Category: Blogs

For healthcare providers, insurance eligibility verification is a critical component of the billing process. This ensures that patients are eligible for the services they receive and helps providers avoid costly reimbursement delays and denials. It is, however, not always easy to navigate the complexities of insurance eligibility verification. This blog aims to explore some of… Continue reading Navigating the Complexities of Insurance Eligibility Verification

A healthcare provider’s revenue must be maximized in the ever-changing healthcare industry. Medical practices can lose up to 10% of their revenue through poor billing techniques, based on data sourced by the Medical Group Management Association (MGMA). An effective medical billing strategy is the most important factor in maximizing revenue. Some of the best strategies… Continue reading Maximizing Revenue with Effective Medical Billing Strategies

Medical billing in the healthcare industry is constantly evolving, and healthcare providers face many challenges in this process. The Black Book Market Research survey reported an increase in revenue within the first year for 87% of healthcare providers that outsourced medical billing services.  It is challenging to manage both the complicated and time-consuming process of… Continue reading The Benefits of Outsourcing Medical Billing Services

Healthcare providers receive 5-10% of their claims denied, according to the Medical Group Management Association (MGMA). Increasing revenue and financial stability can be achieved by reducing denials of claims through eligibility verification.  Billing for medical services is a complex and critical process involving several steps. All healthcare providers must verify their eligibility status to ensure… Continue reading Understanding Eligibility Verification in Medical Billing

Verifying patient eligibility is one of the crucial steps for providers to ensure they are correctly paid for their healthcare services and no claim is rejected. There are several ways to accomplish patient eligibility verification accurately, depending on the efficiency of a practice’s process.  Having an efficient patient eligibility verification process improves a practice’s revenue… Continue reading What Methods Can Be Used to Verify Patient Eligibility?

Credentialing is essential for healthcare professionals in the US because it guarantees they have the necessary education, training, and experience to provide quality care. Healthcare providers are also required to be credentialed to meet the standards set by the regulatory bodies and professional organizations. Accrediting agencies, such as the Joint Commission, require all healthcare providers… Continue reading What are the Steps Involved in the Medical Credentialing Process?

Medical billing in healthcare is becoming more and more crucial with the growing demand of quality healthcare among patients. Medical billing is complex and requires great expertise to improve the financial performance of healthcare organizations. It involves the process of submitting claims accurately with insurance carriers to ensure that no claim is denied and the… Continue reading The Role of Medical Billing in Healthcare

Denial management in medical billing is a complex process. Studies suggest that upto 10% of claims submitted by a medical practice are denied and approximately 90% of these denials are preventable and can be reduced to near zero. The best way to start is identifying the reasons for your claim denials and streamlining the medical… Continue reading How to Handle Denials in Medical Billing?

Medical credentialing is a necessity for healthcare providers of all sizes today as patients now demand the acceptance of insurance as a payment from healthcare providers. In order to keep a practice run successfully and offer the highest quality of care and satisfaction to patients, more healthcare providers are getting credentialed.  But, getting on insurance… Continue reading Common Challenges in Medical Credentialing and How to Overcome Them

For a healthcare provider who wants to set up a practice, credentialing holds the highest importance. At the same time, the provider or medical credentialing process involves a lot of significant work. While it may appear like it requires only a few steps, healthcare providers say that getting credentialed is one of the most time-taking… Continue reading Understanding the Medical Credentialing Process