge for healthcare providers, as it directly affects the practice revenue and operational efficiency of healthcare facilities. The significance of denial management is paramount in the healthcare industry, and effectively managing claim denials can increase practice revenue and collections rate, improving patient satisfaction. Ineffective denial management can… Continue reading 7 Tips To Improve Denial Management of Healthcare Claims

Efficient insurance claims processing and follow-up play a crucial role in medical billing. With complex billing procedures and ever-changing healthcare industry regulations, healthcare providers face significant challenges in insurance claim processing and following up with insurance carriers. According to billing experts, clinical documentation is an important aspect of successful claim processing and maximizing practice revenue.… Continue reading How To Improve Insurance Claims Processing And Follow-Up?

The revenue cycle refers to an integrated system of processes undertaken by a provider to track and manage patient data from the initial patient encounter until the claim is paid. This includes everything from patient registration and scheduling to billing and collecting accounts receivable throughout the entire clinical process. To all proud providers out there,… Continue reading Top 5 Ways to Improve Your Revenue Cycle Management

Revenue leakage in healthcare refers to unwarranted or unrequested outflows of money as a result of fraud, overbilling, incorrect coding, or other errors. Slowly but surely, it eats away at profits like water running down a leaky faucet. Not identifying and addressing the problem of revenue leakage as soon as possible can lead to significant… Continue reading How To Reduce Revenue Leakage In Your Medical Practice

Medical billing is a complex process — it requires an understanding of insurance plans, coding & reimbursement regulations, and correctly filling out & submitting claims to ensure timely payments. The process is similar to an accountant filing taxes, where the paperwork must be precise in order for the process to be successful, but the outcome—getting… Continue reading What Is Meant By Retro Authorization In Medical Billing?

Overpayment in medical billing is when patients or insurance companies pay more than they are entitled to the healthcare providers for the services rendered. On the other hand, an underpayment in medical billing is defined as receiving a lower amount than the value of a claim to be settled. Both can result in a poor… Continue reading Difference Between Overpayment and Underpayment In Medical Billing

Patient eligibility verification is one of the first steps in the medical billing process that needs to be done right to get paid on time. Patient eligibility verification involves identifying and verifying patients’ coverage details, copayments, deductibles, and more. Healthcare practices must keep up with the latest trends and technologies to verify patient eligibility and… Continue reading How to Improve the Patient Eligibility Verification Process?

Medical billing and coding are intricate and complex. Entering the wrong diagnostic code may end up in overbilling the patients and your practice may face serious troubles. Often, common medical billing errors such as upcoding may be a result of an oversight error rather than an intentional mistake. Yet, the consequences can tarnish your practice’s… Continue reading Everything to Know About Upcoding In Medical Billing

Credentialing is one of the most crucial processes when it comes to the healthcare industry. The process is in place to regulate and streamline healthcare professionals’ credentials, such as licenses and registrations. The significance of medical credentialing arises from the potential impact on patient safety and the legal repercussions for employers, healthcare facilities, and other… Continue reading Tips for a Successful Medical Credentialing Process

Revenue cycle management in healthcare practices is challenging to handle owing to the complex steps involved in the process. It includes verifying patient eligibility, medical coding, claim tracking, denial management, payment posting, etc to drive revenue on time for the healthcare services offered. Any issues in the healthcare RCM process can lead to revenue loss,… Continue reading 5 Most Common Challenges In Healthcare RCM